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Provider 1790856235

NPI: 1790856235Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$16,999,453

Total Claims

167K

Beneficiaries

144K

1.2 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-0%
2019
$2.6M
-2%
2020
$2.5M
-2%
2021
$2.5M
-2%
2022
$2.4M
-1%
2023
$2.4M
-14%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 25% of total spending.

59409Normal range

Vaginal delivery only

$4.2M

5,506 claims · 24.7%

Your Cost: $764.14/claim|Median: $619.91
1.2× median
59514Top 25%

Cesarean delivery only

$3.5M

4,762 claims · 20.3%

Your Cost: $725.12/claim|Median: $452.80
1.6× median
59426Normal range

Antepartum care only, high risk, additional visits

$2.3M

3,336 claims · 13.6%

Your Cost: $694.84/claim|Median: $122.30
5.7× median
99214Normal range

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

$941K

18K claims · 5.5%

Your Cost: $51.04/claim|Median: $53.41
1.0× median
59425Top 10%

Antepartum care only, 4-6 visits

$841K

2,197 claims · 4.9%

Your Cost: $382.96/claim|Median: $63.63
6.0× median
99213Normal range

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

$717K

21K claims · 4.2%

Your Cost: $33.67/claim|Median: $37.81
0.9× median
59430Top 25%

$603K

3,880 claims · 3.5%

Your Cost: $155.30/claim|Median: $80.32
1.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$483K

7,725 claims · 2.8%

Your Cost: $62.53/claim|Median: $72.71
0.9× median
99204Normal range

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

$324K

4,391 claims · 1.9%

Your Cost: $73.84/claim|Median: $84.03
0.9× median
59025Normal range

Fetal non-stress test

$307K

18K claims · 1.8%

Your Cost: $17.25/claim|Median: $26.45
0.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$280K

6,491 claims · 1.6%

Your Cost: $43.07/claim|Median: $23.99
1.8× median
54150Normal range

$275K

5,575 claims · 1.6%

Your Cost: $49.31/claim|Median: $84.60
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$264K

3,735 claims · 1.6%

Your Cost: $70.77/claim|Median: $76.06
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$261K

10K claims · 1.5%

Your Cost: $25.78/claim|Median: $58.55
0.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$204K

3,758 claims · 1.2%

Your Cost: $54.31/claim|Median: $106.79
0.5× median
99203Normal range

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

$175K

3,861 claims · 1.0%

Your Cost: $45.27/claim|Median: $57.85
0.8× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$160K

2,264 claims · 0.9%

Your Cost: $70.67/claim|Median: $76.22
0.9× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$139K

1,616 claims · 0.8%

Your Cost: $85.95/claim|Median: $87.82
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$112K

1,385 claims · 0.7%

Your Cost: $80.90/claim|Median: $74.09
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$91K

5,329 claims · 0.5%

Your Cost: $17.16/claim|Median: $25.06
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$89K

2,070 claims · 0.5%

Your Cost: $43.13/claim|Median: $37.22
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$77K

982 claims · 0.5%

Your Cost: $78.59/claim|Median: $51.25
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$75K

670 claims · 0.4%

Your Cost: $112.26/claim|Median: $67.32
1.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$74K

3,428 claims · 0.4%

Your Cost: $21.49/claim|Median: $47.65
0.5× median
58300Normal range

$70K

2,302 claims · 0.4%

Your Cost: $30.31/claim|Median: $74.77
0.4× median
58301Normal range

$61K

1,575 claims · 0.4%

Your Cost: $38.68/claim|Median: $49.65
0.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$50K

862 claims · 0.3%

Your Cost: $57.62/claim|Median: $35.30
1.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$44K

1,963 claims · 0.3%

Your Cost: $22.60/claim|Median: $49.45
0.5× median
76820Normal range

$36K

2,327 claims · 0.2%

Your Cost: $15.52/claim|Median: $31.79
0.5× median
99231Normal range

Subsequent hospital care, per day, low complexity

$35K

1,562 claims · 0.2%

Your Cost: $22.09/claim|Median: $16.77
1.3× median
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