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Provider 1710906821

NPI: 1710906821Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,941,104

Total Claims

102K

Beneficiaries

83K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-13%
2019
$1.1M
-23%
2020
$854K
+28%
2021
$1.1M
-13%
2022
$955K
+39%
2023
$1.3M
+0%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 36% of total spending.

99213Top 25%

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

$2.9M

43K claims · 36.1%

Your Cost: $67.36/claim|Median: $37.81
1.8× median
59409Top 5%

Vaginal delivery only

$1.6M

1,241 claims · 19.9%

Your Cost: $1,276.13/claim|Median: $619.91
2.1× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$747K

360 claims · 9.4%

Your Cost: $2,075.12/claim|Median: $1,482.45
1.4× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$489K

3,740 claims · 6.2%

Your Cost: $130.64/claim|Median: $74.78
1.7× median
59430Top 10%

$381K

1,959 claims · 4.8%

Your Cost: $194.57/claim|Median: $80.32
2.4× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$360K

4,085 claims · 4.5%

Your Cost: $88.10/claim|Median: $47.65
1.8× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$298K

3,976 claims · 3.8%

Your Cost: $75.05/claim|Median: $36.79
2.0× median
76819Top 25%

Fetal biophysical profile with non-stress test

$275K

3,562 claims · 3.5%

Your Cost: $77.22/claim|Median: $49.45
1.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$203K

2,082 claims · 2.6%

Your Cost: $97.66/claim|Median: $58.55
1.7× median
76830Top 10%

Ultrasound, transvaginal

$140K

1,196 claims · 1.8%

Your Cost: $116.92/claim|Median: $57.47
2.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$127K

1,132 claims · 1.6%

Your Cost: $112.20/claim|Median: $72.71
1.5× median
59426Top 25%

Antepartum care only, high risk, additional visits

$111K

148 claims · 1.4%

Your Cost: $749.60/claim|Median: $122.30
6.1× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$85K

714 claims · 1.1%

Your Cost: $119.63/claim|Median: $76.06
1.6× median
99203Top 10%

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

$59K

576 claims · 0.7%

Your Cost: $102.40/claim|Median: $57.85
1.8× median
59025Normal range

Fetal non-stress test

$59K

1,369 claims · 0.7%

Your Cost: $42.99/claim|Median: $26.45
1.6× median
59410Top 25%

$40K

41 claims · 0.5%

Your Cost: $985.66/claim|Median: $781.64
1.3× median
99218Top 25%

$19K

253 claims · 0.2%

Your Cost: $76.42/claim|Median: $51.50
1.5× median
58300Normal range

$15K

148 claims · 0.2%

Your Cost: $99.51/claim|Median: $74.77
1.3× median
81025Top 10%

Urine pregnancy test

$12K

1,350 claims · 0.1%

Your Cost: $8.66/claim|Median: $4.81
1.8× median
90715Top 5%

Tdap vaccine

$11K

247 claims · 0.1%

Your Cost: $45.47/claim|Median: $10.32
4.4× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$11K

852 claims · 0.1%

Your Cost: $12.53/claim|Median: $9.80
1.3× median
90658Top 5%

$10K

450 claims · 0.1%

Your Cost: $23.09/claim|Median: $8.96
2.6× median
76856Top 10%

Ultrasound, pelvic, complete

$10K

85 claims · 0.1%

Your Cost: $120.17/claim|Median: $47.58
2.5× median
99234Normal range

$10K

123 claims · 0.1%

Your Cost: $78.03/claim|Median: $80.89
1.0× median
A4558Normal range

$9K

16K claims · 0.1%

Your Cost: $0.58/claim|Median: $1.50
0.4× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$3K

17 claims · 0.0%

Your Cost: $157.92/claim|Median: $106.79
1.5× median
58301Top 25%

$3K

25 claims · 0.0%

Your Cost: $104.67/claim|Median: $49.65
2.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$793

507 claims · 0.0%

Your Cost: $1.56/claim|Median: $2.00
0.8× median
0500FNormal range

$0

1,293 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.34
0502FNormal range

$0

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $44.10
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