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UNIVERSITY OF VIRGINIA PHYSICIANS GROUP

Neuromusculoskeletal Medicine, Sports Medicine·CHARLOTTESVILLE, VA·NPI: 1033138250Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$84.9M

$84,853,326

Total Claims

2.0M

Beneficiaries

1.7M

1.2 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+159%
2019
$12.5M
-14%
2020
$10.7M
+28%
2021
$13.6M
+2%
2022
$13.8M
+13%
2023
$15.6M
-12%
2024
$13.8M

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 26% of total spending.

99214Normal range

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

$22.2M

364K claims · 26.2%

Your Cost: $61.06/claim|Median: $53.41
1.1× median
99213Normal range

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

$13.7M

267K claims · 16.1%

Your Cost: $51.28/claim|Median: $37.81
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$5.8M

62K claims · 6.8%

Your Cost: $93.37/claim|Median: $74.09
1.3× median
99284Normal range

Emergency dept visit, high complexity

$3.0M

49K claims · 3.6%

Your Cost: $62.52/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.0M

34K claims · 3.5%

Your Cost: $88.30/claim|Median: $85.65
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.6M

36K claims · 3.0%

Your Cost: $70.32/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.5M

33K claims · 2.9%

Your Cost: $76.11/claim|Median: $75.18
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.0M

35K claims · 2.4%

Your Cost: $56.99/claim|Median: $35.30
1.6× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$1.8M

8,091 claims · 2.1%

Your Cost: $221.28/claim|Median: $293.45
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.4M

45K claims · 1.6%

Your Cost: $30.27/claim|Median: $23.99
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.4M

29K claims · 1.6%

Your Cost: $46.24/claim|Median: $35.80
1.3× median
99204Normal range

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

$1.2M

13K claims · 1.4%

Your Cost: $96.48/claim|Median: $84.03
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$1.1M

22K claims · 1.4%

Your Cost: $53.33/claim|Median: $65.76
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.0M

23K claims · 1.2%

Your Cost: $45.29/claim|Median: $54.68
0.8× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$836K

3,645 claims · 1.0%

Your Cost: $229.24/claim|Median: $307.98
0.7× median
71045Normal range

Chest X-ray, single view

$808K

151K claims · 1.0%

Your Cost: $5.35/claim|Median: $4.93
1.1× median
99203Normal range

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

$797K

13K claims · 0.9%

Your Cost: $62.64/claim|Median: $57.85
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$791K

20K claims · 0.9%

Your Cost: $39.94/claim|Median: $42.48
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$782K

10K claims · 0.9%

Your Cost: $75.47/claim|Median: $74.82
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$694K

10K claims · 0.8%

Your Cost: $67.42/claim|Median: $133.68
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$625K

6,387 claims · 0.7%

Your Cost: $97.84/claim|Median: $85.66
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$575K

5,922 claims · 0.7%

Your Cost: $97.08/claim|Median: $101.24
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$522K

4,088 claims · 0.6%

Your Cost: $127.67/claim|Median: $111.09
1.1× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$491K

6,461 claims · 0.6%

Your Cost: $76.02/claim|Median: $59.38
1.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$489K

2,025 claims · 0.6%

Your Cost: $241.25/claim|Median: $137.85
1.8× median
70450Normal range

CT head/brain without contrast

$421K

19K claims · 0.5%

Your Cost: $22.52/claim|Median: $45.53
0.5× median
90677Top 10%

$412K

3,215 claims · 0.5%

Your Cost: $128.27/claim|Median: $12.96
9.9× median
90670Top 10%

$359K

14K claims · 0.4%

Your Cost: $24.79/claim|Median: $5.94
4.2× median
95720Normal range

$359K

2,824 claims · 0.4%

Your Cost: $127.09/claim|Median: $120.95
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$351K

6,401 claims · 0.4%

Your Cost: $54.85/claim|Median: $112.83
0.5× median
95951Normal range

$342K

2,176 claims · 0.4%

Your Cost: $157.38/claim|Median: $183.28
0.9× median
74018Normal range

$333K

55K claims · 0.4%

Your Cost: $6.01/claim|Median: $7.00
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$326K

11K claims · 0.4%

Your Cost: $28.52/claim|Median: $39.33
0.7× median
71275Normal range

CT angiography, chest, with contrast

$316K

6,087 claims · 0.4%

Your Cost: $51.91/claim|Median: $92.96
0.6× median
99417Normal range

$314K

8,463 claims · 0.4%

Your Cost: $37.05/claim|Median: $34.90
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$312K

8,713 claims · 0.4%

Your Cost: $35.80/claim|Median: $58.55
0.6× median
71260Normal range

CT chest with contrast

$307K

9,564 claims · 0.4%

Your Cost: $32.12/claim|Median: $48.36
0.7× median
70551Normal range

MRI brain without contrast

$296K

6,264 claims · 0.3%

Your Cost: $47.23/claim|Median: $85.39
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$294K

22K claims · 0.3%

Your Cost: $13.35/claim|Median: $11.48
1.2× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$292K

3,933 claims · 0.3%

Your Cost: $74.15/claim|Median: $103.70
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$287K

24K claims · 0.3%

Your Cost: $11.81/claim|Median: $7.18
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$242K

2,922 claims · 0.3%

Your Cost: $82.95/claim|Median: $80.15
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$240K

55K claims · 0.3%

Your Cost: $4.37/claim|Median: $5.60
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$229K

13K claims · 0.3%

Your Cost: $17.61/claim|Median: $23.81
0.7× median
90723Top 25%

DTaP-HepB-IPV vaccine

$206K

11K claims · 0.2%

Your Cost: $19.07/claim|Median: $5.78
3.3× median
71046Normal range

Chest X-ray, 2 views

$205K

30K claims · 0.2%

Your Cost: $6.74/claim|Median: $8.92
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$194K

2,699 claims · 0.2%

Your Cost: $71.72/claim|Median: $98.15
0.7× median
90648Top 25%

$192K

17K claims · 0.2%

Your Cost: $11.12/claim|Median: $4.08
2.7× median
97110Normal range

Therapeutic exercises, each 15 min

$191K

6,049 claims · 0.2%

Your Cost: $31.56/claim|Median: $24.49
1.3× median
90960Normal range

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

$181K

3,483 claims · 0.2%

Your Cost: $51.84/claim|Median: $52.76
1.0× median

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