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Provider 1811914674

NPI: 1811914674Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,276,689

Total Claims

103K

Beneficiaries

75K

1.4 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-21%
2019
$1.1M
+20%
2020
$1.3M
+42%
2021
$1.9M
+9%
2022
$2.1M
-41%
2023
$1.2M
-74%
2024
$309K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0520) accounts for 49% of total spending.

0520Top 25%

$4.6M

32K claims · 49.1%

Your Cost: $142.53/claim|Median: $71.00
2.0× median
J7307Top 1%

Etonogestrel implant system, including implant and supplies

$865K

549 claims · 9.3%

Your Cost: $1,576.41/claim|Median: $786.43
2.0× median
J3490Top 10%

Unclassified drugs

$631K

8,660 claims · 6.8%

Your Cost: $72.82/claim|Median: $5.70
12.8× median
0514Normal range

$597K

2,229 claims · 6.4%

Your Cost: $267.79/claim|Median: $63.20
4.2× median
99213Top 5%

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

$442K

3,258 claims · 4.8%

Your Cost: $135.69/claim|Median: $37.81
3.6× median
S4993Top 25%

$234K

1,831 claims · 2.5%

Your Cost: $128.01/claim|Median: $46.61
2.7× median
0510Top 5%

Revenue code, clinic services

$224K

749 claims · 2.4%

Your Cost: $299.13/claim|Median: $28.38
10.5× median
99214Top 1%

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

$197K

924 claims · 2.1%

Your Cost: $213.44/claim|Median: $53.41
4.0× median
99211Top 10%

Office/outpatient visit, minimal complexity

$189K

3,191 claims · 2.0%

Your Cost: $59.34/claim|Median: $12.93
4.6× median
99212Top 5%

Office/outpatient visit, low complexity

$188K

1,916 claims · 2.0%

Your Cost: $97.96/claim|Median: $25.06
3.9× median
11981Top 5%

$167K

445 claims · 1.8%

Your Cost: $374.95/claim|Median: $117.16
3.2× median
87806Top 25%

$155K

6,098 claims · 1.7%

Your Cost: $25.39/claim|Median: $20.54
1.2× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$98K

597 claims · 1.1%

Your Cost: $164.45/claim|Median: $40.11
4.1× median
99203Top 1%

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

$92K

328 claims · 1.0%

Your Cost: $280.25/claim|Median: $57.85
4.8× median
0300Normal range

$90K

12K claims · 1.0%

Your Cost: $7.38/claim|Median: $8.79
0.8× median
J7304Top 25%

$87K

85 claims · 0.9%

Your Cost: $1,018.75/claim|Median: $630.59
1.6× median
11976Top 25%

$78K

878 claims · 0.8%

Your Cost: $89.13/claim|Median: $57.06
1.6× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$40K

315 claims · 0.4%

Your Cost: $126.76/claim|Median: $27.38
4.6× median
90651Top 1%

HPV vaccine, 9-valent

$29K

109 claims · 0.3%

Your Cost: $269.42/claim|Median: $8.93
30.2× median
0270Normal range

$28K

2,699 claims · 0.3%

Your Cost: $10.42/claim|Median: $5.50
1.9× median
A4267Normal range

$28K

3,692 claims · 0.3%

Your Cost: $7.60/claim|Median: $7.86
1.0× median
S0199Top 25%

$26K

47 claims · 0.3%

Your Cost: $543.97/claim|Median: $454.23
1.2× median
S9445Normal range

$23K

1,776 claims · 0.2%

Your Cost: $12.69/claim|Median: $12.72
1.0× median
81025Normal range

Urine pregnancy test

$22K

6,287 claims · 0.2%

Your Cost: $3.49/claim|Median: $4.81
0.7× median
86780Normal range

$20K

1,841 claims · 0.2%

Your Cost: $10.66/claim|Median: $9.83
1.1× median
0320Top 5%

$20K

211 claims · 0.2%

Your Cost: $92.86/claim|Median: $11.48
8.1× median
S0190Normal range

$19K

316 claims · 0.2%

Your Cost: $61.13/claim|Median: $58.42
1.0× median
58300Top 5%

$19K

66 claims · 0.2%

Your Cost: $291.97/claim|Median: $74.77
3.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$18K

680 claims · 0.2%

Your Cost: $25.89/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$17K

663 claims · 0.2%

Your Cost: $26.24/claim|Median: $23.39
1.1× median
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