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EAST CAROLINA UNIVERSITY

Internal Medicine·GREENVILLE, NC·NPI: 1043260474Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.8M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$53.8M

$53,811,043

Total Claims

863K

Beneficiaries

646K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$7.1M
+11%
2019
$7.9M
-18%
2020
$6.4M
+45%
2021
$9.3M
-6%
2022
$8.8M
-1%
2023
$8.7M
-36%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 19% of total spending.

99284Normal range

Emergency dept visit, high complexity

$10.3M

139K claims · 19.2%

Your Cost: $74.12/claim|Median: $69.51
1.1× median
99214Normal range

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

$6.8M

111K claims · 12.6%

Your Cost: $60.66/claim|Median: $53.41
1.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$6.3M

19K claims · 11.6%

Your Cost: $327.47/claim|Median: $293.45
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$4.4M

97K claims · 8.2%

Your Cost: $45.34/claim|Median: $42.48
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.7M

47K claims · 6.9%

Your Cost: $78.48/claim|Median: $85.65
0.9× median
99479Normal range

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

$2.4M

24K claims · 4.5%

Your Cost: $102.28/claim|Median: $103.70
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.0M

55K claims · 3.7%

Your Cost: $36.00/claim|Median: $23.99
1.5× median
99472Normal range

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

$1.7M

4,933 claims · 3.1%

Your Cost: $336.61/claim|Median: $307.98
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$1.6M

14K claims · 3.0%

Your Cost: $112.56/claim|Median: $74.09
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

23K claims · 2.8%

Your Cost: $65.99/claim|Median: $54.68
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.4M

9,866 claims · 2.7%

Your Cost: $144.91/claim|Median: $121.58
1.2× median
99213Normal range

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

$1.1M

27K claims · 2.0%

Your Cost: $39.82/claim|Median: $37.81
1.1× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.1M

11K claims · 2.0%

Your Cost: $96.79/claim|Median: $98.15
1.0× median
93303Normal range

Echocardiography, transthoracic, limited

$874K

7,615 claims · 1.6%

Your Cost: $114.80/claim|Median: $112.83
1.0× median
99499Top 5%

Unlisted evaluation and management service

$744K

2,043 claims · 1.4%

Your Cost: $364.09/claim|Median: $30.88
11.8× median
99245Top 25%

Office consultation, high complexity

$719K

3,809 claims · 1.3%

Your Cost: $188.65/claim|Median: $143.30
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$671K

9,827 claims · 1.2%

Your Cost: $68.26/claim|Median: $85.66
0.8× median
99235Top 25%

$664K

4,619 claims · 1.2%

Your Cost: $143.66/claim|Median: $110.13
1.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$423K

1,307 claims · 0.8%

Your Cost: $323.83/claim|Median: $233.73
1.4× median
93320Normal range

$316K

7,995 claims · 0.6%

Your Cost: $39.56/claim|Median: $28.68
1.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$312K

3,305 claims · 0.6%

Your Cost: $94.50/claim|Median: $82.43
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$298K

3,554 claims · 0.6%

Your Cost: $83.73/claim|Median: $108.91
0.8× median
99204Normal range

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

$294K

2,770 claims · 0.5%

Your Cost: $106.15/claim|Median: $84.03
1.3× median
99199Normal range

Unlisted special service, procedure, or report

$287K

45K claims · 0.5%

Your Cost: $6.41/claim|Median: $5.39
1.2× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$243K

709 claims · 0.5%

Your Cost: $342.36/claim|Median: $255.03
1.3× median
99282Normal range

Emergency dept visit, low complexity

$234K

7,428 claims · 0.4%

Your Cost: $31.49/claim|Median: $37.72
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$226K

4,226 claims · 0.4%

Your Cost: $53.55/claim|Median: $35.30
1.5× median
93325Normal range

$219K

11K claims · 0.4%

Your Cost: $20.51/claim|Median: $14.61
1.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$218K

19K claims · 0.4%

Your Cost: $11.16/claim|Median: $9.70
1.2× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$148K

2,195 claims · 0.3%

Your Cost: $67.28/claim|Median: $43.85
1.5× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$146K

2,311 claims · 0.3%

Your Cost: $63.11/claim|Median: $12.70
5.0× median
99468Normal range

$114K

146 claims · 0.2%

Your Cost: $778.85/claim|Median: $679.18
1.1× median
99354Top 10%

$112K

1,210 claims · 0.2%

Your Cost: $92.21/claim|Median: $54.96
1.7× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$105K

9,942 claims · 0.2%

Your Cost: $10.57/claim|Median: $5.50
1.9× median
99203Normal range

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

$96K

1,535 claims · 0.2%

Your Cost: $62.40/claim|Median: $57.85
1.1× median
93307Top 25%

$96K

838 claims · 0.2%

Your Cost: $114.05/claim|Median: $31.30
3.6× median
43762Normal range

$94K

637 claims · 0.2%

Your Cost: $147.82/claim|Median: $99.73
1.5× median
99291Top 25%

Critical care, first 30-74 minutes

$94K

550 claims · 0.2%

Your Cost: $170.28/claim|Median: $101.24
1.7× median
94010Normal range

$87K

3,956 claims · 0.2%

Your Cost: $22.05/claim|Median: $18.11
1.2× median
93304Normal range

$84K

1,073 claims · 0.2%

Your Cost: $78.05/claim|Median: $54.29
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$81K

2,222 claims · 0.2%

Your Cost: $36.34/claim|Median: $63.65
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$70K

28K claims · 0.1%

Your Cost: $2.47/claim|Median: $1.57
1.6× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$69K

1,788 claims · 0.1%

Your Cost: $38.47/claim|Median: $24.33
1.6× median
99170Normal range

$67K

669 claims · 0.1%

Your Cost: $100.62/claim|Median: $92.12
1.1× median
93295Normal range

$59K

2,817 claims · 0.1%

Your Cost: $21.07/claim|Median: $21.14
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$54K

986 claims · 0.1%

Your Cost: $55.10/claim|Median: $106.14
0.5× median
99367Normal range

$53K

1,767 claims · 0.1%

Your Cost: $29.87/claim|Median: $35.65
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$45K

2,094 claims · 0.1%

Your Cost: $21.63/claim|Median: $25.06
0.9× median
71250Normal range

CT scan of chest without contrast

$43K

778 claims · 0.1%

Your Cost: $55.47/claim|Median: $39.11
1.4× median
96040Normal range

$43K

1,586 claims · 0.1%

Your Cost: $26.85/claim|Median: $32.05
0.8× median