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Provider 1952703373

NPI: 1952703373Share
Active Billing Period:2018-09→2024-12(66 months)

Total Paid

$9.9M

$9,936,967

Total Claims

272K

Beneficiaries

208K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$207
+568%
2019
$1K
+32794%
2020
$456K
+459%
2021
$2.6M
+2%
2022
$2.6M
-3%
2023
$2.5M
-28%
2024
$1.8M

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 29% of total spending.

99213Normal range

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

$2.9M

90K claims · 29.4%

Your Cost: $32.65/claim|Median: $37.81
0.9× median
59409Normal range

Vaginal delivery only

$1.0M

1,820 claims · 10.5%

Your Cost: $574.85/claim|Median: $619.91
0.9× median
99214Normal range

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

$1.0M

23K claims · 10.4%

Your Cost: $45.54/claim|Median: $53.41
0.9× median
59514Top 25%

Cesarean delivery only

$733K

1,074 claims · 7.4%

Your Cost: $682.95/claim|Median: $452.80
1.5× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$531K

8,128 claims · 5.3%

Your Cost: $65.35/claim|Median: $36.79
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$448K

17K claims · 4.5%

Your Cost: $26.64/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$447K

17K claims · 4.5%

Your Cost: $26.61/claim|Median: $23.39
1.1× median
81513Normal range

$415K

4,628 claims · 4.2%

Your Cost: $89.73/claim|Median: $71.32
1.3× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$381K

3,575 claims · 3.8%

Your Cost: $106.45/claim|Median: $74.78
1.4× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$334K

13K claims · 3.4%

Your Cost: $25.71/claim|Median: $21.08
1.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$227K

2,750 claims · 2.3%

Your Cost: $82.40/claim|Median: $58.55
1.4× median
87481Normal range

$193K

9,721 claims · 1.9%

Your Cost: $19.81/claim|Median: $22.38
0.9× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$178K

7,055 claims · 1.8%

Your Cost: $25.25/claim|Median: $25.57
1.0× median
59430Normal range

$142K

1,808 claims · 1.4%

Your Cost: $78.70/claim|Median: $80.32
1.0× median
87563Top 25%

$126K

5,151 claims · 1.3%

Your Cost: $24.39/claim|Median: $16.98
1.4× median
81002Top 25%

Urinalysis, non-automated without microscopy

$100K

36K claims · 1.0%

Your Cost: $2.78/claim|Median: $2.00
1.4× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$82K

885 claims · 0.8%

Your Cost: $92.69/claim|Median: $58.16
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$81K

1,918 claims · 0.8%

Your Cost: $42.35/claim|Median: $40.11
1.1× median
76830Top 25%

Ultrasound, transvaginal

$71K

786 claims · 0.7%

Your Cost: $90.06/claim|Median: $57.47
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$65K

2,963 claims · 0.7%

Your Cost: $21.94/claim|Median: $25.06
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$48K

371 claims · 0.5%

Your Cost: $129.41/claim|Median: $106.79
1.2× median
59025Normal range

Fetal non-stress test

$38K

1,216 claims · 0.4%

Your Cost: $31.39/claim|Median: $26.45
1.2× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$37K

527 claims · 0.4%

Your Cost: $70.05/claim|Median: $47.65
1.5× median
87625Normal range

$33K

1,197 claims · 0.3%

Your Cost: $27.92/claim|Median: $20.47
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$29K

506 claims · 0.3%

Your Cost: $57.76/claim|Median: $72.71
0.8× median
99203Normal range

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

$28K

500 claims · 0.3%

Your Cost: $56.48/claim|Median: $57.85
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$25K

13K claims · 0.2%

Your Cost: $1.83/claim|Median: $1.48
1.2× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$22K

671 claims · 0.2%

Your Cost: $32.40/claim|Median: $26.72
1.2× median
99204Normal range

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

$18K

219 claims · 0.2%

Your Cost: $83.23/claim|Median: $84.03
1.0× median
81025Normal range

Urine pregnancy test

$16K

2,571 claims · 0.2%

Your Cost: $6.41/claim|Median: $4.81
1.3× median
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