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Provider 1780781492

NPI: 1780781492Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.7M

$14,660,355

Total Claims

94K

Beneficiaries

42K

2.2 claims/patient

Avg Cost/Claim

$156

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+12%
2019
$2.6M
-9%
2020
$2.4M
-12%
2021
$2.1M
-3%
2022
$2.0M
+9%
2023
$2.2M
-46%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 52% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$7.6M

23K claims · 51.8%

Your Cost: $329.42/claim|Median: $293.45
1.1× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$3.0M

28K claims · 20.5%

Your Cost: $106.27/claim|Median: $103.70
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$2.2M

22K claims · 15.3%

Your Cost: $100.33/claim|Median: $98.15
1.0× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$391K

1,147 claims · 2.7%

Your Cost: $341.18/claim|Median: $307.98
1.1× median
99468Normal range

$290K

363 claims · 2.0%

Your Cost: $799.92/claim|Median: $679.18
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$194K

2,700 claims · 1.3%

Your Cost: $71.99/claim|Median: $58.55
1.2× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$185K

1,060 claims · 1.3%

Your Cost: $174.74/claim|Median: $106.79
1.6× median
76819Top 25%

Fetal biophysical profile with non-stress test

$136K

1,755 claims · 0.9%

Your Cost: $77.29/claim|Median: $49.45
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$100K

2,637 claims · 0.7%

Your Cost: $37.88/claim|Median: $37.22
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$99K

2,403 claims · 0.7%

Your Cost: $41.15/claim|Median: $62.48
0.7× median
76820Top 25%

$87K

1,438 claims · 0.6%

Your Cost: $60.55/claim|Median: $31.79
1.9× median
99213Normal range

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

$63K

1,639 claims · 0.4%

Your Cost: $38.37/claim|Median: $37.81
1.0× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$49K

428 claims · 0.3%

Your Cost: $114.61/claim|Median: $74.78
1.5× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$48K

604 claims · 0.3%

Your Cost: $80.21/claim|Median: $47.65
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$41K

940 claims · 0.3%

Your Cost: $43.44/claim|Median: $40.11
1.1× median
54150Top 25%

$40K

274 claims · 0.3%

Your Cost: $144.96/claim|Median: $84.60
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$33K

1,283 claims · 0.2%

Your Cost: $25.92/claim|Median: $25.06
1.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$16K

226 claims · 0.1%

Your Cost: $69.88/claim|Median: $36.79
1.9× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$11K

380 claims · 0.1%

Your Cost: $27.74/claim|Median: $16.77
1.7× median
59025Top 25%

Fetal non-stress test

$10K

153 claims · 0.1%

Your Cost: $62.54/claim|Median: $26.45
2.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

406 claims · 0.0%

Your Cost: $12.00/claim|Median: $9.56
1.3× median
76825Normal range

$4K

27 claims · 0.0%

Your Cost: $136.91/claim|Median: $103.74
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2K

31 claims · 0.0%

Your Cost: $59.40/claim|Median: $35.30
1.7× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$1K

13 claims · 0.0%

Your Cost: $106.42/claim|Median: $58.16
1.8× median
36415Top 25%

Collection of venous blood by venipuncture

$114

42 claims · 0.0%

Your Cost: $2.72/claim|Median: $1.57
1.7× median
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