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Provider 1851643241

NPI: 1851643241Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.6M

$9,593,746

Total Claims

106K

Beneficiaries

83K

1.3 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+5%
2019
$1.7M
-16%
2020
$1.5M
+5%
2021
$1.5M
-24%
2022
$1.2M
-4%
2023
$1.1M
-22%
2024
$879K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59425 (Antepartum care only, 4-6 visits)) accounts for 29% of total spending.

59425Normal range

Antepartum care only, 4-6 visits

$2.7M

34K claims · 28.6%

Your Cost: $79.88/claim|Median: $63.63
1.3× median
59409Normal range

Vaginal delivery only

$1.8M

2,747 claims · 18.8%

Your Cost: $658.08/claim|Median: $619.91
1.1× median
99213Normal range

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

$932K

20K claims · 9.7%

Your Cost: $45.87/claim|Median: $37.81
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$589K

5,970 claims · 6.1%

Your Cost: $98.61/claim|Median: $74.78
1.3× median
59514Normal range

Cesarean delivery only

$561K

989 claims · 5.8%

Your Cost: $567.16/claim|Median: $452.80
1.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$517K

3,277 claims · 5.4%

Your Cost: $157.75/claim|Median: $111.09
1.4× median
J7307Top 5%

Etonogestrel implant system, including implant and supplies

$443K

367 claims · 4.6%

Your Cost: $1,206.79/claim|Median: $786.43
1.5× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$318K

2,630 claims · 3.3%

Your Cost: $120.93/claim|Median: $72.71
1.7× median
Z1034Normal range

$290K

5,313 claims · 3.0%

Your Cost: $54.61/claim|Median: $54.74
1.0× median
J3490Top 10%

Unclassified drugs

$266K

3,022 claims · 2.8%

Your Cost: $87.98/claim|Median: $5.70
15.4× median
59430Normal range

$208K

2,651 claims · 2.2%

Your Cost: $78.57/claim|Median: $80.32
1.0× median
99203Top 25%

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

$167K

1,770 claims · 1.7%

Your Cost: $94.54/claim|Median: $57.85
1.6× median
11981Normal range

$103K

689 claims · 1.1%

Your Cost: $149.68/claim|Median: $117.16
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$68K

585 claims · 0.7%

Your Cost: $116.52/claim|Median: $106.79
1.1× median
99214Top 25%

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

$68K

796 claims · 0.7%

Your Cost: $84.92/claim|Median: $53.41
1.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$65K

996 claims · 0.7%

Your Cost: $65.30/claim|Median: $36.79
1.8× median
99284Normal range

Emergency dept visit, high complexity

$64K

796 claims · 0.7%

Your Cost: $80.46/claim|Median: $69.51
1.2× median
58300Top 25%

$63K

558 claims · 0.7%

Your Cost: $113.04/claim|Median: $74.77
1.5× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$56K

452 claims · 0.6%

Your Cost: $124.95/claim|Median: $76.06
1.6× median
Z1032Normal range

$42K

372 claims · 0.4%

Your Cost: $111.87/claim|Median: $147.33
0.8× median
H1001Normal range

$40K

819 claims · 0.4%

Your Cost: $49.18/claim|Median: $60.48
0.8× median
59025Normal range

Fetal non-stress test

$37K

1,339 claims · 0.4%

Your Cost: $27.45/claim|Median: $26.45
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$35K

649 claims · 0.4%

Your Cost: $53.55/claim|Median: $42.48
1.3× median
J3420Top 5%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$24K

3,833 claims · 0.3%

Your Cost: $6.26/claim|Median: $1.04
6.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$17K

3,918 claims · 0.2%

Your Cost: $4.35/claim|Median: $9.56
0.5× median
81025Normal range

Urine pregnancy test

$17K

4,917 claims · 0.2%

Your Cost: $3.39/claim|Median: $4.81
0.7× median
99204Top 10%

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

$14K

99 claims · 0.1%

Your Cost: $144.07/claim|Median: $84.03
1.7× median
11976Top 25%

$9K

124 claims · 0.1%

Your Cost: $74.37/claim|Median: $57.06
1.3× median
76830Normal range

Ultrasound, transvaginal

$9K

135 claims · 0.1%

Your Cost: $67.64/claim|Median: $57.47
1.2× median
58301Normal range

$8K

211 claims · 0.1%

Your Cost: $40.27/claim|Median: $49.65
0.8× median
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