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PRIVIA MEDICAL GROUP, LLC

Internal Medicine·ARLINGTON, VA·NPI: 1013042480Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $81.3M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$81.3M

$81,263,479

Total Claims

3.6M

Beneficiaries

3.1M

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+3%
2019
$3.6M
+120%
2020
$7.9M
+56%
2021
$12.4M
+33%
2022
$16.5M
+22%
2023
$20.2M
-14%
2024
$17.3M

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 33% of total spending.

99214Normal range

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

$26.5M

379K claims · 32.6%

Your Cost: $70.02/claim|Median: $53.41
1.3× median
99213Top 25%

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

$25.9M

447K claims · 31.8%

Your Cost: $57.90/claim|Median: $37.81
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.5M

17K claims · 1.9%

Your Cost: $91.30/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.3M

15K claims · 1.6%

Your Cost: $85.83/claim|Median: $69.35
1.2× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.2M

15K claims · 1.5%

Your Cost: $78.29/claim|Median: $63.08
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

12K claims · 1.3%

Your Cost: $90.79/claim|Median: $74.82
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$922K

13K claims · 1.1%

Your Cost: $68.75/claim|Median: $49.45
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$822K

9,391 claims · 1.0%

Your Cost: $87.51/claim|Median: $74.09
1.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$812K

9,063 claims · 1.0%

Your Cost: $89.65/claim|Median: $58.55
1.5× median
76830Top 25%

Ultrasound, transvaginal

$802K

7,983 claims · 1.0%

Your Cost: $100.45/claim|Median: $57.47
1.7× median
99204Normal range

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

$798K

9,028 claims · 1.0%

Your Cost: $88.39/claim|Median: $84.03
1.1× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$763K

7,131 claims · 0.9%

Your Cost: $107.01/claim|Median: $72.71
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$746K

7,073 claims · 0.9%

Your Cost: $105.45/claim|Median: $74.78
1.4× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$746K

6,573 claims · 0.9%

Your Cost: $113.42/claim|Median: $76.06
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$641K

6,313 claims · 0.8%

Your Cost: $101.57/claim|Median: $80.15
1.3× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$634K

18K claims · 0.8%

Your Cost: $34.87/claim|Median: $39.63
0.9× median
99203Normal range

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

$605K

9,111 claims · 0.7%

Your Cost: $66.41/claim|Median: $57.85
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$603K

6,877 claims · 0.7%

Your Cost: $87.64/claim|Median: $54.68
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$513K

14K claims · 0.6%

Your Cost: $35.80/claim|Median: $25.06
1.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$500K

3,479 claims · 0.6%

Your Cost: $143.78/claim|Median: $106.79
1.3× median
76820Normal range

$489K

12K claims · 0.6%

Your Cost: $39.49/claim|Median: $31.79
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$480K

37K claims · 0.6%

Your Cost: $12.93/claim|Median: $11.48
1.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$461K

15K claims · 0.6%

Your Cost: $31.50/claim|Median: $30.04
1.0× median
3074FTop 25%

$436K

200K claims · 0.5%

Your Cost: $2.19/claim|Median: $0.11
19.9× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$375K

22K claims · 0.5%

Your Cost: $17.05/claim|Median: $7.18
2.4× median
58558Normal range

$331K

282 claims · 0.4%

Your Cost: $1,174.66/claim|Median: $942.89
1.2× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$328K

5,302 claims · 0.4%

Your Cost: $61.91/claim|Median: $36.79
1.7× median
3078FTop 25%

$325K

164K claims · 0.4%

Your Cost: $1.98/claim|Median: $0.08
24.8× median
G2211Top 5%

$315K

12K claims · 0.4%

Your Cost: $26.15/claim|Median: $2.40
10.9× median
1160FTop 10%

$310K

266K claims · 0.4%

Your Cost: $1.17/claim|Median: $0.01
116.5× median
1159FTop 10%

$307K

250K claims · 0.4%

Your Cost: $1.23/claim|Median: $0.01
122.6× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$276K

2,269 claims · 0.3%

Your Cost: $121.76/claim|Median: $76.22
1.6× median
3008FNormal range

$272K

277K claims · 0.3%

Your Cost: $0.98/claim|Median: $0.06
16.4× median
99309Normal range

Nursing facility care, subsequent, low complexity

$267K

21K claims · 0.3%

Your Cost: $12.46/claim|Median: $14.00
0.9× median
87804Normal range

Influenza virus detection, rapid test

$257K

19K claims · 0.3%

Your Cost: $13.67/claim|Median: $12.59
1.1× median
1036FTop 25%

$229K

271K claims · 0.3%

Your Cost: $0.85/claim|Median: $0.01
84.7× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$223K

1,134 claims · 0.3%

Your Cost: $197.09/claim|Median: $106.14
1.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$219K

26K claims · 0.3%

Your Cost: $8.41/claim|Median: $9.70
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$216K

37K claims · 0.3%

Your Cost: $5.91/claim|Median: $4.71
1.3× median
80061Normal range

Lipid panel

$212K

21K claims · 0.3%

Your Cost: $10.26/claim|Median: $8.41
1.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$205K

2,101 claims · 0.3%

Your Cost: $97.48/claim|Median: $100.62
1.0× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$198K

5,105 claims · 0.2%

Your Cost: $38.83/claim|Median: $30.53
1.3× median
76856Top 25%

Ultrasound, pelvic, complete

$187K

2,269 claims · 0.2%

Your Cost: $82.23/claim|Median: $47.58
1.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$184K

1,899 claims · 0.2%

Your Cost: $96.78/claim|Median: $111.09
0.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$183K

2,669 claims · 0.2%

Your Cost: $68.40/claim|Median: $47.65
1.4× median
76818Top 25%

$170K

1,734 claims · 0.2%

Your Cost: $98.17/claim|Median: $68.15
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$157K

34K claims · 0.2%

Your Cost: $4.61/claim|Median: $3.67
1.3× median
95819Top 10%

Electroencephalogram with sleep recording

$151K

471 claims · 0.2%

Your Cost: $321.32/claim|Median: $62.75
5.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$150K

1,530 claims · 0.2%

Your Cost: $98.21/claim|Median: $91.47
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$150K

19K claims · 0.2%

Your Cost: $7.99/claim|Median: $9.79
0.8× median

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