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Provider 1821095779

NPI: 1821095779Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.8M

$12,834,133

Total Claims

260K

Beneficiaries

248K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-2%
2019
$1.8M
-22%
2020
$1.4M
+54%
2021
$2.2M
-12%
2022
$1.9M
+4%
2023
$2.0M
-12%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J7307 (Etonogestrel implant system, including implant and supplies)) accounts for 16% of total spending.

J7307Normal range

Etonogestrel implant system, including implant and supplies

$2.1M

3,759 claims · 16.2%

Your Cost: $552.31/claim|Median: $786.43
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.1M

38K claims · 8.9%

Your Cost: $29.91/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.1M

36K claims · 8.5%

Your Cost: $30.26/claim|Median: $24.95
1.2× median
99213Top 25%

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

$1.0M

15K claims · 8.0%

Your Cost: $69.42/claim|Median: $37.81
1.8× median
J7297Normal range

$883K

2,180 claims · 6.9%

Your Cost: $405.11/claim|Median: $569.39
0.7× median
J7300Normal range

$604K

1,295 claims · 4.7%

Your Cost: $466.21/claim|Median: $692.75
0.7× median
99212Top 25%

Office/outpatient visit, low complexity

$478K

10K claims · 3.7%

Your Cost: $46.91/claim|Median: $25.06
1.9× median
58300Normal range

$446K

4,349 claims · 3.5%

Your Cost: $102.47/claim|Median: $74.77
1.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$441K

9,061 claims · 3.4%

Your Cost: $48.69/claim|Median: $41.92
1.2× median
11981Normal range

$431K

3,224 claims · 3.4%

Your Cost: $133.80/claim|Median: $117.16
1.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$411K

5,667 claims · 3.2%

Your Cost: $72.51/claim|Median: $40.11
1.8× median
99214Top 10%

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

$401K

3,911 claims · 3.1%

Your Cost: $102.55/claim|Median: $53.41
1.9× median
99203Top 10%

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

$381K

3,544 claims · 3.0%

Your Cost: $107.43/claim|Median: $57.85
1.9× median
11982Normal range

$277K

2,285 claims · 2.2%

Your Cost: $121.26/claim|Median: $90.51
1.3× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$240K

8,022 claims · 1.9%

Your Cost: $29.87/claim|Median: $21.08
1.4× median
99152Top 5%

$223K

3,613 claims · 1.7%

Your Cost: $61.68/claim|Median: $7.34
8.4× median
58301Top 25%

$199K

2,100 claims · 1.6%

Your Cost: $94.97/claim|Median: $49.65
1.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$187K

10K claims · 1.5%

Your Cost: $18.23/claim|Median: $9.56
1.9× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$168K

2,596 claims · 1.3%

Your Cost: $64.61/claim|Median: $38.79
1.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$156K

1,593 claims · 1.2%

Your Cost: $98.14/claim|Median: $72.71
1.3× median
99204Top 10%

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

$148K

920 claims · 1.2%

Your Cost: $160.86/claim|Median: $84.03
1.9× median
87481Normal range

$147K

5,054 claims · 1.1%

Your Cost: $29.15/claim|Median: $22.38
1.3× median
81025Top 25%

Urine pregnancy test

$136K

19K claims · 1.1%

Your Cost: $7.22/claim|Median: $4.81
1.5× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$136K

2,202 claims · 1.1%

Your Cost: $61.68/claim|Median: $36.79
1.7× median
J7296Normal range

Levonorgestrel intrauterine contraceptive system insertion

$124K

237 claims · 1.0%

Your Cost: $523.61/claim|Median: $860.31
0.6× median
90651Top 5%

HPV vaccine, 9-valent

$120K

654 claims · 0.9%

Your Cost: $183.22/claim|Median: $8.93
20.5× median
86703Normal range

$101K

8,956 claims · 0.8%

Your Cost: $11.30/claim|Median: $10.37
1.1× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$98K

3,336 claims · 0.8%

Your Cost: $29.29/claim|Median: $26.72
1.1× median
J7298Normal range

$90K

152 claims · 0.7%

Your Cost: $592.25/claim|Median: $751.11
0.8× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$75K

995 claims · 0.6%

Your Cost: $74.97/claim|Median: $47.65
1.6× median