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Provider 1982116877

NPI: 1982116877Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$8.8M

$8,768,828

Total Claims

115K

Beneficiaries

87K

1.3 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$19K
+2282%
2019
$460K
+83%
2020
$841K
+34%
2021
$1.1M
+45%
2022
$1.6M
+63%
2023
$2.7M
-23%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H1000 (Prenatal care, at-risk assessment)) accounts for 16% of total spending.

H1000Normal range

Prenatal care, at-risk assessment

$1.4M

29K claims · 16.2%

Your Cost: $48.87/claim|Median: $50.36
1.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$1.1M

1,290 claims · 13.1%

Your Cost: $887.69/claim|Median: $786.43
1.1× median
59515Normal range

$1.0M

1,093 claims · 11.6%

Your Cost: $928.17/claim|Median: $786.24
1.2× median
76830Top 25%

Ultrasound, transvaginal

$925K

9,670 claims · 10.5%

Your Cost: $95.63/claim|Median: $57.47
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$726K

8,571 claims · 8.3%

Your Cost: $84.71/claim|Median: $74.09
1.1× median
59410Top 25%

$503K

509 claims · 5.7%

Your Cost: $988.88/claim|Median: $781.64
1.3× median
J7300Normal range

$306K

418 claims · 3.5%

Your Cost: $731.33/claim|Median: $692.75
1.1× median
99214Normal range

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

$280K

7,639 claims · 3.2%

Your Cost: $36.64/claim|Median: $53.41
0.7× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$276K

3,864 claims · 3.1%

Your Cost: $71.38/claim|Median: $76.22
0.9× median
H1001Top 25%

$262K

2,072 claims · 3.0%

Your Cost: $126.57/claim|Median: $60.48
2.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$224K

3,220 claims · 2.6%

Your Cost: $69.57/claim|Median: $72.71
1.0× median
99213Normal range

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

$220K

5,571 claims · 2.5%

Your Cost: $39.55/claim|Median: $37.81
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$153K

1,569 claims · 1.7%

Your Cost: $97.39/claim|Median: $106.79
0.9× median
76856Normal range

Ultrasound, pelvic, complete

$152K

9,536 claims · 1.7%

Your Cost: $15.90/claim|Median: $47.58
0.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$127K

2,603 claims · 1.4%

Your Cost: $48.60/claim|Median: $49.45
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$117K

2,821 claims · 1.3%

Your Cost: $41.41/claim|Median: $58.55
0.7× median
59430Normal range

$117K

2,069 claims · 1.3%

Your Cost: $56.43/claim|Median: $80.32
0.7× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$109K

1,017 claims · 1.2%

Your Cost: $107.49/claim|Median: $87.82
1.2× median
76818Normal range

$76K

1,011 claims · 0.9%

Your Cost: $75.37/claim|Median: $68.15
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$75K

667 claims · 0.9%

Your Cost: $112.57/claim|Median: $111.09
1.0× median
11981Normal range

$68K

1,211 claims · 0.8%

Your Cost: $56.22/claim|Median: $117.16
0.5× median
99204Normal range

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

$66K

691 claims · 0.8%

Your Cost: $96.04/claim|Median: $84.03
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$42K

503 claims · 0.5%

Your Cost: $83.48/claim|Median: $76.06
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$40K

603 claims · 0.5%

Your Cost: $67.13/claim|Median: $58.16
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$40K

1,146 claims · 0.5%

Your Cost: $34.92/claim|Median: $47.65
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$38K

500 claims · 0.4%

Your Cost: $75.52/claim|Median: $74.78
1.0× median
81025Normal range

Urine pregnancy test

$36K

8,161 claims · 0.4%

Your Cost: $4.44/claim|Median: $4.81
0.9× median
99203Normal range

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

$36K

481 claims · 0.4%

Your Cost: $74.07/claim|Median: $57.85
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$33K

1,231 claims · 0.4%

Your Cost: $27.03/claim|Median: $36.79
0.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$27K

679 claims · 0.3%

Your Cost: $39.88/claim|Median: $41.92
1.0× median
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