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Provider 1780138461

NPI: 1780138461Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,244,632

Total Claims

150K

Beneficiaries

138K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$341K
+115%
2019
$735K
+110%
2020
$1.5M
+44%
2021
$2.2M
-17%
2022
$1.8M
-37%
2023
$1.2M
-65%
2024
$410K

Procedure Breakdown

Cost per claim compared to national benchmarks

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

99213Top 10%

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

$2.1M

28K claims · 25.7%

Your Cost: $76.41/claim|Median: $37.81
2.0× median
76830Top 10%

Ultrasound, transvaginal

$1.5M

13K claims · 17.7%

Your Cost: $114.65/claim|Median: $57.47
2.0× median
76856Top 25%

Ultrasound, pelvic, complete

$1.1M

11K claims · 13.1%

Your Cost: $97.24/claim|Median: $47.58
2.0× median
93975Top 10%

Duplex scan of arterial inflow and venous outflow, complete

$853K

3,240 claims · 10.3%

Your Cost: $263.15/claim|Median: $79.28
3.3× median
99214Top 10%

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

$616K

5,553 claims · 7.5%

Your Cost: $111.02/claim|Median: $53.41
2.1× median
99203Top 10%

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

$412K

4,151 claims · 5.0%

Your Cost: $99.24/claim|Median: $57.85
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$367K

4,372 claims · 4.5%

Your Cost: $84.04/claim|Median: $72.71
1.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$267K

3,208 claims · 3.2%

Your Cost: $83.38/claim|Median: $76.22
1.1× median
99204Top 10%

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

$234K

1,573 claims · 2.8%

Your Cost: $148.45/claim|Median: $84.03
1.8× median
81025Normal range

Urine pregnancy test

$199K

32K claims · 2.4%

Your Cost: $6.29/claim|Median: $4.81
1.3× median
99401Top 10%

$143K

4,656 claims · 1.7%

Your Cost: $30.72/claim|Median: $16.53
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$94K

2,261 claims · 1.1%

Your Cost: $41.67/claim|Median: $25.06
1.7× median
88141Top 25%

$86K

3,353 claims · 1.0%

Your Cost: $25.55/claim|Median: $14.87
1.7× median
76377Normal range

$75K

3,020 claims · 0.9%

Your Cost: $24.74/claim|Median: $20.27
1.2× median
99072Top 5%

$46K

1,458 claims · 0.6%

Your Cost: $31.43/claim|Median: $0.54
58.2× median
81000Top 25%

Urinalysis with microscopy, non-automated

$30K

8,777 claims · 0.4%

Your Cost: $3.39/claim|Median: $2.51
1.4× median
G0445Top 10%

$21K

840 claims · 0.3%

Your Cost: $25.45/claim|Median: $10.60
2.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$21K

246 claims · 0.3%

Your Cost: $83.97/claim|Median: $76.06
1.1× median
Q0091Normal range

$20K

1,498 claims · 0.2%

Your Cost: $13.21/claim|Median: $11.15
1.2× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$19K

239 claims · 0.2%

Your Cost: $79.59/claim|Median: $87.82
0.9× median
99402Normal range

$16K

401 claims · 0.2%

Your Cost: $39.34/claim|Median: $31.79
1.2× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$14K

804 claims · 0.2%

Your Cost: $16.81/claim|Median: $21.28
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$12K

2,350 claims · 0.1%

Your Cost: $5.16/claim|Median: $3.67
1.4× median
36415Normal range

Collection of venous blood by venipuncture

$11K

13K claims · 0.1%

Your Cost: $0.88/claim|Median: $1.57
0.6× median
57454Top 25%

Colposcopy with cervical biopsy and endocervical curettage

$10K

55 claims · 0.1%

Your Cost: $176.91/claim|Median: $96.39
1.8× median
88150Top 25%

$7K

674 claims · 0.1%

Your Cost: $11.01/claim|Median: $6.47
1.7× median
96160Normal range

Patient-focused health risk assessment

$5K

1,427 claims · 0.1%

Your Cost: $3.66/claim|Median: $2.10
1.7× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$2K

38 claims · 0.0%

Your Cost: $64.02/claim|Median: $40.11
1.6× median
58301Top 25%

$2K

14 claims · 0.0%

Your Cost: $109.96/claim|Median: $49.65
2.2× median
99459Top 5%

$1K

52 claims · 0.0%

Your Cost: $25.88/claim|Median: $13.55
1.9× median
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