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Provider 1730211541

NPI: 1730211541Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,611,535

Total Claims

190K

Beneficiaries

149K

1.3 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.4M
+15%
2020
$1.6M
+7%
2021
$1.7M
-1%
2022
$1.7M
-14%
2023
$1.5M
-16%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 30% of total spending.

99213Normal range

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

$3.2M

76K claims · 30.0%

Your Cost: $41.99/claim|Median: $37.81
1.1× median
59409Normal range

Vaginal delivery only

$1.6M

2,710 claims · 15.1%

Your Cost: $592.73/claim|Median: $619.91
1.0× median
59514Normal range

Cesarean delivery only

$1.1M

3,032 claims · 10.8%

Your Cost: $376.46/claim|Median: $452.80
0.8× median
59025Normal range

Fetal non-stress test

$889K

31K claims · 8.4%

Your Cost: $29.14/claim|Median: $26.45
1.1× median
99204Normal range

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

$633K

6,831 claims · 6.0%

Your Cost: $92.69/claim|Median: $84.03
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$628K

7,549 claims · 5.9%

Your Cost: $83.24/claim|Median: $74.78
1.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$472K

14K claims · 4.5%

Your Cost: $33.14/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$472K

14K claims · 4.4%

Your Cost: $33.19/claim|Median: $23.39
1.4× median
59430Normal range

$363K

3,927 claims · 3.4%

Your Cost: $92.33/claim|Median: $80.32
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$361K

4,840 claims · 3.4%

Your Cost: $74.54/claim|Median: $58.16
1.3× median
76818Normal range

$298K

4,263 claims · 2.8%

Your Cost: $69.79/claim|Median: $68.15
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$159K

2,498 claims · 1.5%

Your Cost: $63.54/claim|Median: $49.45
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$155K

6,230 claims · 1.5%

Your Cost: $24.88/claim|Median: $25.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$140K

2,392 claims · 1.3%

Your Cost: $58.49/claim|Median: $72.71
0.8× median
81025Normal range

Urine pregnancy test

$53K

9,230 claims · 0.5%

Your Cost: $5.71/claim|Median: $4.81
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$41K

700 claims · 0.4%

Your Cost: $58.76/claim|Median: $58.55
1.0× median
99214Normal range

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

$11K

174 claims · 0.1%

Your Cost: $61.78/claim|Median: $53.41
1.2× median
76856Normal range

Ultrasound, pelvic, complete

$3K

49 claims · 0.0%

Your Cost: $71.09/claim|Median: $47.58
1.5× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$2K

24 claims · 0.0%

Your Cost: $64.76/claim|Median: $38.79
1.7× median
87481Top 25%

$1K

29 claims · 0.0%

Your Cost: $50.83/claim|Median: $22.38
2.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$1K

23 claims · 0.0%

Your Cost: $54.93/claim|Median: $76.22
0.7× median
99406Normal range

$864

190 claims · 0.0%

Your Cost: $4.55/claim|Median: $6.53
0.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$773

28 claims · 0.0%

Your Cost: $27.59/claim|Median: $21.08
1.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$601

55 claims · 0.0%

Your Cost: $10.92/claim|Median: $12.93
0.8× median
0500FNormal range

$300

12 claims · 0.0%

Your Cost: $25.00/claim|Median: $39.34
0.6× median
99024Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
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