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Provider 1689623506

NPI: 1689623506Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,119,654

Total Claims

125K

Beneficiaries

115K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-15%
2019
$1.4M
-35%
2020
$891K
+30%
2021
$1.2M
+11%
2022
$1.3M
-22%
2023
$1.0M
-20%
2024
$803K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59426 (Antepartum care only, high risk, additional visits)) accounts for 13% of total spending.

59426Top 10%

Antepartum care only, high risk, additional visits

$1.1M

1,197 claims · 13.4%

Your Cost: $906.04/claim|Median: $122.30
7.4× median
99203Normal range

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

$1.0M

15K claims · 12.5%

Your Cost: $65.97/claim|Median: $57.85
1.1× median
99213Normal range

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

$1.0M

22K claims · 12.4%

Your Cost: $46.42/claim|Median: $37.81
1.2× median
99204Normal range

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

$874K

8,940 claims · 10.8%

Your Cost: $97.82/claim|Median: $84.03
1.2× median
59409Top 25%

Vaginal delivery only

$871K

1,033 claims · 10.7%

Your Cost: $843.38/claim|Median: $619.91
1.4× median
99214Normal range

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

$777K

12K claims · 9.6%

Your Cost: $65.91/claim|Median: $53.41
1.2× median
59430Top 5%

$241K

1,106 claims · 3.0%

Your Cost: $217.54/claim|Median: $80.32
2.7× median
59514Top 25%

Cesarean delivery only

$210K

297 claims · 2.6%

Your Cost: $706.20/claim|Median: $452.80
1.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$199K

6,717 claims · 2.5%

Your Cost: $29.64/claim|Median: $29.03
1.0× median
69436Normal range

Tympanostomy, general anesthesia

$191K

1,389 claims · 2.4%

Your Cost: $137.84/claim|Median: $205.50
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$180K

975 claims · 2.2%

Your Cost: $184.48/claim|Median: $331.68
0.6× median
J7298Top 25%

$158K

164 claims · 1.9%

Your Cost: $964.14/claim|Median: $751.11
1.3× median
59025Normal range

Fetal non-stress test

$136K

6,245 claims · 1.7%

Your Cost: $21.83/claim|Median: $26.45
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$83K

944 claims · 1.0%

Your Cost: $88.28/claim|Median: $72.71
1.2× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$78K

1,234 claims · 1.0%

Your Cost: $63.54/claim|Median: $41.92
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$67K

2,571 claims · 0.8%

Your Cost: $25.92/claim|Median: $25.06
1.0× median
Q0091Top 25%

$52K

2,102 claims · 0.6%

Your Cost: $24.69/claim|Median: $11.15
2.2× median
90715Top 10%

Tdap vaccine

$47K

1,406 claims · 0.6%

Your Cost: $33.70/claim|Median: $10.32
3.3× median
43239Normal range

Upper GI endoscopy with biopsy

$46K

706 claims · 0.6%

Your Cost: $65.32/claim|Median: $151.68
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$45K

1,092 claims · 0.6%

Your Cost: $41.19/claim|Median: $40.11
1.0× median
59425Top 5%

Antepartum care only, 4-6 visits

$38K

88 claims · 0.5%

Your Cost: $435.41/claim|Median: $63.63
6.8× median
73564Normal range

$38K

1,624 claims · 0.5%

Your Cost: $23.51/claim|Median: $15.00
1.6× median
73610Normal range

X-ray of ankle, complete, minimum three views

$38K

1,765 claims · 0.5%

Your Cost: $21.58/claim|Median: $13.55
1.6× median
49083Normal range

$37K

683 claims · 0.4%

Your Cost: $53.45/claim|Median: $78.44
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$36K

618 claims · 0.4%

Your Cost: $59.00/claim|Median: $47.65
1.2× median
25600Normal range

$31K

142 claims · 0.4%

Your Cost: $217.46/claim|Median: $193.19
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$29K

200 claims · 0.4%

Your Cost: $147.48/claim|Median: $255.17
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$29K

408 claims · 0.4%

Your Cost: $71.23/claim|Median: $58.55
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$27K

548 claims · 0.3%

Your Cost: $48.51/claim|Median: $36.79
1.3× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$24K

3,220 claims · 0.3%

Your Cost: $7.58/claim|Median: $2.91
2.6× median
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