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Provider 1821041617

NPI: 1821041617Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,735,747

Total Claims

126K

Beneficiaries

105K

1.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-54%
2019
$1.2M
-37%
2020
$731K
+31%
2021
$960K
+3%
2022
$987K
+35%
2023
$1.3M
-22%
2024
$1.0M

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 44% of total spending.

99213Top 25%

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

$3.8M

55K claims · 43.7%

Your Cost: $69.74/claim|Median: $37.81
1.8× median
59409Top 5%

Vaginal delivery only

$1.3M

948 claims · 15.1%

Your Cost: $1,393.88/claim|Median: $619.91
2.2× median
99214Top 25%

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

$659K

7,278 claims · 7.5%

Your Cost: $90.61/claim|Median: $53.41
1.7× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$520K

240 claims · 5.9%

Your Cost: $2,165.33/claim|Median: $1,482.45
1.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$445K

3,091 claims · 5.1%

Your Cost: $143.88/claim|Median: $72.71
2.0× median
76830Top 25%

Ultrasound, transvaginal

$312K

3,595 claims · 3.6%

Your Cost: $86.87/claim|Median: $57.47
1.5× median
59430Top 1%

$280K

1,013 claims · 3.2%

Your Cost: $276.52/claim|Median: $80.32
3.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$240K

4,209 claims · 2.7%

Your Cost: $56.97/claim|Median: $49.45
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$230K

3,241 claims · 2.6%

Your Cost: $70.88/claim|Median: $58.55
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$126K

1,443 claims · 1.4%

Your Cost: $87.39/claim|Median: $74.78
1.2× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$105K

1,370 claims · 1.2%

Your Cost: $76.69/claim|Median: $70.87
1.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$96K

1,851 claims · 1.1%

Your Cost: $51.98/claim|Median: $47.65
1.1× median
99204Normal range

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

$68K

685 claims · 0.8%

Your Cost: $99.39/claim|Median: $84.03
1.2× median
81002Top 5%

Urinalysis, non-automated without microscopy

$65K

17K claims · 0.7%

Your Cost: $3.92/claim|Median: $2.00
2.0× median
51701Normal range

$63K

2,479 claims · 0.7%

Your Cost: $25.25/claim|Median: $22.05
1.1× median
51729Normal range

$47K

263 claims · 0.5%

Your Cost: $179.62/claim|Median: $175.67
1.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$38K

571 claims · 0.4%

Your Cost: $66.85/claim|Median: $58.16
1.1× median
51784Top 25%

$37K

630 claims · 0.4%

Your Cost: $59.04/claim|Median: $30.27
2.0× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$36K

4,235 claims · 0.4%

Your Cost: $8.51/claim|Median: $3.67
2.3× median
81513Top 25%

$24K

231 claims · 0.3%

Your Cost: $103.90/claim|Median: $71.32
1.5× median
99459Top 25%

$24K

1,343 claims · 0.3%

Your Cost: $17.59/claim|Median: $13.55
1.3× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$20K

498 claims · 0.2%

Your Cost: $40.55/claim|Median: $24.95
1.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$20K

499 claims · 0.2%

Your Cost: $40.27/claim|Median: $23.39
1.7× median
51797Normal range

$20K

261 claims · 0.2%

Your Cost: $76.61/claim|Median: $49.66
1.5× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$19K

491 claims · 0.2%

Your Cost: $38.16/claim|Median: $25.57
1.5× median
87481Top 10%

$17K

231 claims · 0.2%

Your Cost: $72.63/claim|Median: $22.38
3.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$14K

170 claims · 0.2%

Your Cost: $84.94/claim|Median: $76.06
1.1× median
76820Normal range

$13K

502 claims · 0.1%

Your Cost: $25.58/claim|Median: $31.79
0.8× median
81025Top 10%

Urine pregnancy test

$10K

1,028 claims · 0.1%

Your Cost: $9.82/claim|Median: $4.81
2.0× median
59025Top 25%

Fetal non-stress test

$7K

135 claims · 0.1%

Your Cost: $52.94/claim|Median: $26.45
2.0× median
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