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Provider 1679642326

NPI: 1679642326Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$17,991,677

Total Claims

405K

Beneficiaries

360K

1.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-9%
2019
$1.4M
-17%
2020
$1.1M
+57%
2021
$1.8M
+87%
2022
$3.3M
+16%
2023
$3.9M
+27%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59425 (Antepartum care only, 4-6 visits)) accounts for 14% of total spending.

59425Top 25%

Antepartum care only, 4-6 visits

$2.4M

22K claims · 13.5%

Your Cost: $109.23/claim|Median: $63.63
1.7× median
59409Normal range

Vaginal delivery only

$2.1M

2,746 claims · 11.9%

Your Cost: $779.13/claim|Median: $619.91
1.3× median
99214Normal range

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

$2.0M

32K claims · 11.4%

Your Cost: $64.74/claim|Median: $53.41
1.2× median
99213Normal range

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

$2.0M

50K claims · 11.4%

Your Cost: $40.74/claim|Median: $37.81
1.1× median
45378Top 25%

Colonoscopy, diagnostic

$541K

1,357 claims · 3.0%

Your Cost: $398.86/claim|Median: $225.49
1.8× median
93010Top 5%

Electrocardiogram, interpretation and report only

$529K

29K claims · 2.9%

Your Cost: $18.09/claim|Median: $5.60
3.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$482K

17K claims · 2.7%

Your Cost: $28.87/claim|Median: $39.33
0.7× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$426K

841 claims · 2.4%

Your Cost: $506.09/claim|Median: $255.17
2.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$422K

7,733 claims · 2.3%

Your Cost: $54.54/claim|Median: $59.72
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$405K

5,823 claims · 2.3%

Your Cost: $69.55/claim|Median: $54.68
1.3× median
99203Normal range

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

$377K

4,914 claims · 2.1%

Your Cost: $76.79/claim|Median: $57.85
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$307K

12K claims · 1.7%

Your Cost: $26.18/claim|Median: $25.06
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$301K

10K claims · 1.7%

Your Cost: $29.90/claim|Median: $47.08
0.6× median
D1120Top 10%

Prophylaxis, adult

$292K

6,044 claims · 1.6%

Your Cost: $48.29/claim|Median: $33.86
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$290K

5,452 claims · 1.6%

Your Cost: $53.24/claim|Median: $35.80
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$285K

3,490 claims · 1.6%

Your Cost: $81.75/claim|Median: $65.76
1.2× median
99204Normal range

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

$276K

2,685 claims · 1.5%

Your Cost: $102.75/claim|Median: $84.03
1.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$213K

5,188 claims · 1.2%

Your Cost: $41.15/claim|Median: $38.23
1.1× median
92015Normal range

Determination of refractive state

$163K

19K claims · 0.9%

Your Cost: $8.66/claim|Median: $10.36
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$136K

3,929 claims · 0.8%

Your Cost: $34.73/claim|Median: $23.99
1.4× median
71046Normal range

Chest X-ray, 2 views

$132K

13K claims · 0.7%

Your Cost: $9.80/claim|Median: $8.92
1.1× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$131K

490 claims · 0.7%

Your Cost: $267.71/claim|Median: $114.30
2.3× median
11721Top 25%

$124K

6,885 claims · 0.7%

Your Cost: $18.03/claim|Median: $8.56
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$114K

847 claims · 0.6%

Your Cost: $134.91/claim|Median: $74.09
1.8× median
59430Normal range

$105K

1,568 claims · 0.6%

Your Cost: $66.95/claim|Median: $80.32
0.8× median
D9990Normal range

$103K

9,130 claims · 0.6%

Your Cost: $11.33/claim|Median: $20.93
0.5× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$100K

3,788 claims · 0.6%

Your Cost: $26.29/claim|Median: $21.41
1.2× median
D9430Normal range

$99K

3,961 claims · 0.6%

Your Cost: $25.10/claim|Median: $31.69
0.8× median
96158Top 10%

$99K

1,565 claims · 0.6%

Your Cost: $63.37/claim|Median: $28.43
2.2× median
D1206Normal range

Topical application of fluoride varnish

$94K

4,948 claims · 0.5%

Your Cost: $19.09/claim|Median: $18.12
1.1× median
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