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Provider 1982630844

NPI: 1982630844Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,428,633

Total Claims

140K

Beneficiaries

116K

1.2 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+2%
2019
$1.6M
-18%
2020
$1.3M
-6%
2021
$1.2M
-12%
2022
$1.1M
-11%
2023
$941K
-9%
2024
$861K

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 33% of total spending.

59409Normal range

Vaginal delivery only

$2.8M

3,710 claims · 32.7%

Your Cost: $741.85/claim|Median: $619.91
1.2× median
59514Top 25%

Cesarean delivery only

$1.1M

1,370 claims · 13.6%

Your Cost: $836.37/claim|Median: $452.80
1.8× median
59426Normal range

Antepartum care only, high risk, additional visits

$982K

1,456 claims · 11.7%

Your Cost: $674.48/claim|Median: $122.30
5.5× median
99213Normal range

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

$383K

12K claims · 4.5%

Your Cost: $32.83/claim|Median: $37.81
0.9× median
59425Top 10%

Antepartum care only, 4-6 visits

$376K

1,019 claims · 4.5%

Your Cost: $368.69/claim|Median: $63.63
5.8× median
59025Normal range

Fetal non-stress test

$373K

22K claims · 4.4%

Your Cost: $17.17/claim|Median: $26.45
0.6× median
59430Top 25%

$250K

1,593 claims · 3.0%

Your Cost: $156.80/claim|Median: $80.32
2.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$241K

4,427 claims · 2.9%

Your Cost: $54.44/claim|Median: $106.79
0.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$213K

7,930 claims · 2.5%

Your Cost: $26.81/claim|Median: $58.55
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$194K

3,176 claims · 2.3%

Your Cost: $61.17/claim|Median: $43.85
1.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$156K

6,775 claims · 1.9%

Your Cost: $23.04/claim|Median: $16.77
1.4× median
99221Normal range

Initial hospital care, straightforward/low

$109K

2,086 claims · 1.3%

Your Cost: $52.48/claim|Median: $39.96
1.3× median
99214Normal range

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

$97K

1,866 claims · 1.2%

Your Cost: $52.16/claim|Median: $53.41
1.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$90K

4,669 claims · 1.1%

Your Cost: $19.37/claim|Median: $36.79
0.5× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$88K

1,719 claims · 1.0%

Your Cost: $51.48/claim|Median: $41.92
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$77K

3,410 claims · 0.9%

Your Cost: $22.68/claim|Median: $47.65
0.5× median
90715Top 25%

Tdap vaccine

$64K

2,060 claims · 0.8%

Your Cost: $31.12/claim|Median: $10.32
3.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$61K

1,885 claims · 0.7%

Your Cost: $32.29/claim|Median: $58.16
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$56K

2,329 claims · 0.7%

Your Cost: $24.13/claim|Median: $49.45
0.5× median
99203Normal range

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

$54K

1,147 claims · 0.6%

Your Cost: $47.18/claim|Median: $57.85
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$54K

2,931 claims · 0.6%

Your Cost: $18.41/claim|Median: $25.06
0.7× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$54K

66 claims · 0.6%

Your Cost: $811.50/claim|Median: $786.43
1.0× median
76820Normal range

$52K

3,295 claims · 0.6%

Your Cost: $15.80/claim|Median: $31.79
0.5× median
54150Normal range

$48K

836 claims · 0.6%

Your Cost: $57.28/claim|Median: $84.60
0.7× median
76821Normal range

$48K

2,142 claims · 0.6%

Your Cost: $22.23/claim|Median: $46.75
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$46K

1,146 claims · 0.5%

Your Cost: $40.23/claim|Median: $37.22
1.1× median
90384Top 25%

$37K

357 claims · 0.4%

Your Cost: $104.58/claim|Median: $48.70
2.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$32K

1,021 claims · 0.4%

Your Cost: $31.31/claim|Median: $74.78
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$31K

3,518 claims · 0.4%

Your Cost: $8.77/claim|Median: $9.56
0.9× median
76818Normal range

$29K

933 claims · 0.3%

Your Cost: $31.06/claim|Median: $68.15
0.5× median
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