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Provider 1730258765

NPI: 1730258765Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,776,202

Total Claims

720K

Beneficiaries

677K

1.1 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-9%
2019
$1.3M
-45%
2020
$734K
+20%
2021
$883K
+10%
2022
$968K
+16%
2023
$1.1M
+11%
2024
$1.2M

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 25% of total spending.

59425Normal range

Antepartum care only, 4-6 visits

$1.9M

34K claims · 24.9%

Your Cost: $56.14/claim|Median: $63.63
0.9× median
99213Normal range

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

$728K

48K claims · 9.4%

Your Cost: $15.24/claim|Median: $37.81
0.4× median
99215Top 25%

Office/outpatient visit, high complexity

$527K

4,471 claims · 6.8%

Your Cost: $117.96/claim|Median: $74.09
1.6× median
Z1034Top 5%

$485K

7,158 claims · 6.2%

Your Cost: $67.73/claim|Median: $54.74
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$457K

13K claims · 5.9%

Your Cost: $36.01/claim|Median: $69.35
0.5× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$295K

2,990 claims · 3.8%

Your Cost: $98.72/claim|Median: $70.87
1.4× median
J3490Top 25%

Unclassified drugs

$278K

4,761 claims · 3.6%

Your Cost: $58.44/claim|Median: $5.70
10.3× median
59430Normal range

$262K

4,728 claims · 3.4%

Your Cost: $55.35/claim|Median: $80.32
0.7× median
G8510Normal range

$232K

42K claims · 3.0%

Your Cost: $5.55/claim|Median: $1.96
2.8× median
99212Normal range

Office/outpatient visit, low complexity

$217K

25K claims · 2.8%

Your Cost: $8.65/claim|Median: $25.06
0.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$209K

2,361 claims · 2.7%

Your Cost: $88.54/claim|Median: $74.78
1.2× median
Z1032Normal range

$185K

1,244 claims · 2.4%

Your Cost: $148.37/claim|Median: $147.33
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$180K

3,375 claims · 2.3%

Your Cost: $53.44/claim|Median: $73.46
0.7× median
99214Normal range

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

$128K

9,713 claims · 1.7%

Your Cost: $13.22/claim|Median: $53.41
0.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$125K

5,330 claims · 1.6%

Your Cost: $23.48/claim|Median: $24.95
0.9× median
G9920Normal range

$99K

27K claims · 1.3%

Your Cost: $3.65/claim|Median: $6.56
0.6× median
3351FTop 25%

$95K

3,384 claims · 1.2%

Your Cost: $27.93/claim|Median: $0.03
930.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$88K

16K claims · 1.1%

Your Cost: $5.65/claim|Median: $75.18
0.1× median
90715Top 25%

Tdap vaccine

$86K

3,641 claims · 1.1%

Your Cost: $23.66/claim|Median: $10.32
2.3× median
81003Normal range

Urinalysis, automated without microscopy

$81K

46K claims · 1.0%

Your Cost: $1.76/claim|Median: $1.48
1.2× median
88141Top 10%

$78K

2,260 claims · 1.0%

Your Cost: $34.60/claim|Median: $14.87
2.3× median
D1206Normal range

Topical application of fluoride varnish

$77K

10K claims · 1.0%

Your Cost: $7.41/claim|Median: $18.12
0.4× median
81025Normal range

Urine pregnancy test

$72K

23K claims · 0.9%

Your Cost: $3.11/claim|Median: $4.81
0.6× median
Z6500Top 25%

$66K

534 claims · 0.9%

Your Cost: $124.30/claim|Median: $123.51
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$62K

1,224 claims · 0.8%

Your Cost: $50.63/claim|Median: $58.55
0.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$59K

825 claims · 0.8%

Your Cost: $71.70/claim|Median: $58.16
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$45K

12K claims · 0.6%

Your Cost: $3.87/claim|Median: $74.82
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$44K

6,201 claims · 0.6%

Your Cost: $7.16/claim|Median: $5.50
1.3× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$42K

365 claims · 0.5%

Your Cost: $115.00/claim|Median: $114.71
1.0× median
90648Normal range

$38K

13K claims · 0.5%

Your Cost: $3.03/claim|Median: $4.08
0.7× median
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