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Provider 1669686606

NPI: 1669686606Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.9M

$9,853,513

Total Claims

125K

Beneficiaries

110K

1.1 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+9%
2019
$1.5M
+3%
2020
$1.6M
-2%
2021
$1.5M
-6%
2022
$1.4M
-3%
2023
$1.4M
-21%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (76811 (Ultrasound, pregnant uterus, detailed, single fetus)) accounts for 22% of total spending.

76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$2.2M

13K claims · 22.2%

Your Cost: $175.07/claim|Median: $106.79
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.4M

23K claims · 14.7%

Your Cost: $63.17/claim|Median: $58.55
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$1.1M

29K claims · 11.1%

Your Cost: $38.09/claim|Median: $25.06
1.5× median
76819Top 10%

Fetal biophysical profile with non-stress test

$1.1M

12K claims · 10.8%

Your Cost: $91.57/claim|Median: $49.45
1.9× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$1.0M

9,555 claims · 10.3%

Your Cost: $106.48/claim|Median: $74.78
1.4× median
99242Normal range

Office consultation, low complexity

$794K

12K claims · 8.1%

Your Cost: $65.66/claim|Median: $57.97
1.1× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$676K

5,915 claims · 6.9%

Your Cost: $114.35/claim|Median: $70.87
1.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$618K

6,779 claims · 6.3%

Your Cost: $91.23/claim|Median: $58.16
1.6× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$399K

4,429 claims · 4.1%

Your Cost: $90.18/claim|Median: $47.65
1.9× median
76818Top 5%

$148K

902 claims · 1.5%

Your Cost: $163.57/claim|Median: $68.15
2.4× median
76820Normal range

$110K

2,517 claims · 1.1%

Your Cost: $43.59/claim|Median: $31.79
1.4× median
99241Normal range

Office consultation, straightforward

$101K

3,369 claims · 1.0%

Your Cost: $29.94/claim|Median: $36.49
0.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$61K

1,753 claims · 0.6%

Your Cost: $34.98/claim|Median: $37.81
0.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$58K

622 claims · 0.6%

Your Cost: $92.48/claim|Median: $82.43
1.1× median
76821Top 25%

$46K

585 claims · 0.5%

Your Cost: $79.22/claim|Median: $46.75
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$17K

378 claims · 0.2%

Your Cost: $45.96/claim|Median: $40.11
1.1× median
59025Normal range

Fetal non-stress test

$4K

265 claims · 0.0%

Your Cost: $16.16/claim|Median: $26.45
0.6× median
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