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Provider 1891812483

NPI: 1891812483Share
Active Billing Period:2018-05→2024-12(68 months)

Total Paid

$11.6M

$11,614,694

Total Claims

358K

Beneficiaries

308K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1K
+47569%
2019
$545K
-25%
2020
$409K
+535%
2021
$2.6M
+4%
2022
$2.7M
+8%
2023
$2.9M
-17%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 17% of total spending.

59409Normal range

Vaginal delivery only

$1.9M

3,049 claims · 16.6%

Your Cost: $633.46/claim|Median: $619.91
1.0× median
99214Normal range

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

$1.8M

33K claims · 15.2%

Your Cost: $54.08/claim|Median: $53.41
1.0× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$1.1M

12K claims · 9.7%

Your Cost: $90.70/claim|Median: $58.55
1.5× median
99213Normal range

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

$1.1M

28K claims · 9.2%

Your Cost: $38.14/claim|Median: $37.81
1.0× median
76819Top 25%

Fetal biophysical profile with non-stress test

$432K

5,988 claims · 3.7%

Your Cost: $72.19/claim|Median: $49.45
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$404K

3,504 claims · 3.5%

Your Cost: $115.36/claim|Median: $74.78
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$389K

14K claims · 3.3%

Your Cost: $27.90/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$389K

14K claims · 3.3%

Your Cost: $27.93/claim|Median: $23.39
1.2× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$382K

6,423 claims · 3.3%

Your Cost: $59.45/claim|Median: $38.79
1.5× median
59514Normal range

Cesarean delivery only

$354K

548 claims · 3.1%

Your Cost: $646.47/claim|Median: $452.80
1.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$353K

6,923 claims · 3.0%

Your Cost: $50.99/claim|Median: $35.43
1.4× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$276K

3,535 claims · 2.4%

Your Cost: $78.08/claim|Median: $47.65
1.6× median
59430Normal range

$253K

2,330 claims · 2.2%

Your Cost: $108.44/claim|Median: $80.32
1.4× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$238K

12K claims · 2.0%

Your Cost: $19.42/claim|Median: $18.03
1.1× median
86780Normal range

$182K

17K claims · 1.6%

Your Cost: $10.69/claim|Median: $9.83
1.1× median
87800Top 25%

$178K

4,865 claims · 1.5%

Your Cost: $36.62/claim|Median: $29.47
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$171K

1,955 claims · 1.5%

Your Cost: $87.35/claim|Median: $74.09
1.2× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$154K

1,493 claims · 1.3%

Your Cost: $102.98/claim|Median: $70.87
1.5× median
87653Normal range

$151K

5,258 claims · 1.3%

Your Cost: $28.71/claim|Median: $19.33
1.5× median
90715Top 5%

Tdap vaccine

$145K

3,142 claims · 1.2%

Your Cost: $46.18/claim|Median: $10.32
4.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$121K

19K claims · 1.0%

Your Cost: $6.24/claim|Median: $4.71
1.3× median
81003Normal range

Urinalysis, automated without microscopy

$112K

62K claims · 1.0%

Your Cost: $1.80/claim|Median: $1.48
1.2× median
87340Normal range

Hepatitis B surface antigen detection

$90K

11K claims · 0.8%

Your Cost: $8.10/claim|Median: $5.52
1.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$75K

589 claims · 0.6%

Your Cost: $126.68/claim|Median: $106.79
1.2× median
99203Normal range

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

$73K

1,181 claims · 0.6%

Your Cost: $61.41/claim|Median: $57.85
1.1× median
86762Normal range

$65K

5,600 claims · 0.6%

Your Cost: $11.69/claim|Median: $9.97
1.2× median
76830Top 25%

Ultrasound, transvaginal

$59K

616 claims · 0.5%

Your Cost: $95.38/claim|Median: $57.47
1.7× median
90471Normal range

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

$57K

5,120 claims · 0.5%

Your Cost: $11.23/claim|Median: $9.80
1.1× median
87088Normal range

$55K

8,391 claims · 0.5%

Your Cost: $6.54/claim|Median: $5.45
1.2× median
99204Normal range

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

$53K

636 claims · 0.5%

Your Cost: $83.34/claim|Median: $84.03
1.0× median
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