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Provider 1962456558

NPI: 1962456558Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,760,143

Total Claims

181K

Beneficiaries

167K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-23%
2019
$1.2M
-17%
2020
$968K
+79%
2021
$1.7M
-25%
2022
$1.3M
+40%
2023
$1.8M
-32%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J7307 (Etonogestrel implant system, including implant and supplies)) accounts for 18% of total spending.

J7307Top 10%

Etonogestrel implant system, including implant and supplies

$1.8M

1,691 claims · 18.5%

Your Cost: $1,066.03/claim|Median: $786.43
1.4× median
J3490Top 25%

Unclassified drugs

$1.5M

36K claims · 15.5%

Your Cost: $42.38/claim|Median: $5.70
7.4× median
S4993Top 25%

$828K

7,851 claims · 8.5%

Your Cost: $105.43/claim|Median: $46.61
2.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$596K

20K claims · 6.1%

Your Cost: $29.90/claim|Median: $12.93
2.3× median
99213Top 10%

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

$555K

6,756 claims · 5.7%

Your Cost: $82.17/claim|Median: $37.81
2.2× median
S0199Normal range

$526K

1,304 claims · 5.4%

Your Cost: $403.25/claim|Median: $454.23
0.9× median
99214Top 5%

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

$442K

3,684 claims · 4.5%

Your Cost: $120.08/claim|Median: $53.41
2.2× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$397K

3,888 claims · 4.1%

Your Cost: $102.05/claim|Median: $40.11
2.5× median
11981Top 25%

$383K

1,572 claims · 3.9%

Your Cost: $243.33/claim|Median: $117.16
2.1× median
99212Top 10%

Office/outpatient visit, low complexity

$352K

5,206 claims · 3.6%

Your Cost: $67.66/claim|Median: $25.06
2.7× median
87806Normal range

$333K

13K claims · 3.4%

Your Cost: $25.08/claim|Median: $20.54
1.2× median
J7304Normal range

$259K

312 claims · 2.7%

Your Cost: $830.54/claim|Median: $630.59
1.3× median
A4267Normal range

$247K

22K claims · 2.5%

Your Cost: $11.28/claim|Median: $7.86
1.4× median
99203Top 5%

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

$223K

1,405 claims · 2.3%

Your Cost: $158.87/claim|Median: $57.85
2.7× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$196K

2,323 claims · 2.0%

Your Cost: $84.30/claim|Median: $27.38
3.1× median
58300Top 25%

$132K

1,207 claims · 1.4%

Your Cost: $109.56/claim|Median: $74.77
1.5× median
99204Top 5%

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

$116K

713 claims · 1.2%

Your Cost: $162.98/claim|Median: $84.03
1.9× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$110K

3,663 claims · 1.1%

Your Cost: $30.02/claim|Median: $21.08
1.4× median
11976Normal range

$76K

1,236 claims · 0.8%

Your Cost: $61.66/claim|Median: $57.06
1.1× median
S0190Normal range

$76K

1,276 claims · 0.8%

Your Cost: $59.36/claim|Median: $58.42
1.0× median
59840Normal range

$70K

502 claims · 0.7%

Your Cost: $138.53/claim|Median: $190.09
0.7× median
99402Normal range

$67K

2,117 claims · 0.7%

Your Cost: $31.66/claim|Median: $31.79
1.0× median
J7300Top 5%

$57K

52 claims · 0.6%

Your Cost: $1,089.52/claim|Median: $692.75
1.6× median
J7298Top 25%

$54K

54 claims · 0.5%

Your Cost: $992.28/claim|Median: $751.11
1.3× median
11982Normal range

$51K

816 claims · 0.5%

Your Cost: $63.08/claim|Median: $90.51
0.7× median
S9445Normal range

$37K

2,942 claims · 0.4%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
99401Normal range

$36K

1,883 claims · 0.4%

Your Cost: $18.98/claim|Median: $16.53
1.1× median
81025Normal range

Urine pregnancy test

$33K

11K claims · 0.3%

Your Cost: $3.11/claim|Median: $4.81
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$30K

721 claims · 0.3%

Your Cost: $42.17/claim|Median: $36.79
1.1× median
S5000Normal range

Prescription drug, generic

$20K

2,464 claims · 0.2%

Your Cost: $8.12/claim|Median: $7.47
1.1× median
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