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Provider 1811215742

NPI: 1811215742Share
Active Billing Period:2021-10→2024-12(38 months)

Total Paid

$12.5M

$12,498,177

Total Claims

384K

Beneficiaries

305K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2021
$2K
+186210%
2022
$4.1M
+3%
2023
$4.3M
-4%
2024
$4.1M

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 34% of total spending.

99213Normal range

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

$4.2M

105K claims · 33.7%

Your Cost: $39.95/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.4M

54K claims · 19.0%

Your Cost: $43.62/claim|Median: $53.41
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$636K

30K claims · 5.1%

Your Cost: $21.08/claim|Median: $23.99
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$526K

18K claims · 4.2%

Your Cost: $29.48/claim|Median: $35.30
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$324K

6,906 claims · 2.6%

Your Cost: $46.87/claim|Median: $74.09
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$296K

43K claims · 2.4%

Your Cost: $6.81/claim|Median: $5.60
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$289K

8,140 claims · 2.3%

Your Cost: $35.45/claim|Median: $58.55
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$283K

4,851 claims · 2.3%

Your Cost: $58.28/claim|Median: $67.32
0.9× median
99204Normal range

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

$270K

3,853 claims · 2.2%

Your Cost: $70.18/claim|Median: $84.03
0.8× median
99203Normal range

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

$242K

5,199 claims · 1.9%

Your Cost: $46.54/claim|Median: $57.85
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$231K

6,206 claims · 1.8%

Your Cost: $37.24/claim|Median: $54.68
0.7× median
59025Normal range

Fetal non-stress test

$199K

9,596 claims · 1.6%

Your Cost: $20.72/claim|Median: $26.45
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$189K

2,851 claims · 1.5%

Your Cost: $66.39/claim|Median: $106.79
0.6× median
59410Normal range

$181K

273 claims · 1.4%

Your Cost: $663.59/claim|Median: $781.64
0.8× median
76818Normal range

$156K

5,381 claims · 1.2%

Your Cost: $28.96/claim|Median: $68.15
0.4× median
H1000Top 10%

Prenatal care, at-risk assessment

$141K

1,196 claims · 1.1%

Your Cost: $117.78/claim|Median: $50.36
2.3× median
99291Normal range

Critical care, first 30-74 minutes

$110K

2,093 claims · 0.9%

Your Cost: $52.66/claim|Median: $101.24
0.5× median
J1050Top 5%

Injection, medroxyprogesterone acetate, one milligram

$106K

1,190 claims · 0.8%

Your Cost: $89.21/claim|Median: $41.92
2.1× median
97110Normal range

Therapeutic exercises, each 15 min

$95K

4,771 claims · 0.8%

Your Cost: $19.95/claim|Median: $24.49
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$93K

3,004 claims · 0.7%

Your Cost: $31.11/claim|Median: $43.85
0.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$92K

3,164 claims · 0.7%

Your Cost: $29.21/claim|Median: $39.63
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$90K

1,243 claims · 0.7%

Your Cost: $72.47/claim|Median: $108.91
0.7× median
95886Normal range

$76K

1,533 claims · 0.6%

Your Cost: $49.89/claim|Median: $67.70
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$76K

1,252 claims · 0.6%

Your Cost: $60.32/claim|Median: $72.71
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$65K

1,569 claims · 0.5%

Your Cost: $41.72/claim|Median: $29.03
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$64K

2,337 claims · 0.5%

Your Cost: $27.57/claim|Median: $47.65
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$60K

638 claims · 0.5%

Your Cost: $93.28/claim|Median: $111.09
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$54K

697 claims · 0.4%

Your Cost: $77.30/claim|Median: $121.58
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$50K

2,094 claims · 0.4%

Your Cost: $24.11/claim|Median: $36.79
0.7× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$49K

2,619 claims · 0.4%

Your Cost: $18.60/claim|Median: $25.43
0.7× median
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