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Provider 1669708582

NPI: 1669708582Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,837,248

Total Claims

137K

Beneficiaries

107K

1.3 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$903K
+39%
2019
$1.3M
-14%
2020
$1.1M
+75%
2021
$1.9M
+18%
2022
$2.2M
+9%
2023
$2.4M
-16%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59400 (Routine obstetric care, vaginal delivery, including postpartum)) accounts for 29% of total spending.

59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$3.4M

1,573 claims · 29.0%

Your Cost: $2,184.62/claim|Median: $1,482.45
1.5× median
76819Top 25%

Fetal biophysical profile with non-stress test

$1.5M

17K claims · 12.3%

Your Cost: $84.52/claim|Median: $49.45
1.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.4M

17K claims · 12.0%

Your Cost: $82.53/claim|Median: $47.65
1.7× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$1.3M

14K claims · 11.4%

Your Cost: $97.22/claim|Median: $58.55
1.7× median
76820Normal range

$680K

18K claims · 5.7%

Your Cost: $38.18/claim|Median: $31.79
1.2× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$543K

6,910 claims · 4.6%

Your Cost: $78.53/claim|Median: $36.79
2.1× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$539K

3,249 claims · 4.6%

Your Cost: $165.81/claim|Median: $79.28
2.1× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$342K

2,229 claims · 2.9%

Your Cost: $153.50/claim|Median: $106.79
1.4× median
99213Top 10%

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

$329K

4,491 claims · 2.8%

Your Cost: $73.37/claim|Median: $37.81
1.9× median
76830Normal range

Ultrasound, transvaginal

$301K

4,413 claims · 2.5%

Your Cost: $68.17/claim|Median: $57.47
1.2× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$265K

2,364 claims · 2.2%

Your Cost: $112.10/claim|Median: $70.87
1.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$263K

2,497 claims · 2.2%

Your Cost: $105.16/claim|Median: $58.16
1.8× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$200K

1,626 claims · 1.7%

Your Cost: $122.83/claim|Median: $74.78
1.6× median
99214Top 10%

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

$176K

1,514 claims · 1.5%

Your Cost: $116.08/claim|Median: $53.41
2.2× median
76856Normal range

Ultrasound, pelvic, complete

$115K

3,100 claims · 1.0%

Your Cost: $37.25/claim|Median: $47.58
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$69K

1,428 claims · 0.6%

Your Cost: $48.59/claim|Median: $25.06
1.9× median
76377Top 25%

$34K

1,006 claims · 0.3%

Your Cost: $34.04/claim|Median: $20.27
1.7× median
99215Top 5%

Office/outpatient visit, high complexity

$31K

179 claims · 0.3%

Your Cost: $174.80/claim|Median: $74.09
2.4× median
81000Top 25%

Urinalysis with microscopy, non-automated

$30K

8,808 claims · 0.3%

Your Cost: $3.42/claim|Median: $2.51
1.4× median
76818Top 10%

$30K

252 claims · 0.3%

Your Cost: $119.23/claim|Median: $68.15
1.7× median
59426Top 5%

Antepartum care only, high risk, additional visits

$30K

26 claims · 0.2%

Your Cost: $1,137.00/claim|Median: $122.30
9.3× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$25K

111 claims · 0.2%

Your Cost: $226.55/claim|Median: $111.09
2.0× median
76821Top 25%

$24K

294 claims · 0.2%

Your Cost: $81.39/claim|Median: $46.75
1.7× median
59409Top 25%

Vaginal delivery only

$21K

25 claims · 0.2%

Your Cost: $831.12/claim|Median: $619.91
1.3× median
99401Top 25%

$20K

740 claims · 0.2%

Your Cost: $26.53/claim|Median: $16.53
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$19K

171 claims · 0.2%

Your Cost: $110.11/claim|Median: $72.71
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$13K

9,360 claims · 0.1%

Your Cost: $1.42/claim|Median: $1.57
0.9× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$12K

76 claims · 0.1%

Your Cost: $155.16/claim|Median: $84.03
1.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$9K

4,187 claims · 0.1%

Your Cost: $2.07/claim|Median: $2.00
1.0× median
84144Normal range

$6K

365 claims · 0.0%

Your Cost: $15.14/claim|Median: $14.29
1.1× median
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