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Provider 1861568594

NPI: 1861568594Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.2M

$14,217,320

Total Claims

268K

Beneficiaries

259K

1.0 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+9%
2019
$1.9M
+1%
2020
$1.9M
+23%
2021
$2.4M
-2%
2022
$2.3M
+11%
2023
$2.5M
-41%
2024
$1.5M

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 37% of total spending.

99213Top 25%

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

$5.2M

88K claims · 36.6%

Your Cost: $59.38/claim|Median: $37.81
1.6× median
99214Top 25%

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

$2.9M

34K claims · 20.6%

Your Cost: $85.84/claim|Median: $53.41
1.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

32K claims · 8.0%

Your Cost: $35.44/claim|Median: $17.85
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$693K

8,466 claims · 4.9%

Your Cost: $81.83/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$665K

8,069 claims · 4.7%

Your Cost: $82.47/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$616K

8,176 claims · 4.3%

Your Cost: $75.33/claim|Median: $69.35
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$539K

14K claims · 3.8%

Your Cost: $39.76/claim|Median: $58.55
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$314K

3,543 claims · 2.2%

Your Cost: $88.63/claim|Median: $80.15
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$295K

3,494 claims · 2.1%

Your Cost: $84.38/claim|Median: $106.79
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$214K

4,914 claims · 1.5%

Your Cost: $43.53/claim|Median: $58.16
0.7× median
59025Normal range

Fetal non-stress test

$170K

6,425 claims · 1.2%

Your Cost: $26.52/claim|Median: $26.45
1.0× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$127K

2,402 claims · 0.9%

Your Cost: $52.97/claim|Median: $70.87
0.7× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$120K

1,486 claims · 0.8%

Your Cost: $80.99/claim|Median: $41.92
1.9× median
76830Normal range

Ultrasound, transvaginal

$120K

4,509 claims · 0.8%

Your Cost: $26.56/claim|Median: $57.47
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$116K

1,708 claims · 0.8%

Your Cost: $67.78/claim|Median: $63.65
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$91K

744 claims · 0.6%

Your Cost: $122.84/claim|Median: $74.09
1.7× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$90K

6,190 claims · 0.6%

Your Cost: $14.53/claim|Median: $17.67
0.8× median
76856Normal range

Ultrasound, pelvic, complete

$86K

4,196 claims · 0.6%

Your Cost: $20.61/claim|Median: $47.58
0.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$81K

1,908 claims · 0.6%

Your Cost: $42.52/claim|Median: $74.78
0.6× median
90471Top 25%

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

$45K

2,528 claims · 0.3%

Your Cost: $17.74/claim|Median: $9.80
1.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$44K

2,781 claims · 0.3%

Your Cost: $15.65/claim|Median: $9.56
1.6× median
99080Top 25%

$42K

860 claims · 0.3%

Your Cost: $48.40/claim|Median: $6.15
7.9× median
90832Normal range

Psychotherapy, 30 minutes

$40K

797 claims · 0.3%

Your Cost: $50.80/claim|Median: $41.28
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$40K

3,186 claims · 0.3%

Your Cost: $12.46/claim|Median: $9.10
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$38K

1,428 claims · 0.3%

Your Cost: $26.51/claim|Median: $47.65
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$35K

1,021 claims · 0.2%

Your Cost: $34.74/claim|Median: $25.06
1.4× median
99051Normal range

$35K

4,180 claims · 0.2%

Your Cost: $8.34/claim|Median: $7.89
1.1× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$34K

369 claims · 0.2%

Your Cost: $92.90/claim|Median: $72.71
1.3× median
76820Normal range

$30K

1,355 claims · 0.2%

Your Cost: $21.83/claim|Median: $31.79
0.7× median
81025Normal range

Urine pregnancy test

$26K

3,979 claims · 0.2%

Your Cost: $6.50/claim|Median: $4.81
1.4× median
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