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Provider 1790739126

NPI: 1790739126Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,881,100

Total Claims

338K

Beneficiaries

305K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-51%
2019
$961K
-29%
2020
$684K
+65%
2021
$1.1M
-3%
2022
$1.1M
+31%
2023
$1.4M
+13%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J3490 (Unclassified drugs)) accounts for 12% of total spending.

J3490Normal range

Unclassified drugs

$1.1M

59K claims · 12.3%

Your Cost: $18.39/claim|Median: $5.70
3.2× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$1.0M

1,761 claims · 11.7%

Your Cost: $590.91/claim|Median: $786.43
0.8× median
S4993Normal range

$755K

9,853 claims · 8.5%

Your Cost: $76.66/claim|Median: $46.61
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$708K

32K claims · 8.0%

Your Cost: $21.93/claim|Median: $12.93
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$698K

15K claims · 7.9%

Your Cost: $46.34/claim|Median: $25.06
1.8× median
99213Top 25%

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

$678K

13K claims · 7.6%

Your Cost: $54.13/claim|Median: $37.81
1.4× median
99214Normal range

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

$507K

6,740 claims · 5.7%

Your Cost: $75.21/claim|Median: $53.41
1.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$482K

5,521 claims · 5.4%

Your Cost: $87.37/claim|Median: $40.11
2.2× median
S0199Normal range

$382K

3,698 claims · 4.3%

Your Cost: $103.22/claim|Median: $454.23
0.2× median
99203Top 5%

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

$364K

2,472 claims · 4.1%

Your Cost: $147.16/claim|Median: $57.85
2.5× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$331K

5,314 claims · 3.7%

Your Cost: $62.21/claim|Median: $27.38
2.3× median
99204Top 10%

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

$311K

2,066 claims · 3.5%

Your Cost: $150.50/claim|Median: $84.03
1.8× median
87806Normal range

$275K

21K claims · 3.1%

Your Cost: $13.40/claim|Median: $20.54
0.7× median
11981Normal range

$259K

1,716 claims · 2.9%

Your Cost: $150.79/claim|Median: $117.16
1.3× median
A4267Normal range

$224K

27K claims · 2.5%

Your Cost: $8.33/claim|Median: $7.86
1.1× median
J7304Normal range

$140K

290 claims · 1.6%

Your Cost: $481.41/claim|Median: $630.59
0.8× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$130K

9,069 claims · 1.5%

Your Cost: $14.38/claim|Median: $21.08
0.7× median
11976Normal range

$60K

1,316 claims · 0.7%

Your Cost: $45.61/claim|Median: $57.06
0.8× median
S9445Normal range

$51K

3,982 claims · 0.6%

Your Cost: $12.70/claim|Median: $12.72
1.0× median
81025Normal range

Urine pregnancy test

$43K

30K claims · 0.5%

Your Cost: $1.42/claim|Median: $4.81
0.3× median
S0190Normal range

$42K

3,594 claims · 0.5%

Your Cost: $11.61/claim|Median: $58.42
0.2× median
99402Normal range

$38K

1,192 claims · 0.4%

Your Cost: $31.76/claim|Median: $31.79
1.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$37K

4,629 claims · 0.4%

Your Cost: $8.02/claim|Median: $36.79
0.2× median
99401Normal range

$35K

1,859 claims · 0.4%

Your Cost: $19.04/claim|Median: $16.53
1.2× median
58300Normal range

$32K

589 claims · 0.4%

Your Cost: $54.86/claim|Median: $74.77
0.7× median
S5000Normal range

Prescription drug, generic

$32K

4,034 claims · 0.4%

Your Cost: $7.83/claim|Median: $7.47
1.0× median
99000Normal range

$30K

16K claims · 0.3%

Your Cost: $1.86/claim|Median: $2.30
0.8× median
59840Normal range

$26K

1,646 claims · 0.3%

Your Cost: $15.70/claim|Median: $190.09
0.1× median
83986Normal range

$11K

8,404 claims · 0.1%

Your Cost: $1.29/claim|Median: $2.70
0.5× median
Q0111Normal range

$10K

7,204 claims · 0.1%

Your Cost: $1.41/claim|Median: $3.66
0.4× median
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