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AFFINITY HEALTH GROUP, LLC

Family Medicine·MONROE, LA·NPI: 1023291226Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.7M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$34.7M

$34,731,345

Total Claims

1.6M

Beneficiaries

1.3M

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$4.5M
+17%
2019
$5.2M
-9%
2020
$4.8M
+16%
2021
$5.6M
+5%
2022
$5.9M
-5%
2023
$5.6M
-42%
2024
$3.2M

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 31% of total spending.

99214Top 25%

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

$10.9M

143K claims · 31.3%

Your Cost: $75.88/claim|Median: $53.41
1.4× median
99213Top 25%

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

$9.9M

169K claims · 28.5%

Your Cost: $58.47/claim|Median: $37.81
1.5× median
99204Top 25%

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

$1.7M

15K claims · 5.0%

Your Cost: $118.99/claim|Median: $84.03
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.3M

20K claims · 3.7%

Your Cost: $63.41/claim|Median: $65.64
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

17K claims · 3.5%

Your Cost: $69.98/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

18K claims · 3.2%

Your Cost: $62.33/claim|Median: $69.35
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.0M

30K claims · 2.9%

Your Cost: $33.28/claim|Median: $39.70
0.8× median
99203Top 25%

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

$905K

10K claims · 2.6%

Your Cost: $86.58/claim|Median: $57.85
1.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$587K

42K claims · 1.7%

Your Cost: $14.09/claim|Median: $9.80
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$484K

7,170 claims · 1.4%

Your Cost: $67.48/claim|Median: $74.82
0.9× median
80050Normal range

General health panel

$469K

18K claims · 1.4%

Your Cost: $25.44/claim|Median: $25.59
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$438K

16K claims · 1.3%

Your Cost: $27.13/claim|Median: $28.46
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$426K

24K claims · 1.2%

Your Cost: $17.55/claim|Median: $11.79
1.5× median
99051Normal range

$378K

26K claims · 1.1%

Your Cost: $14.49/claim|Median: $7.89
1.8× median
82306Normal range

Vitamin D, 25 hydroxy

$345K

17K claims · 1.0%

Your Cost: $20.89/claim|Median: $18.18
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$337K

6,441 claims · 1.0%

Your Cost: $52.32/claim|Median: $72.71
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$283K

4,936 claims · 0.8%

Your Cost: $57.38/claim|Median: $76.06
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$263K

45K claims · 0.8%

Your Cost: $5.86/claim|Median: $4.71
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$218K

5,010 claims · 0.6%

Your Cost: $43.59/claim|Median: $54.68
0.8× median
80061Normal range

Lipid panel

$207K

25K claims · 0.6%

Your Cost: $8.20/claim|Median: $8.41
1.0× median
87634Normal range

$203K

4,037 claims · 0.6%

Your Cost: $50.28/claim|Median: $48.78
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$189K

3,970 claims · 0.5%

Your Cost: $47.72/claim|Median: $85.66
0.6× median
92507Normal range

Speech/hearing/language treatment

$87K

2,625 claims · 0.2%

Your Cost: $32.97/claim|Median: $49.45
0.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$77K

1,448 claims · 0.2%

Your Cost: $53.18/claim|Median: $37.22
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$77K

1,063 claims · 0.2%

Your Cost: $72.03/claim|Median: $80.15
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$71K

1,515 claims · 0.2%

Your Cost: $46.77/claim|Median: $62.48
0.7× median
80053Normal range

Comprehensive metabolic panel

$69K

11K claims · 0.2%

Your Cost: $6.40/claim|Median: $7.24
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$62K

1,540 claims · 0.2%

Your Cost: $40.10/claim|Median: $25.06
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$61K

41K claims · 0.2%

Your Cost: $1.51/claim|Median: $9.56
0.2× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$56K

1,205 claims · 0.2%

Your Cost: $46.43/claim|Median: $42.51
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$56K

9,262 claims · 0.2%

Your Cost: $6.00/claim|Median: $5.50
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$52K

7,937 claims · 0.1%

Your Cost: $6.53/claim|Median: $9.10
0.7× median
90474Normal range

$50K

5,773 claims · 0.1%

Your Cost: $8.61/claim|Median: $8.42
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$48K

601 claims · 0.1%

Your Cost: $80.44/claim|Median: $74.09
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$44K

3,569 claims · 0.1%

Your Cost: $12.19/claim|Median: $12.93
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$42K

1,904 claims · 0.1%

Your Cost: $22.05/claim|Median: $38.83
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$41K

1,257 claims · 0.1%

Your Cost: $32.27/claim|Median: $63.65
0.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$40K

4,848 claims · 0.1%

Your Cost: $8.25/claim|Median: $9.70
0.9× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$39K

1,548 claims · 0.1%

Your Cost: $25.25/claim|Median: $29.03
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$37K

1,183 claims · 0.1%

Your Cost: $31.24/claim|Median: $24.49
1.3× median
92928Normal range

$36K

269 claims · 0.1%

Your Cost: $134.23/claim|Median: $224.97
0.6× median
87804Normal range

Influenza virus detection, rapid test

$35K

3,409 claims · 0.1%

Your Cost: $10.31/claim|Median: $12.59
0.8× median
81001Normal range

Urinalysis, automated, with microscopy

$32K

15K claims · 0.1%

Your Cost: $2.07/claim|Median: $2.03
1.0× median
69436Normal range

Tympanostomy, general anesthesia

$29K

177 claims · 0.1%

Your Cost: $163.78/claim|Median: $205.50
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$28K

616 claims · 0.1%

Your Cost: $45.81/claim|Median: $67.32
0.7× median
83655Normal range

$28K

2,479 claims · 0.1%

Your Cost: $11.14/claim|Median: $10.49
1.1× median
31231Normal range

Nasal endoscopy, diagnostic

$27K

363 claims · 0.1%

Your Cost: $75.75/claim|Median: $98.77
0.8× median
73564Normal range

$27K

1,571 claims · 0.1%

Your Cost: $17.36/claim|Median: $15.00
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$27K

497 claims · 0.1%

Your Cost: $54.82/claim|Median: $108.91
0.5× median
G0447Normal range

$25K

4,695 claims · 0.1%

Your Cost: $5.40/claim|Median: $5.19
1.0× median

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