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Provider 1821229568

NPI: 1821229568Share
Active Billing Period:2018-01→2024-12(64 months)

Total Paid

$14.2M

$14,190,257

Total Claims

296K

Beneficiaries

213K

1.4 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$21K
-93%
2019
$2K
+39044%
2020
$601K
+424%
2021
$3.1M
+11%
2022
$3.5M
+1%
2023
$3.5M
-4%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 35% of total spending.

76816Normal range

Ultrasound, pregnant uterus, follow-up

$5.0M

86K claims · 35.4%

Your Cost: $58.28/claim|Median: $58.55
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$2.0M

46K claims · 14.4%

Your Cost: $44.05/claim|Median: $49.45
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.2M

14K claims · 8.4%

Your Cost: $86.25/claim|Median: $106.79
0.8× median
99213Normal range

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

$1.1M

39K claims · 7.9%

Your Cost: $28.36/claim|Median: $37.81
0.8× median
99214Normal range

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

$1.1M

29K claims · 7.8%

Your Cost: $37.95/claim|Median: $53.41
0.7× median
76825Normal range

$787K

5,906 claims · 5.5%

Your Cost: $133.31/claim|Median: $103.74
1.3× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$699K

15K claims · 4.9%

Your Cost: $47.96/claim|Median: $47.65
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$576K

8,939 claims · 4.1%

Your Cost: $64.49/claim|Median: $74.78
0.9× median
76821Normal range

$474K

11K claims · 3.3%

Your Cost: $42.12/claim|Median: $46.75
0.9× median
99203Normal range

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

$304K

6,906 claims · 2.1%

Your Cost: $44.02/claim|Median: $57.85
0.8× median
76820Normal range

$274K

12K claims · 1.9%

Your Cost: $23.32/claim|Median: $31.79
0.7× median
99204Normal range

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

$250K

4,068 claims · 1.8%

Your Cost: $61.49/claim|Median: $84.03
0.7× median
76827Normal range

$167K

4,520 claims · 1.2%

Your Cost: $36.92/claim|Median: $39.58
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$64K

3,336 claims · 0.5%

Your Cost: $19.25/claim|Median: $25.06
0.8× median
93325Normal range

$56K

5,249 claims · 0.4%

Your Cost: $10.74/claim|Median: $14.61
0.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$16K

354 claims · 0.1%

Your Cost: $45.71/claim|Median: $58.16
0.8× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$12K

220 claims · 0.1%

Your Cost: $54.83/claim|Median: $70.87
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

331 claims · 0.1%

Your Cost: $33.77/claim|Median: $40.11
0.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$4K

3,167 claims · 0.0%

Your Cost: $1.35/claim|Median: $2.00
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$2K

29 claims · 0.0%

Your Cost: $54.04/claim|Median: $74.09
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$809

17 claims · 0.0%

Your Cost: $47.56/claim|Median: $35.30
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$490

17 claims · 0.0%

Your Cost: $28.85/claim|Median: $27.38
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
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