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Provider 1891803904

NPI: 1891803904Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,097,111

Total Claims

98K

Beneficiaries

84K

1.2 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-3%
2019
$1.4M
-6%
2020
$1.3M
+28%
2021
$1.6M
-8%
2022
$1.5M
-4%
2023
$1.5M
-4%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59426 (Antepartum care only, high risk, additional visits)) accounts for 28% of total spending.

59426Top 25%

Antepartum care only, high risk, additional visits

$2.8M

3,308 claims · 27.9%

Your Cost: $851.05/claim|Median: $122.30
7.0× median
59409Normal range

Vaginal delivery only

$2.0M

2,686 claims · 19.8%

Your Cost: $744.61/claim|Median: $619.91
1.2× median
99213Normal range

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

$710K

16K claims · 7.0%

Your Cost: $44.55/claim|Median: $37.81
1.2× median
59430Top 10%

$689K

3,367 claims · 6.8%

Your Cost: $204.74/claim|Median: $80.32
2.5× median
59514Top 25%

Cesarean delivery only

$639K

792 claims · 6.3%

Your Cost: $807.19/claim|Median: $452.80
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$413K

6,393 claims · 4.1%

Your Cost: $64.62/claim|Median: $58.55
1.1× median
99214Normal range

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

$321K

4,965 claims · 3.2%

Your Cost: $64.57/claim|Median: $53.41
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$292K

3,655 claims · 2.9%

Your Cost: $79.81/claim|Median: $74.78
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$281K

3,484 claims · 2.8%

Your Cost: $80.72/claim|Median: $72.71
1.1× median
59025Normal range

Fetal non-stress test

$250K

10K claims · 2.5%

Your Cost: $23.97/claim|Median: $26.45
0.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$249K

3,607 claims · 2.5%

Your Cost: $69.08/claim|Median: $58.16
1.2× median
76830Normal range

Ultrasound, transvaginal

$215K

3,172 claims · 2.1%

Your Cost: $67.84/claim|Median: $57.47
1.2× median
76856Normal range

Ultrasound, pelvic, complete

$191K

3,436 claims · 1.9%

Your Cost: $55.70/claim|Median: $47.58
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$157K

4,256 claims · 1.6%

Your Cost: $36.80/claim|Median: $36.79
1.0× median
99203Normal range

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

$140K

2,294 claims · 1.4%

Your Cost: $61.09/claim|Median: $57.85
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$104K

2,131 claims · 1.0%

Your Cost: $48.87/claim|Median: $63.65
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$102K

1,174 claims · 1.0%

Your Cost: $87.14/claim|Median: $76.06
1.1× median
99204Normal range

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

$74K

833 claims · 0.7%

Your Cost: $89.28/claim|Median: $84.03
1.1× median
J7297Top 25%

$69K

87 claims · 0.7%

Your Cost: $795.09/claim|Median: $569.39
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$62K

1,143 claims · 0.6%

Your Cost: $54.54/claim|Median: $47.65
1.1× median
Q0091Normal range

$56K

2,651 claims · 0.6%

Your Cost: $21.24/claim|Median: $11.15
1.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46K

5,325 claims · 0.5%

Your Cost: $8.65/claim|Median: $9.56
0.9× median
59425Top 5%

Antepartum care only, 4-6 visits

$46K

105 claims · 0.5%

Your Cost: $434.89/claim|Median: $63.63
6.8× median
99212Normal range

Office/outpatient visit, low complexity

$35K

1,541 claims · 0.3%

Your Cost: $22.87/claim|Median: $25.06
0.9× median
58300Normal range

$28K

508 claims · 0.3%

Your Cost: $55.34/claim|Median: $74.77
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$27K

257 claims · 0.3%

Your Cost: $103.44/claim|Median: $99.21
1.0× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$25K

25 claims · 0.2%

Your Cost: $995.54/claim|Median: $786.43
1.3× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$22K

244 claims · 0.2%

Your Cost: $90.13/claim|Median: $96.39
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$10K

103 claims · 0.1%

Your Cost: $99.45/claim|Median: $76.22
1.3× median
90384Top 1%

$8K

67 claims · 0.1%

Your Cost: $114.08/claim|Median: $48.70
2.3× median
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