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PUBLIC HOSPITAL DIST NO 1 SKAGIT

General Practice·MOUNT VERNON, WA·NPI: 1023332749Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.7M is at the 25th percentile among 6 General Practice providers.

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

Total Paid

$24.7M

$24,727,037

Total Claims

585K

Beneficiaries

546K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-1%
2019
$3.0M
-21%
2020
$2.3M
+52%
2021
$3.6M
+21%
2022
$4.3M
-0%
2023
$4.3M
-1%
2024
$4.3M

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 54% of total spending.

99214Normal range

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

$13.3M

251K claims · 54.0%

Your Cost: $53.12/claim|Median: $53.41
1.0× median
99213Normal range

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

$3.4M

89K claims · 13.6%

Your Cost: $37.61/claim|Median: $37.81
1.0× median
99204Normal range

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

$2.2M

27K claims · 8.7%

Your Cost: $80.19/claim|Median: $84.03
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1.4M

17K claims · 5.7%

Your Cost: $84.93/claim|Median: $74.09
1.1× median
99203Normal range

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

$986K

18K claims · 4.0%

Your Cost: $53.79/claim|Median: $57.85
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$399K

5,734 claims · 1.6%

Your Cost: $69.51/claim|Median: $74.82
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$395K

13K claims · 1.6%

Your Cost: $31.55/claim|Median: $23.99
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$269K

4,396 claims · 1.1%

Your Cost: $61.30/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$251K

3,591 claims · 1.0%

Your Cost: $70.01/claim|Median: $75.18
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$214K

2,841 claims · 0.9%

Your Cost: $75.27/claim|Median: $80.15
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$182K

6,171 claims · 0.7%

Your Cost: $29.56/claim|Median: $54.68
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$174K

46K claims · 0.7%

Your Cost: $3.79/claim|Median: $5.60
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$129K

2,791 claims · 0.5%

Your Cost: $46.13/claim|Median: $151.68
0.3× median
64615Normal range

$128K

2,322 claims · 0.5%

Your Cost: $55.14/claim|Median: $82.82
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$103K

1,253 claims · 0.4%

Your Cost: $82.12/claim|Median: $111.09
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$87K

12K claims · 0.4%

Your Cost: $7.24/claim|Median: $9.10
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$78K

2,413 claims · 0.3%

Your Cost: $32.52/claim|Median: $40.11
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$78K

4,569 claims · 0.3%

Your Cost: $17.09/claim|Median: $16.77
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$65K

15K claims · 0.3%

Your Cost: $4.21/claim|Median: $3.67
1.1× median
45380Normal range

Colonoscopy with biopsy

$55K

628 claims · 0.2%

Your Cost: $86.89/claim|Median: $200.68
0.4× median
17110Normal range

Destruction of benign lesions, up to fourteen

$50K

1,430 claims · 0.2%

Your Cost: $35.23/claim|Median: $59.25
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$50K

2,759 claims · 0.2%

Your Cost: $17.96/claim|Median: $25.06
0.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$45K

1,315 claims · 0.2%

Your Cost: $34.06/claim|Median: $33.72
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$40K

1,294 claims · 0.2%

Your Cost: $30.54/claim|Median: $35.30
0.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$37K

1,118 claims · 0.1%

Your Cost: $32.94/claim|Median: $25.93
1.3× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$34K

841 claims · 0.1%

Your Cost: $40.28/claim|Median: $33.85
1.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$31K

512 claims · 0.1%

Your Cost: $60.65/claim|Median: $32.55
1.9× median
99223Normal range

Initial hospital care, per day, high complexity

$28K

402 claims · 0.1%

Your Cost: $69.72/claim|Median: $67.32
1.0× median
90961Normal range

$23K

505 claims · 0.1%

Your Cost: $45.73/claim|Median: $47.22
1.0× median
69210Normal range

$23K

1,208 claims · 0.1%

Your Cost: $18.88/claim|Median: $21.74
0.9× median
90688Normal range

$22K

1,888 claims · 0.1%

Your Cost: $11.60/claim|Median: $9.00
1.3× median
95115Normal range

$21K

3,849 claims · 0.1%

Your Cost: $5.46/claim|Median: $6.96
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

1,994 claims · 0.1%

Your Cost: $10.48/claim|Median: $7.18
1.5× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$19K

1,051 claims · 0.1%

Your Cost: $18.47/claim|Median: $36.13
0.5× median
90960Normal range

End-stage renal disease services, per month, age 20+

$18K

377 claims · 0.1%

Your Cost: $48.05/claim|Median: $52.76
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$17K

1,820 claims · 0.1%

Your Cost: $9.44/claim|Median: $12.93
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$17K

432 claims · 0.1%

Your Cost: $39.35/claim|Median: $22.44
1.8× median
11721Normal range

$17K

3,000 claims · 0.1%

Your Cost: $5.54/claim|Median: $8.56
0.6× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$17K

210 claims · 0.1%

Your Cost: $78.71/claim|Median: $144.04
0.5× median
92567Normal range

$16K

1,941 claims · 0.1%

Your Cost: $8.49/claim|Median: $11.50
0.7× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$16K

863 claims · 0.1%

Your Cost: $18.75/claim|Median: $27.28
0.7× median
99245Normal range

Office consultation, high complexity

$16K

138 claims · 0.1%

Your Cost: $115.77/claim|Median: $143.30
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$15K

1,059 claims · 0.1%

Your Cost: $14.54/claim|Median: $14.00
1.0× median
17000Normal range

$15K

682 claims · 0.1%

Your Cost: $21.85/claim|Median: $21.35
1.0× median
95886Normal range

$15K

454 claims · 0.1%

Your Cost: $32.54/claim|Median: $67.70
0.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$14K

242 claims · 0.1%

Your Cost: $58.01/claim|Median: $51.25
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$13K

170 claims · 0.1%

Your Cost: $75.66/claim|Median: $65.64
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$12K

204 claims · 0.0%

Your Cost: $58.14/claim|Median: $233.73
0.2× median
90670Normal range

$11K

1,148 claims · 0.0%

Your Cost: $9.68/claim|Median: $5.94
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$11K

115 claims · 0.0%

Your Cost: $93.52/claim|Median: $108.91
0.9× median

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