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Provider 1780069138

NPI: 1780069138Share
Active Billing Period:2018-01→2024-12(76 months)

Total Paid

$8.1M

$8,053,385

Total Claims

213K

Beneficiaries

143K

1.5 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$3K
+439%
2019
$14K
+2426%
2020
$365K
+394%
2021
$1.8M
+5%
2022
$1.9M
+6%
2023
$2.0M
-1%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 20% of total spending.

76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.6M

21K claims · 20.4%

Your Cost: $77.24/claim|Median: $58.55
1.3× median
99213Normal range

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

$1.5M

53K claims · 19.0%

Your Cost: $29.07/claim|Median: $37.81
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$1.1M

18K claims · 13.9%

Your Cost: $61.42/claim|Median: $49.45
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$634K

7,126 claims · 7.9%

Your Cost: $88.92/claim|Median: $106.79
0.8× median
76820Normal range

$535K

16K claims · 6.6%

Your Cost: $34.21/claim|Median: $31.79
1.1× median
99214Normal range

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

$464K

11K claims · 5.8%

Your Cost: $42.27/claim|Median: $53.41
0.8× median
76821Normal range

$395K

6,038 claims · 4.9%

Your Cost: $65.50/claim|Median: $46.75
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$248K

4,407 claims · 3.1%

Your Cost: $56.26/claim|Median: $36.79
1.5× median
59409Normal range

Vaginal delivery only

$231K

600 claims · 2.9%

Your Cost: $385.18/claim|Median: $619.91
0.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$201K

3,192 claims · 2.5%

Your Cost: $63.02/claim|Median: $47.65
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$110K

5,657 claims · 1.4%

Your Cost: $19.41/claim|Median: $25.06
0.8× median
99203Normal range

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

$98K

2,182 claims · 1.2%

Your Cost: $44.78/claim|Median: $57.85
0.8× median
76818Normal range

$94K

1,209 claims · 1.2%

Your Cost: $77.42/claim|Median: $68.15
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$82K

38K claims · 1.0%

Your Cost: $2.17/claim|Median: $2.00
1.1× median
59025Normal range

Fetal non-stress test

$79K

2,640 claims · 1.0%

Your Cost: $29.84/claim|Median: $26.45
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$75K

1,111 claims · 0.9%

Your Cost: $67.25/claim|Median: $74.09
0.9× median
59430Normal range

$71K

828 claims · 0.9%

Your Cost: $86.05/claim|Median: $80.32
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$70K

888 claims · 0.9%

Your Cost: $79.35/claim|Median: $58.16
1.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$66K

752 claims · 0.8%

Your Cost: $87.11/claim|Median: $74.78
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$45K

732 claims · 0.6%

Your Cost: $61.52/claim|Median: $72.71
0.8× median
81025Normal range

Urine pregnancy test

$45K

8,443 claims · 0.6%

Your Cost: $5.29/claim|Median: $4.81
1.1× median
76830Top 25%

Ultrasound, transvaginal

$37K

440 claims · 0.5%

Your Cost: $83.51/claim|Median: $57.47
1.5× median
99204Normal range

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

$30K

471 claims · 0.4%

Your Cost: $63.81/claim|Median: $84.03
0.8× median
59514Normal range

Cesarean delivery only

$27K

111 claims · 0.3%

Your Cost: $239.34/claim|Median: $452.80
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$26K

864 claims · 0.3%

Your Cost: $29.82/claim|Median: $40.11
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$16K

210 claims · 0.2%

Your Cost: $78.17/claim|Median: $111.09
0.7× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$12K

137 claims · 0.1%

Your Cost: $84.58/claim|Median: $70.87
1.2× median
90715Normal range

Tdap vaccine

$11K

579 claims · 0.1%

Your Cost: $19.07/claim|Median: $10.32
1.8× median
90471Normal range

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

$10K

1,299 claims · 0.1%

Your Cost: $8.02/claim|Median: $9.80
0.8× median
76825Top 25%

$10K

53 claims · 0.1%

Your Cost: $185.02/claim|Median: $103.74
1.8× median
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