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TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC

Internal Medicine·HARTFORD, CT·NPI: 1003882812Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.0M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$42.0M

$41,965,022

Total Claims

1.8M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+13%
2019
$2.8M
-9%
2020
$2.6M
+12%
2021
$2.9M
+238%
2022
$9.7M
+16%
2023
$11.2M
-9%
2024
$10.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 21% of total spending.

99214Normal range

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

$8.7M

226K claims · 20.8%

Your Cost: $38.54/claim|Median: $53.41
0.7× median
99213Normal range

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

$4.3M

147K claims · 10.3%

Your Cost: $29.49/claim|Median: $37.81
0.8× median
99284Normal range

Emergency dept visit, high complexity

$3.8M

74K claims · 8.9%

Your Cost: $50.98/claim|Median: $69.51
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.0M

97K claims · 4.9%

Your Cost: $20.94/claim|Median: $23.99
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.9M

63K claims · 4.6%

Your Cost: $30.70/claim|Median: $35.30
0.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.8M

4,191 claims · 4.4%

Your Cost: $440.01/claim|Median: $470.36
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.6M

22K claims · 3.8%

Your Cost: $73.71/claim|Median: $85.65
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$1.5M

26K claims · 3.6%

Your Cost: $58.82/claim|Median: $67.32
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$1.5M

55K claims · 3.5%

Your Cost: $27.11/claim|Median: $42.48
0.6× median
99204Normal range

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

$1.1M

16K claims · 2.6%

Your Cost: $66.03/claim|Median: $84.03
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$1.0M

23K claims · 2.5%

Your Cost: $43.97/claim|Median: $74.09
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$739K

23K claims · 1.8%

Your Cost: $31.62/claim|Median: $43.85
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$709K

9,741 claims · 1.7%

Your Cost: $72.78/claim|Median: $101.24
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$672K

7,669 claims · 1.6%

Your Cost: $87.63/claim|Median: $106.79
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$569K

168K claims · 1.4%

Your Cost: $3.38/claim|Median: $5.60
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$545K

6,953 claims · 1.3%

Your Cost: $78.42/claim|Median: $111.09
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$532K

17K claims · 1.3%

Your Cost: $32.02/claim|Median: $54.68
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$515K

42K claims · 1.2%

Your Cost: $12.32/claim|Median: $16.77
0.7× median
59025Normal range

Fetal non-stress test

$467K

12K claims · 1.1%

Your Cost: $37.70/claim|Median: $26.45
1.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$407K

11K claims · 1.0%

Your Cost: $37.66/claim|Median: $58.16
0.6× median
99203Normal range

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

$366K

8,013 claims · 0.9%

Your Cost: $45.72/claim|Median: $57.85
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$330K

13K claims · 0.8%

Your Cost: $26.37/claim|Median: $58.55
0.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$312K

10K claims · 0.7%

Your Cost: $30.69/claim|Median: $47.65
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$292K

9,623 claims · 0.7%

Your Cost: $30.33/claim|Median: $37.22
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$290K

14K claims · 0.7%

Your Cost: $20.17/claim|Median: $25.06
0.8× median
43775Normal range

$284K

574 claims · 0.7%

Your Cost: $493.97/claim|Median: $619.12
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$271K

4,625 claims · 0.6%

Your Cost: $58.61/claim|Median: $151.68
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$261K

6,796 claims · 0.6%

Your Cost: $38.36/claim|Median: $63.65
0.6× median
76830Normal range

Ultrasound, transvaginal

$256K

9,748 claims · 0.6%

Your Cost: $26.23/claim|Median: $57.47
0.5× median
99221Normal range

Initial hospital care, straightforward/low

$234K

8,549 claims · 0.6%

Your Cost: $27.35/claim|Median: $39.96
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$229K

3,087 claims · 0.5%

Your Cost: $74.15/claim|Median: $72.71
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$222K

5,425 claims · 0.5%

Your Cost: $41.00/claim|Median: $74.78
0.5× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$207K

6,122 claims · 0.5%

Your Cost: $33.89/claim|Median: $70.87
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$205K

6,766 claims · 0.5%

Your Cost: $30.25/claim|Median: $99.21
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$195K

6,301 claims · 0.5%

Your Cost: $31.01/claim|Median: $22.44
1.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$195K

25K claims · 0.5%

Your Cost: $7.92/claim|Median: $9.70
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$181K

4,281 claims · 0.4%

Your Cost: $42.17/claim|Median: $51.25
0.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$169K

3,417 claims · 0.4%

Your Cost: $49.43/claim|Median: $32.55
1.5× median
76856Normal range

Ultrasound, pelvic, complete

$166K

8,145 claims · 0.4%

Your Cost: $20.41/claim|Median: $47.58
0.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$151K

1,576 claims · 0.4%

Your Cost: $95.88/claim|Median: $76.06
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$151K

5,660 claims · 0.4%

Your Cost: $26.67/claim|Median: $36.79
0.7× median
99220Normal range

$136K

2,613 claims · 0.3%

Your Cost: $51.99/claim|Median: $73.56
0.7× median
76775Normal range

$111K

3,728 claims · 0.3%

Your Cost: $29.80/claim|Median: $28.03
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$98K

933 claims · 0.2%

Your Cost: $104.97/claim|Median: $255.17
0.4× median
95886Normal range

$91K

2,215 claims · 0.2%

Your Cost: $41.30/claim|Median: $67.70
0.6× median
54150Normal range

$87K

1,515 claims · 0.2%

Your Cost: $57.70/claim|Median: $84.60
0.7× median
99236Normal range

Observation care same day admit and discharge

$84K

566 claims · 0.2%

Your Cost: $147.53/claim|Median: $128.23
1.2× median
99217Normal range

$82K

3,383 claims · 0.2%

Your Cost: $24.10/claim|Median: $31.89
0.8× median
95816Normal range

$69K

3,472 claims · 0.2%

Your Cost: $19.77/claim|Median: $56.87
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$67K

1,752 claims · 0.2%

Your Cost: $38.23/claim|Median: $40.11
1.0× median