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Provider 1992939565

NPI: 1992939565Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.5M

$12,469,912

Total Claims

199K

Beneficiaries

160K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+2%
2019
$1.1M
-9%
2020
$1.0M
+95%
2021
$2.0M
+20%
2022
$2.4M
+10%
2023
$2.6M
-17%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

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

$2.8M

53K claims · 22.1%

Your Cost: $51.78/claim|Median: $53.41
1.0× median
H1001Top 25%

$2.2M

22K claims · 17.7%

Your Cost: $101.81/claim|Median: $60.48
1.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.4M

10K claims · 11.6%

Your Cost: $138.09/claim|Median: $54.68
2.5× median
99213Normal range

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

$1.2M

30K claims · 9.7%

Your Cost: $41.19/claim|Median: $37.81
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$610K

5,336 claims · 4.9%

Your Cost: $114.40/claim|Median: $112.83
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$430K

3,145 claims · 3.5%

Your Cost: $136.81/claim|Median: $121.58
1.1× median
59409Top 25%

Vaginal delivery only

$380K

430 claims · 3.1%

Your Cost: $884.57/claim|Median: $619.91
1.4× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$334K

7,813 claims · 2.7%

Your Cost: $42.79/claim|Median: $9.70
4.4× median
93320Top 25%

$300K

5,342 claims · 2.4%

Your Cost: $56.16/claim|Median: $28.68
2.0× median
59425Normal range

Antepartum care only, 4-6 visits

$280K

3,905 claims · 2.2%

Your Cost: $71.81/claim|Median: $63.63
1.1× median
93325Top 25%

$268K

8,318 claims · 2.2%

Your Cost: $32.25/claim|Median: $14.61
2.2× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$245K

2,197 claims · 2.0%

Your Cost: $111.31/claim|Median: $74.78
1.5× median
H1000Top 1%

Prenatal care, at-risk assessment

$237K

1,104 claims · 1.9%

Your Cost: $214.35/claim|Median: $50.36
4.3× median
Z1034Normal range

$231K

4,223 claims · 1.9%

Your Cost: $54.69/claim|Median: $54.74
1.0× median
93304Normal range

$125K

1,899 claims · 1.0%

Your Cost: $65.81/claim|Median: $54.29
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$114K

5,260 claims · 0.9%

Your Cost: $21.65/claim|Median: $9.56
2.3× median
99203Normal range

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

$87K

1,146 claims · 0.7%

Your Cost: $75.91/claim|Median: $57.85
1.3× median
J3490Top 5%

Unclassified drugs

$80K

402 claims · 0.6%

Your Cost: $199.74/claim|Median: $5.70
35.0× median
93321Top 25%

$80K

2,631 claims · 0.6%

Your Cost: $30.48/claim|Median: $9.69
3.1× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$79K

1,777 claims · 0.6%

Your Cost: $44.55/claim|Median: $27.28
1.6× median
71046Top 25%

Chest X-ray, 2 views

$68K

3,778 claims · 0.5%

Your Cost: $18.12/claim|Median: $8.92
2.0× median
59430Normal range

$65K

615 claims · 0.5%

Your Cost: $105.23/claim|Median: $80.32
1.3× median
77067Top 5%

Screening mammography, bilateral, including CAD

$60K

367 claims · 0.5%

Your Cost: $164.27/claim|Median: $39.33
4.2× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$53K

351 claims · 0.4%

Your Cost: $151.18/claim|Median: $72.71
2.1× median
99204Normal range

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

$53K

627 claims · 0.4%

Your Cost: $83.86/claim|Median: $84.03
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$47K

893 claims · 0.4%

Your Cost: $52.34/claim|Median: $35.30
1.5× median
59025Normal range

Fetal non-stress test

$34K

2,090 claims · 0.3%

Your Cost: $16.16/claim|Median: $26.45
0.6× median
76856Normal range

Ultrasound, pelvic, complete

$33K

623 claims · 0.3%

Your Cost: $52.96/claim|Median: $47.58
1.1× median
90715Top 5%

Tdap vaccine

$32K

577 claims · 0.3%

Your Cost: $55.67/claim|Median: $10.32
5.4× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$31K

164 claims · 0.2%

Your Cost: $187.04/claim|Median: $76.22
2.5× median
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