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HIGH RISK OBSTETRICAL CONSULTANTS, PLLC

Obstetrics & Gynecology, Maternal & Fetal Medicine·KNOXVILLE, TN·NPI: 1770724676Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$32.7M

$32,698,187

Total Claims

430K

Beneficiaries

324K

1.3 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+34%
2019
$3.9M
+19%
2020
$4.7M
+15%
2021
$5.3M
-1%
2022
$5.3M
+7%
2023
$5.7M
-12%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (76819 (Fetal biophysical profile with non-stress test)) accounts for 21% of total spending.

76819Top 25%

Fetal biophysical profile with non-stress test

$6.7M

78K claims · 20.5%

Your Cost: $86.21/claim|Median: $49.45
1.7× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$4.9M

56K claims · 15.1%

Your Cost: $88.00/claim|Median: $58.55
1.5× median
76820Top 10%

$4.8M

74K claims · 14.6%

Your Cost: $64.89/claim|Median: $31.79
2.0× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$4.3M

23K claims · 13.3%

Your Cost: $191.34/claim|Median: $106.79
1.8× median
99213Top 25%

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

$3.2M

52K claims · 9.9%

Your Cost: $62.30/claim|Median: $37.81
1.6× median
99214Top 25%

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

$2.5M

27K claims · 7.6%

Your Cost: $92.49/claim|Median: $53.41
1.7× median
76821Top 25%

$1.3M

16K claims · 4.1%

Your Cost: $86.15/claim|Median: $46.75
1.8× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$1.0M

11K claims · 3.1%

Your Cost: $90.13/claim|Median: $47.65
1.9× median
99203Top 10%

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

$808K

8,113 claims · 2.5%

Your Cost: $99.58/claim|Median: $57.85
1.7× median
99204Top 10%

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

$732K

5,120 claims · 2.2%

Your Cost: $143.01/claim|Median: $84.03
1.7× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$401K

5,878 claims · 1.2%

Your Cost: $68.14/claim|Median: $36.79
1.9× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$312K

2,956 claims · 1.0%

Your Cost: $105.67/claim|Median: $58.16
1.8× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$307K

4,467 claims · 0.9%

Your Cost: $68.80/claim|Median: $23.99
2.9× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$196K

2,038 claims · 0.6%

Your Cost: $96.19/claim|Median: $70.87
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$162K

1,300 claims · 0.5%

Your Cost: $124.96/claim|Median: $74.09
1.7× median
59514Top 10%

Cesarean delivery only

$134K

145 claims · 0.4%

Your Cost: $926.68/claim|Median: $452.80
2.0× median
81003Top 25%

Urinalysis, automated without microscopy

$129K

53K claims · 0.4%

Your Cost: $2.44/claim|Median: $1.48
1.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$102K

575 claims · 0.3%

Your Cost: $176.70/claim|Median: $111.09
1.6× median
59409Top 10%

Vaginal delivery only

$101K

105 claims · 0.3%

Your Cost: $966.22/claim|Median: $619.91
1.6× median
59025Top 25%

Fetal non-stress test

$101K

2,270 claims · 0.3%

Your Cost: $44.40/claim|Median: $26.45
1.7× median
76825Top 25%

$64K

341 claims · 0.2%

Your Cost: $187.18/claim|Median: $103.74
1.8× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$61K

658 claims · 0.2%

Your Cost: $93.17/claim|Median: $35.30
2.6× median
99212Normal range

Office/outpatient visit, low complexity

$46K

1,323 claims · 0.1%

Your Cost: $35.02/claim|Median: $25.06
1.4× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$37K

284 claims · 0.1%

Your Cost: $129.23/claim|Median: $74.78
1.7× median
76818Normal range

$29K

433 claims · 0.1%

Your Cost: $67.04/claim|Median: $68.15
1.0× median
76827Top 25%

$24K

347 claims · 0.1%

Your Cost: $69.03/claim|Median: $39.58
1.7× median
93325Top 25%

$20K

351 claims · 0.1%

Your Cost: $55.77/claim|Median: $14.61
3.8× median
90471Normal range

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

$17K

1,472 claims · 0.1%

Your Cost: $11.68/claim|Median: $9.80
1.2× median
90715Top 5%

Tdap vaccine

$12K

301 claims · 0.0%

Your Cost: $38.78/claim|Median: $10.32
3.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$10K

156 claims · 0.0%

Your Cost: $63.68/claim|Median: $40.11
1.6× median
59430Top 25%

$9K

58 claims · 0.0%

Your Cost: $157.49/claim|Median: $80.32
2.0× median
99406Top 25%

$6K

569 claims · 0.0%

Your Cost: $10.61/claim|Median: $6.53
1.6× median
90656Normal range

$5K

483 claims · 0.0%

Your Cost: $10.51/claim|Median: $8.67
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$2K

119 claims · 0.0%

Your Cost: $17.88/claim|Median: $9.56
1.9× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$530

24 claims · 0.0%

Your Cost: $22.10/claim|Median: $7.18
3.1× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$395

12 claims · 0.0%

Your Cost: $32.95/claim|Median: $27.38
1.2× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$360

33 claims · 0.0%

Your Cost: $10.91/claim|Median: $17.67
0.6× median
99407Top 10%

$344

12 claims · 0.0%

Your Cost: $28.64/claim|Median: $13.29
2.2× median
90674Normal range

$308

14 claims · 0.0%

Your Cost: $22.03/claim|Median: $15.16
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$178

78 claims · 0.0%

Your Cost: $2.28/claim|Median: $1.57
1.5× median
99000Normal range

$23

74 claims · 0.0%

Your Cost: $0.31/claim|Median: $2.30
0.1× median
0502FNormal range

$0

1,305 claims · 0.0%

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

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