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Provider 1760545503

NPI: 1760545503Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,744,485

Total Claims

183K

Beneficiaries

148K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-21%
2019
$1.7M
-22%
2020
$1.4M
+7%
2021
$1.5M
-11%
2022
$1.3M
+15%
2023
$1.5M
-18%
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 18% of total spending.

59425Normal range

Antepartum care only, 4-6 visits

$2.0M

33K claims · 18.5%

Your Cost: $60.42/claim|Median: $63.63
0.9× median
59409Normal range

Vaginal delivery only

$1.7M

3,200 claims · 15.6%

Your Cost: $522.86/claim|Median: $619.91
0.8× median
Z1034Top 25%

$1.6M

27K claims · 14.8%

Your Cost: $58.25/claim|Median: $54.74
1.1× median
59514Normal range

Cesarean delivery only

$686K

1,320 claims · 6.4%

Your Cost: $519.94/claim|Median: $452.80
1.1× median
Z1032Normal range

$662K

4,722 claims · 6.2%

Your Cost: $140.10/claim|Median: $147.33
1.0× median
Z6500Normal range

$567K

4,595 claims · 5.3%

Your Cost: $123.47/claim|Median: $123.51
1.0× median
99211Top 10%

Office/outpatient visit, minimal complexity

$421K

9,496 claims · 3.9%

Your Cost: $44.38/claim|Median: $12.93
3.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$392K

4,324 claims · 3.6%

Your Cost: $90.62/claim|Median: $74.78
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$360K

2,898 claims · 3.4%

Your Cost: $124.30/claim|Median: $74.09
1.7× median
J3490Top 10%

Unclassified drugs

$266K

3,794 claims · 2.5%

Your Cost: $70.04/claim|Median: $5.70
12.3× median
59430Normal range

$227K

3,871 claims · 2.1%

Your Cost: $58.54/claim|Median: $80.32
0.7× median
99213Top 10%

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

$201K

2,687 claims · 1.9%

Your Cost: $74.89/claim|Median: $37.81
2.0× median
3351FTop 25%

$164K

2,619 claims · 1.5%

Your Cost: $62.51/claim|Median: $0.03
2083.8× median
99212Top 25%

Office/outpatient visit, low complexity

$145K

2,933 claims · 1.3%

Your Cost: $49.30/claim|Median: $25.06
2.0× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$131K

1,985 claims · 1.2%

Your Cost: $65.99/claim|Median: $24.95
2.6× median
Z6400Normal range

$129K

10K claims · 1.2%

Your Cost: $12.66/claim|Median: $14.65
0.9× median
Z6410Normal range

$120K

10K claims · 1.1%

Your Cost: $11.67/claim|Median: $12.08
1.0× median
59025Normal range

Fetal non-stress test

$115K

5,136 claims · 1.1%

Your Cost: $22.41/claim|Median: $26.45
0.8× median
0500FTop 25%

$113K

1,546 claims · 1.0%

Your Cost: $72.77/claim|Median: $39.34
1.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$103K

1,386 claims · 1.0%

Your Cost: $74.58/claim|Median: $58.16
1.3× median
90715Top 1%

Tdap vaccine

$86K

1,306 claims · 0.8%

Your Cost: $65.58/claim|Median: $10.32
6.4× median
Z6406Normal range

$64K

6,814 claims · 0.6%

Your Cost: $9.43/claim|Median: $10.45
0.9× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$56K

692 claims · 0.5%

Your Cost: $81.63/claim|Median: $41.92
1.9× median
Z1038Top 25%

$54K

990 claims · 0.5%

Your Cost: $54.71/claim|Median: $54.47
1.0× median
88141Top 1%

$51K

1,013 claims · 0.5%

Your Cost: $50.00/claim|Median: $14.87
3.4× median
Z6204Normal range

$45K

3,999 claims · 0.4%

Your Cost: $11.17/claim|Median: $9.94
1.1× median
Z6202Normal range

$44K

3,767 claims · 0.4%

Your Cost: $11.78/claim|Median: $10.18
1.2× median
Z6404Normal range

$41K

3,772 claims · 0.4%

Your Cost: $10.84/claim|Median: $9.53
1.1× median
81025Normal range

Urine pregnancy test

$33K

7,181 claims · 0.3%

Your Cost: $4.62/claim|Median: $4.81
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$32K

1,776 claims · 0.3%

Your Cost: $18.16/claim|Median: $9.56
1.9× median
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