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Provider 1922124866

NPI: 1922124866Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,197,951

Total Claims

354K

Beneficiaries

325K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-5%
2019
$2.4M
-36%
2020
$1.5M
-32%
2021
$1.1M
-38%
2022
$652K
+40%
2023
$910K
+18%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 12% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.3M

28K claims · 12.4%

Your Cost: $45.00/claim|Median: $69.51
0.6× median
99283Normal range

Emergency dept visit, moderate complexity

$1.2M

49K claims · 11.9%

Your Cost: $25.01/claim|Median: $42.48
0.6× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$1.1M

6,490 claims · 11.2%

Your Cost: $176.00/claim|Median: $106.79
1.6× median
76813Top 10%

Ultrasound for fetal nuchal translucency measurement

$1.1M

9,059 claims · 11.1%

Your Cost: $124.87/claim|Median: $70.87
1.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$847K

9,301 claims · 8.3%

Your Cost: $91.07/claim|Median: $85.65
1.1× median
99214Normal range

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

$653K

19K claims · 6.4%

Your Cost: $34.27/claim|Median: $53.41
0.6× median
99213Normal range

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

$594K

50K claims · 5.8%

Your Cost: $11.77/claim|Median: $37.81
0.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$589K

9,855 claims · 5.8%

Your Cost: $59.82/claim|Median: $58.55
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$330K

5,566 claims · 3.2%

Your Cost: $59.35/claim|Median: $35.30
1.7× median
G9920Top 25%

$248K

12K claims · 2.4%

Your Cost: $21.51/claim|Median: $6.56
3.3× median
99204Normal range

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

$207K

2,423 claims · 2.0%

Your Cost: $85.28/claim|Median: $84.03
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$171K

7,566 claims · 1.7%

Your Cost: $22.64/claim|Median: $74.82
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$168K

5,910 claims · 1.6%

Your Cost: $28.38/claim|Median: $75.18
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$153K

34K claims · 1.5%

Your Cost: $4.51/claim|Median: $17.85
0.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$152K

1,967 claims · 1.5%

Your Cost: $77.51/claim|Median: $74.78
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$141K

4,823 claims · 1.4%

Your Cost: $29.34/claim|Median: $80.15
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$124K

1,746 claims · 1.2%

Your Cost: $71.02/claim|Median: $74.09
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$97K

2,044 claims · 0.9%

Your Cost: $47.25/claim|Median: $23.99
2.0× median
99203Normal range

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

$93K

1,327 claims · 0.9%

Your Cost: $70.22/claim|Median: $57.85
1.2× median
59025Normal range

Fetal non-stress test

$81K

9,394 claims · 0.8%

Your Cost: $8.61/claim|Median: $26.45
0.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$73K

1,196 claims · 0.7%

Your Cost: $61.37/claim|Median: $43.85
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$71K

1,409 claims · 0.7%

Your Cost: $50.04/claim|Median: $69.35
0.7× median
S0265Normal range

$63K

1,326 claims · 0.6%

Your Cost: $47.78/claim|Median: $61.95
0.8× median
96110Top 5%

Developmental screening, per standardized instrument

$61K

1,183 claims · 0.6%

Your Cost: $51.51/claim|Median: $9.10
5.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$44K

576 claims · 0.4%

Your Cost: $75.54/claim|Median: $47.65
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$42K

422 claims · 0.4%

Your Cost: $98.45/claim|Median: $111.09
0.9× median
92060Normal range

$41K

1,636 claims · 0.4%

Your Cost: $24.88/claim|Median: $35.83
0.7× median
92015Normal range

Determination of refractive state

$37K

4,126 claims · 0.4%

Your Cost: $9.01/claim|Median: $10.36
0.9× median
90837Top 10%

Psychotherapy, 60 minutes

$32K

226 claims · 0.3%

Your Cost: $139.67/claim|Median: $85.66
1.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$29K

5,415 claims · 0.3%

Your Cost: $5.45/claim|Median: $6.93
0.8× median
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