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Provider 1861485146

NPI: 1861485146Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.2M

$14,208,130

Total Claims

211K

Beneficiaries

155K

1.4 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-5%
2019
$2.2M
-25%
2020
$1.7M
+46%
2021
$2.4M
-22%
2022
$1.9M
-2%
2023
$1.9M
+1%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76819 (Fetal biophysical profile with non-stress test)) accounts for 28% of total spending.

76819Top 25%

Fetal biophysical profile with non-stress test

$4.0M

45K claims · 28.1%

Your Cost: $87.90/claim|Median: $49.45
1.8× median
99213Top 25%

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

$2.5M

43K claims · 17.7%

Your Cost: $58.20/claim|Median: $37.81
1.5× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$2.5M

12K claims · 17.4%

Your Cost: $208.64/claim|Median: $106.79
2.0× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$2.2M

25K claims · 15.7%

Your Cost: $88.43/claim|Median: $58.55
1.5× median
76820Top 10%

$847K

12K claims · 6.0%

Your Cost: $69.20/claim|Median: $31.79
2.2× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$576K

6,249 claims · 4.1%

Your Cost: $92.23/claim|Median: $47.65
1.9× median
99203Top 25%

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

$561K

5,907 claims · 3.9%

Your Cost: $94.99/claim|Median: $57.85
1.6× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$183K

2,802 claims · 1.3%

Your Cost: $65.46/claim|Median: $23.99
2.7× median
81003Top 10%

Urinalysis, automated without microscopy

$149K

47K claims · 1.0%

Your Cost: $3.16/claim|Median: $1.48
2.1× median
99284Normal range

Emergency dept visit, high complexity

$118K

1,288 claims · 0.8%

Your Cost: $91.25/claim|Median: $69.51
1.3× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$92K

2,467 claims · 0.6%

Your Cost: $37.24/claim|Median: $16.77
2.2× median
99283Normal range

Emergency dept visit, moderate complexity

$64K

1,091 claims · 0.5%

Your Cost: $59.03/claim|Median: $42.48
1.4× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$60K

809 claims · 0.4%

Your Cost: $74.54/claim|Median: $36.79
2.0× median
59025Normal range

Fetal non-stress test

$53K

2,050 claims · 0.4%

Your Cost: $25.97/claim|Median: $26.45
1.0× median
99204Top 25%

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

$44K

308 claims · 0.3%

Your Cost: $141.99/claim|Median: $84.03
1.7× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$42K

502 claims · 0.3%

Your Cost: $83.79/claim|Median: $35.30
2.4× median
99214Top 25%

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

$39K

401 claims · 0.3%

Your Cost: $98.21/claim|Median: $53.41
1.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$36K

325 claims · 0.3%

Your Cost: $109.89/claim|Median: $103.70
1.1× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$34K

304 claims · 0.2%

Your Cost: $110.67/claim|Median: $98.15
1.1× median
99469Top 10%

Subsequent intensive care, very low birth weight infant

$24K

50 claims · 0.2%

Your Cost: $487.56/claim|Median: $293.45
1.7× median
99464Top 25%

$16K

208 claims · 0.1%

Your Cost: $79.27/claim|Median: $59.94
1.3× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$14K

95 claims · 0.1%

Your Cost: $148.67/claim|Median: $58.16
2.6× median
76830Top 25%

Ultrasound, transvaginal

$12K

135 claims · 0.1%

Your Cost: $90.93/claim|Median: $57.47
1.6× median
76825Normal range

$6K

34 claims · 0.0%

Your Cost: $163.02/claim|Median: $103.74
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$4K

65 claims · 0.0%

Your Cost: $61.43/claim|Median: $40.11
1.5× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$3K

44 claims · 0.0%

Your Cost: $74.52/claim|Median: $37.22
2.0× median
93325Top 10%

$3K

34 claims · 0.0%

Your Cost: $85.77/claim|Median: $14.61
5.9× median
99221Top 10%

Initial hospital care, straightforward/low

$3K

28 claims · 0.0%

Your Cost: $93.45/claim|Median: $39.96
2.3× median
76827Top 25%

$3K

34 claims · 0.0%

Your Cost: $73.66/claim|Median: $39.58
1.9× median
Q3014Top 25%

Telehealth originating site facility fee

$2K

98 claims · 0.0%

Your Cost: $24.03/claim|Median: $15.37
1.6× median
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