Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

BRIGHAM & WOMENS PHYSICIANS ORGANIZATION INC

Internal Medicine·BOSTON, MA·NPI: 1033535497Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.4M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$43.4M

$43,384,273

Total Claims

1.6M

Beneficiaries

1.4M

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$5.1M
-1%
2019
$5.0M
+2%
2020
$5.1M
+32%
2021
$6.8M
+5%
2022
$7.2M
+5%
2023
$7.5M
-12%
2024
$6.6M

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 18% of total spending.

99214Normal range

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

$8.0M

192K claims · 18.5%

Your Cost: $41.85/claim|Median: $53.41
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$6.6M

82K claims · 15.3%

Your Cost: $81.15/claim|Median: $85.65
0.9× median
99284Normal range

Emergency dept visit, high complexity

$2.6M

39K claims · 6.0%

Your Cost: $66.36/claim|Median: $69.51
1.0× median
99213Normal range

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

$2.5M

81K claims · 5.8%

Your Cost: $30.75/claim|Median: $37.81
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$2.1M

52K claims · 4.9%

Your Cost: $40.85/claim|Median: $65.76
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.9M

81K claims · 4.4%

Your Cost: $23.81/claim|Median: $23.99
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.7M

49K claims · 3.9%

Your Cost: $34.39/claim|Median: $35.30
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.4M

40K claims · 3.3%

Your Cost: $35.96/claim|Median: $35.80
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$958K

19K claims · 2.2%

Your Cost: $49.23/claim|Median: $133.68
0.4× median
99291Normal range

Critical care, first 30-74 minutes

$931K

11K claims · 2.1%

Your Cost: $82.26/claim|Median: $101.24
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$908K

34K claims · 2.1%

Your Cost: $26.55/claim|Median: $39.33
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$896K

252K claims · 2.1%

Your Cost: $3.55/claim|Median: $5.60
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$768K

27K claims · 1.8%

Your Cost: $28.28/claim|Median: $54.68
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$708K

12K claims · 1.6%

Your Cost: $56.72/claim|Median: $74.09
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$662K

9,148 claims · 1.5%

Your Cost: $72.35/claim|Median: $67.32
1.1× median
70450Normal range

CT head/brain without contrast

$583K

37K claims · 1.3%

Your Cost: $15.83/claim|Median: $45.53
0.3× median
99204Normal range

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

$509K

6,610 claims · 1.2%

Your Cost: $76.97/claim|Median: $84.03
0.9× median
01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$480K

1,046 claims · 1.1%

Your Cost: $458.72/claim|Median: $283.78
1.6× median
71260Normal range

CT chest with contrast

$444K

18K claims · 1.0%

Your Cost: $24.23/claim|Median: $48.36
0.5× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$442K

32K claims · 1.0%

Your Cost: $13.73/claim|Median: $21.41
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$434K

13K claims · 1.0%

Your Cost: $32.78/claim|Median: $58.55
0.6× median
71046Normal range

Chest X-ray, 2 views

$410K

82K claims · 0.9%

Your Cost: $5.01/claim|Median: $8.92
0.6× median
71045Normal range

Chest X-ray, single view

$393K

109K claims · 0.9%

Your Cost: $3.61/claim|Median: $4.93
0.7× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$377K

5,878 claims · 0.9%

Your Cost: $64.14/claim|Median: $59.38
1.1× median
71275Normal range

CT angiography, chest, with contrast

$368K

9,800 claims · 0.8%

Your Cost: $37.53/claim|Median: $92.96
0.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$356K

7,629 claims · 0.8%

Your Cost: $46.62/claim|Median: $43.85
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$252K

5,066 claims · 0.6%

Your Cost: $49.67/claim|Median: $51.25
1.0× median
59025Normal range

Fetal non-stress test

$250K

8,967 claims · 0.6%

Your Cost: $27.93/claim|Median: $26.45
1.1× median
71250Normal range

CT scan of chest without contrast

$248K

14K claims · 0.6%

Your Cost: $18.36/claim|Median: $39.11
0.5× median
78815Normal range

PET imaging for limited area

$199K

4,527 claims · 0.5%

Your Cost: $43.94/claim|Median: $325.10
0.1× median
76856Normal range

Ultrasound, pelvic, complete

$185K

7,631 claims · 0.4%

Your Cost: $24.29/claim|Median: $47.58
0.5× median
76830Normal range

Ultrasound, transvaginal

$181K

7,190 claims · 0.4%

Your Cost: $25.19/claim|Median: $57.47
0.4× median
90935Normal range

Hemodialysis, one evaluation

$173K

9,003 claims · 0.4%

Your Cost: $19.21/claim|Median: $23.72
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$165K

5,626 claims · 0.4%

Your Cost: $29.26/claim|Median: $49.45
0.6× median
99203Normal range

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

$163K

3,632 claims · 0.4%

Your Cost: $44.92/claim|Median: $57.85
0.8× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$142K

1,412 claims · 0.3%

Your Cost: $100.52/claim|Median: $62.48
1.6× median
99283Normal range

Emergency dept visit, moderate complexity

$142K

4,193 claims · 0.3%

Your Cost: $33.75/claim|Median: $42.48
0.8× median
85390Top 25%

$135K

6,886 claims · 0.3%

Your Cost: $19.67/claim|Median: $9.12
2.2× median
72125Normal range

CT cervical spine without contrast

$113K

6,018 claims · 0.3%

Your Cost: $18.78/claim|Median: $32.30
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$112K

1,023 claims · 0.3%

Your Cost: $109.62/claim|Median: $108.91
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$112K

704 claims · 0.3%

Your Cost: $159.26/claim|Median: $470.36
0.3× median
31579Normal range

$110K

1,319 claims · 0.3%

Your Cost: $83.19/claim|Median: $120.24
0.7× median
84165Normal range

$109K

18K claims · 0.3%

Your Cost: $6.08/claim|Median: $5.74
1.1× median
31231Normal range

Nasal endoscopy, diagnostic

$101K

1,161 claims · 0.2%

Your Cost: $86.72/claim|Median: $98.77
0.9× median
86334Normal range

$100K

16K claims · 0.2%

Your Cost: $6.26/claim|Median: $9.61
0.7× median
88342Normal range

$93K

3,919 claims · 0.2%

Your Cost: $23.66/claim|Median: $23.66
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$87K

2,480 claims · 0.2%

Your Cost: $35.07/claim|Median: $37.22
0.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$86K

2,064 claims · 0.2%

Your Cost: $41.54/claim|Median: $24.33
1.7× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$77K

269 claims · 0.2%

Your Cost: $285.64/claim|Median: $293.45
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$76K

2,193 claims · 0.2%

Your Cost: $34.50/claim|Median: $60.19
0.6× median