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Provider 1831178755

NPI: 1831178755Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,458,666

Total Claims

416K

Beneficiaries

302K

1.4 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+4%
2019
$1.6M
-9%
2020
$1.4M
-0%
2021
$1.4M
-5%
2022
$1.4M
-1%
2023
$1.3M
-39%
2024
$817K

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 27% of total spending.

99213Normal range

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

$2.6M

93K claims · 27.5%

Your Cost: $28.04/claim|Median: $37.81
0.7× median
99214Normal range

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

$2.2M

72K claims · 23.3%

Your Cost: $30.67/claim|Median: $53.41
0.6× median
99204Normal range

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

$439K

6,995 claims · 4.6%

Your Cost: $62.77/claim|Median: $84.03
0.7× median
59409Normal range

Vaginal delivery only

$251K

468 claims · 2.6%

Your Cost: $535.33/claim|Median: $619.91
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$226K

8,737 claims · 2.4%

Your Cost: $25.83/claim|Median: $40.11
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$221K

4,662 claims · 2.3%

Your Cost: $47.44/claim|Median: $54.68
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$209K

2,997 claims · 2.2%

Your Cost: $69.80/claim|Median: $74.78
0.9× median
99203Normal range

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

$181K

5,350 claims · 1.9%

Your Cost: $33.92/claim|Median: $57.85
0.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$176K

5,753 claims · 1.9%

Your Cost: $30.67/claim|Median: $29.03
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$168K

12K claims · 1.8%

Your Cost: $13.99/claim|Median: $25.06
0.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$158K

5,815 claims · 1.7%

Your Cost: $27.21/claim|Median: $35.30
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$148K

22K claims · 1.6%

Your Cost: $6.77/claim|Median: $23.99
0.3× median
73721Normal range

MRI joint of lower extremity without contrast

$140K

718 claims · 1.5%

Your Cost: $195.03/claim|Median: $127.34
1.5× median
29876Normal range

$119K

608 claims · 1.3%

Your Cost: $196.41/claim|Median: $351.96
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$104K

2,407 claims · 1.1%

Your Cost: $43.24/claim|Median: $39.33
1.1× median
76830Normal range

Ultrasound, transvaginal

$99K

1,670 claims · 1.1%

Your Cost: $59.55/claim|Median: $57.47
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$97K

2,022 claims · 1.0%

Your Cost: $47.98/claim|Median: $72.71
0.7× median
71046Normal range

Chest X-ray, 2 views

$90K

8,867 claims · 1.0%

Your Cost: $10.18/claim|Median: $8.92
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$80K

1,509 claims · 0.8%

Your Cost: $53.03/claim|Median: $69.35
0.8× median
59514Normal range

Cesarean delivery only

$77K

153 claims · 0.8%

Your Cost: $504.54/claim|Median: $452.80
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$76K

13K claims · 0.8%

Your Cost: $5.72/claim|Median: $9.70
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$72K

1,267 claims · 0.8%

Your Cost: $56.62/claim|Median: $58.55
1.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$68K

5,342 claims · 0.7%

Your Cost: $12.73/claim|Median: $9.80
1.3× median
73560Normal range

$67K

4,391 claims · 0.7%

Your Cost: $15.35/claim|Median: $10.28
1.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$67K

1,373 claims · 0.7%

Your Cost: $48.72/claim|Median: $47.65
1.0× median
59430Normal range

$62K

838 claims · 0.7%

Your Cost: $73.96/claim|Median: $80.32
0.9× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$61K

4,266 claims · 0.6%

Your Cost: $14.40/claim|Median: $36.13
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$55K

3,229 claims · 0.6%

Your Cost: $17.18/claim|Median: $74.09
0.2× median
87804Normal range

Influenza virus detection, rapid test

$50K

6,496 claims · 0.5%

Your Cost: $7.67/claim|Median: $12.59
0.6× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$44K

2,401 claims · 0.5%

Your Cost: $18.53/claim|Median: $21.41
0.9× median
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