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Provider 1851692560

NPI: 1851692560Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,267,379

Total Claims

163K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-61%
2019
$909K
-35%
2020
$593K
+66%
2021
$983K
-15%
2022
$833K
+71%
2023
$1.4M
-17%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 17% of total spending.

99214Top 5%

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

$1.4M

7,763 claims · 17.1%

Your Cost: $182.61/claim|Median: $53.41
3.4× median
99213Top 5%

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

$1.1M

9,196 claims · 13.2%

Your Cost: $118.66/claim|Median: $37.81
3.1× median
87806Top 25%

$697K

26K claims · 8.4%

Your Cost: $27.29/claim|Median: $20.54
1.3× median
99203Top 1%

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

$655K

2,379 claims · 7.9%

Your Cost: $275.44/claim|Median: $57.85
4.8× median
S4993Top 25%

$597K

5,071 claims · 7.2%

Your Cost: $117.72/claim|Median: $46.61
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$577K

6,600 claims · 7.0%

Your Cost: $87.39/claim|Median: $25.06
3.5× median
99204Top 1%

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

$493K

1,474 claims · 6.0%

Your Cost: $334.15/claim|Median: $84.03
4.0× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$489K

2,970 claims · 5.9%

Your Cost: $164.56/claim|Median: $40.11
4.1× median
J3490Top 25%

Unclassified drugs

$432K

12K claims · 5.2%

Your Cost: $36.96/claim|Median: $5.70
6.5× median
99211Top 10%

Office/outpatient visit, minimal complexity

$323K

5,570 claims · 3.9%

Your Cost: $57.97/claim|Median: $12.93
4.5× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$290K

374 claims · 3.5%

Your Cost: $776.15/claim|Median: $786.43
1.0× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$248K

2,271 claims · 3.0%

Your Cost: $109.25/claim|Median: $27.38
4.0× median
90651Top 5%

HPV vaccine, 9-valent

$127K

558 claims · 1.5%

Your Cost: $226.87/claim|Median: $8.93
25.4× median
J7298Normal range

$113K

184 claims · 1.4%

Your Cost: $613.87/claim|Median: $751.11
0.8× median
58300Normal range

$97K

1,063 claims · 1.2%

Your Cost: $91.56/claim|Median: $74.77
1.2× median
11981Top 25%

$84K

378 claims · 1.0%

Your Cost: $221.34/claim|Median: $117.16
1.9× median
S9445Normal range

$71K

5,617 claims · 0.9%

Your Cost: $12.71/claim|Median: $12.72
1.0× median
99000Normal range

$70K

17K claims · 0.8%

Your Cost: $4.22/claim|Median: $2.30
1.8× median
81025Normal range

Urine pregnancy test

$61K

19K claims · 0.7%

Your Cost: $3.25/claim|Median: $4.81
0.7× median
J7304Normal range

$57K

91 claims · 0.7%

Your Cost: $631.82/claim|Median: $630.59
1.0× median
S5000Normal range

Prescription drug, generic

$55K

8,023 claims · 0.7%

Your Cost: $6.87/claim|Median: $7.47
0.9× median
83986Normal range

$35K

11K claims · 0.4%

Your Cost: $3.10/claim|Median: $2.70
1.1× median
11976Normal range

$33K

569 claims · 0.4%

Your Cost: $57.55/claim|Median: $57.06
1.0× median
A4267Normal range

$26K

2,943 claims · 0.3%

Your Cost: $8.68/claim|Median: $7.86
1.1× median
Q0111Normal range

$21K

5,691 claims · 0.3%

Your Cost: $3.73/claim|Median: $3.66
1.0× median
J7300Normal range

$15K

26 claims · 0.2%

Your Cost: $594.14/claim|Median: $692.75
0.9× median
99401Normal range

$14K

751 claims · 0.2%

Your Cost: $18.75/claim|Median: $16.53
1.1× median
J7303Normal range

$13K

130 claims · 0.2%

Your Cost: $99.21/claim|Median: $125.58
0.8× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$12K

216 claims · 0.2%

Your Cost: $57.83/claim|Median: $96.39
0.6× median
S0199Normal range

$10K

24 claims · 0.1%

Your Cost: $430.94/claim|Median: $454.23
0.9× median
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