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PHYSICIANS FOR WOMEN'S HEALTH LLC

Obstetrics & Gynecology·ROCKY HILL, CT·NPI: 1801826680Share

Compared to Obstetrics & Gynecology Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.3M is at the 75th percentile among 5 Obstetrics & Gynecology providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$57.3M

$57,266,222

Total Claims

2.2M

Beneficiaries

2.1M

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$5.1M
+11%
2019
$5.6M
+2%
2020
$5.8M
+57%
2021
$9.0M
+7%
2022
$9.7M
+9%
2023
$10.6M
+8%
2024
$11.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (81420 (Fetal chromosomal aneuploidy genomic sequence analysis)) accounts for 10% of total spending.

81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$5.9M

13K claims · 10.3%

Your Cost: $465.01/claim|Median: $358.21
1.3× median
99213Normal range

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

$5.4M

142K claims · 9.5%

Your Cost: $38.12/claim|Median: $37.81
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$5.1M

160K claims · 8.9%

Your Cost: $31.70/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$5.1M

160K claims · 8.9%

Your Cost: $31.71/claim|Median: $23.39
1.4× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$3.1M

105K claims · 5.3%

Your Cost: $29.18/claim|Median: $25.57
1.1× median
81513Normal range

$2.1M

24K claims · 3.7%

Your Cost: $89.05/claim|Median: $71.32
1.2× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$1.9M

140K claims · 3.4%

Your Cost: $13.69/claim|Median: $19.06
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.7M

33K claims · 3.1%

Your Cost: $52.45/claim|Median: $72.71
0.7× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$1.7M

80K claims · 2.9%

Your Cost: $21.01/claim|Median: $18.03
1.2× median
76830Normal range

Ultrasound, transvaginal

$1.5M

27K claims · 2.7%

Your Cost: $56.64/claim|Median: $57.47
1.0× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.5M

23K claims · 2.6%

Your Cost: $65.70/claim|Median: $35.80
1.8× median
87800Top 25%

$1.1M

29K claims · 1.9%

Your Cost: $37.15/claim|Median: $29.47
1.3× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$968K

64K claims · 1.7%

Your Cost: $15.21/claim|Median: $3.67
4.1× median
99214Normal range

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

$944K

17K claims · 1.6%

Your Cost: $56.09/claim|Median: $53.41
1.1× median
86780Normal range

$830K

72K claims · 1.4%

Your Cost: $11.52/claim|Median: $9.83
1.2× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$797K

26K claims · 1.4%

Your Cost: $30.71/claim|Median: $21.08
1.5× median
87660Normal range

$766K

45K claims · 1.3%

Your Cost: $16.95/claim|Median: $13.84
1.2× median
87480Normal range

$765K

45K claims · 1.3%

Your Cost: $16.93/claim|Median: $14.31
1.2× median
87510Normal range

$761K

45K claims · 1.3%

Your Cost: $17.09/claim|Median: $13.48
1.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$759K

13K claims · 1.3%

Your Cost: $58.28/claim|Median: $76.06
0.8× median
87481Normal range

$732K

24K claims · 1.3%

Your Cost: $30.77/claim|Median: $22.38
1.4× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$720K

3,140 claims · 1.3%

Your Cost: $229.25/claim|Median: $106.79
2.1× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$655K

5,492 claims · 1.1%

Your Cost: $119.18/claim|Median: $58.16
2.0× median
59025Top 25%

Fetal non-stress test

$628K

14K claims · 1.1%

Your Cost: $45.40/claim|Median: $26.45
1.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$594K

11K claims · 1.0%

Your Cost: $56.17/claim|Median: $58.55
1.0× median
86803Normal range

Hepatitis C antibody

$585K

47K claims · 1.0%

Your Cost: $12.39/claim|Median: $10.17
1.2× median
87653Top 25%

$571K

18K claims · 1.0%

Your Cost: $31.15/claim|Median: $19.33
1.6× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$569K

6,851 claims · 1.0%

Your Cost: $83.04/claim|Median: $47.65
1.7× median
87086Normal range

Urine culture, colony count, with identification

$556K

78K claims · 1.0%

Your Cost: $7.11/claim|Median: $5.31
1.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$552K

7,087 claims · 1.0%

Your Cost: $77.87/claim|Median: $63.08
1.2× median
87340Normal range

Hepatitis B surface antigen detection

$491K

55K claims · 0.9%

Your Cost: $8.99/claim|Median: $5.52
1.6× median
76856Normal range

Ultrasound, pelvic, complete

$451K

7,900 claims · 0.8%

Your Cost: $57.15/claim|Median: $47.58
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$435K

64K claims · 0.8%

Your Cost: $6.76/claim|Median: $4.71
1.4× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$350K

4,855 claims · 0.6%

Your Cost: $72.04/claim|Median: $70.87
1.0× median
86762Normal range

$342K

28K claims · 0.6%

Your Cost: $12.24/claim|Median: $9.97
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$320K

22K claims · 0.6%

Your Cost: $14.80/claim|Median: $9.87
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$307K

2,626 claims · 0.5%

Your Cost: $116.89/claim|Median: $74.78
1.6× median
84702Normal range

$284K

27K claims · 0.5%

Your Cost: $10.38/claim|Median: $8.25
1.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$283K

3,531 claims · 0.5%

Your Cost: $80.09/claim|Median: $39.33
2.0× median
82670Top 25%

Estradiol hormone blood level test

$281K

11K claims · 0.5%

Your Cost: $25.24/claim|Median: $19.27
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$272K

11K claims · 0.5%

Your Cost: $25.43/claim|Median: $25.06
1.0× median
88141Normal range

$241K

23K claims · 0.4%

Your Cost: $10.41/claim|Median: $14.87
0.7× median
83001Normal range

$235K

14K claims · 0.4%

Your Cost: $16.65/claim|Median: $13.94
1.2× median
93976Top 25%

$210K

1,718 claims · 0.4%

Your Cost: $122.42/claim|Median: $42.06
2.9× median
84146Normal range

$192K

11K claims · 0.3%

Your Cost: $17.59/claim|Median: $13.66
1.3× median
81025Normal range

Urine pregnancy test

$184K

35K claims · 0.3%

Your Cost: $5.26/claim|Median: $4.81
1.1× median
86696Normal range

$180K

10K claims · 0.3%

Your Cost: $17.17/claim|Median: $13.89
1.2× median
76376Top 10%

$151K

5,425 claims · 0.3%

Your Cost: $27.81/claim|Median: $5.53
5.0× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$149K

18K claims · 0.3%

Your Cost: $8.47/claim|Median: $5.50
1.5× median
87625Top 25%

$149K

5,007 claims · 0.3%

Your Cost: $29.80/claim|Median: $20.47
1.5× median

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