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EMORY MEDICAL CARE FOUNDATION INC

Internal Medicine·ATLANTA, GA·NPI: 1063452381Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.3M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$41.3M

$41,344,290

Total Claims

1.3M

Beneficiaries

927K

1.4 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$7.5M
-5%
2019
$7.1M
-31%
2020
$4.9M
+23%
2021
$6.0M
-1%
2022
$6.0M
+7%
2023
$6.4M
-46%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 19% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$7.7M

135K claims · 18.7%

Your Cost: $56.96/claim|Median: $42.48
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.7M

54K claims · 11.5%

Your Cost: $87.50/claim|Median: $85.65
1.0× median
99284Normal range

Emergency dept visit, high complexity

$3.1M

33K claims · 7.4%

Your Cost: $91.39/claim|Median: $69.51
1.3× median
99214Normal range

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

$2.7M

67K claims · 6.6%

Your Cost: $41.17/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.1M

62K claims · 5.2%

Your Cost: $34.75/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.4M

88K claims · 3.5%

Your Cost: $16.19/claim|Median: $23.99
0.7× median
99479Normal range

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

$1.4M

17K claims · 3.4%

Your Cost: $84.76/claim|Median: $103.70
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

16K claims · 2.8%

Your Cost: $74.20/claim|Median: $69.35
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$936K

44K claims · 2.3%

Your Cost: $21.20/claim|Median: $35.30
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$857K

18K claims · 2.1%

Your Cost: $47.48/claim|Median: $37.22
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$846K

12K claims · 2.0%

Your Cost: $73.46/claim|Median: $75.18
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$813K

11K claims · 2.0%

Your Cost: $75.08/claim|Median: $62.48
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$710K

26K claims · 1.7%

Your Cost: $27.19/claim|Median: $25.06
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$662K

16K claims · 1.6%

Your Cost: $42.61/claim|Median: $49.45
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$545K

14K claims · 1.3%

Your Cost: $38.28/claim|Median: $65.76
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$520K

6,149 claims · 1.3%

Your Cost: $84.49/claim|Median: $74.82
1.1× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$509K

7,410 claims · 1.2%

Your Cost: $68.73/claim|Median: $98.15
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$503K

17K claims · 1.2%

Your Cost: $29.09/claim|Median: $58.55
0.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$485K

13K claims · 1.2%

Your Cost: $38.16/claim|Median: $35.80
1.1× median
70450Normal range

CT head/brain without contrast

$473K

27K claims · 1.1%

Your Cost: $17.63/claim|Median: $45.53
0.4× median
71045Normal range

Chest X-ray, single view

$438K

123K claims · 1.1%

Your Cost: $3.56/claim|Median: $4.93
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$400K

11K claims · 1.0%

Your Cost: $37.31/claim|Median: $67.32
0.6× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$397K

5,928 claims · 1.0%

Your Cost: $66.95/claim|Median: $59.38
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$389K

90K claims · 0.9%

Your Cost: $4.32/claim|Median: $5.60
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$314K

9,643 claims · 0.8%

Your Cost: $32.59/claim|Median: $54.68
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$304K

3,536 claims · 0.7%

Your Cost: $86.01/claim|Median: $101.24
0.8× median
71046Normal range

Chest X-ray, 2 views

$299K

50K claims · 0.7%

Your Cost: $5.98/claim|Median: $8.92
0.7× median
71260Normal range

CT chest with contrast

$299K

10K claims · 0.7%

Your Cost: $29.33/claim|Median: $48.36
0.6× median
99462Normal range

$291K

8,922 claims · 0.7%

Your Cost: $32.66/claim|Median: $27.49
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$283K

4,688 claims · 0.7%

Your Cost: $60.44/claim|Median: $74.09
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$274K

1,375 claims · 0.7%

Your Cost: $199.19/claim|Median: $293.45
0.7× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$246K

1,389 claims · 0.6%

Your Cost: $177.32/claim|Median: $106.79
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$245K

2,588 claims · 0.6%

Your Cost: $94.65/claim|Median: $80.15
1.2× median
99203Normal range

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

$233K

5,317 claims · 0.6%

Your Cost: $43.86/claim|Median: $57.85
0.8× median
99282Normal range

Emergency dept visit, low complexity

$184K

5,333 claims · 0.4%

Your Cost: $34.59/claim|Median: $37.72
0.9× median
54150Normal range

$177K

2,133 claims · 0.4%

Your Cost: $83.07/claim|Median: $84.60
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$175K

4,465 claims · 0.4%

Your Cost: $39.30/claim|Median: $74.78
0.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$173K

9,931 claims · 0.4%

Your Cost: $17.44/claim|Median: $39.33
0.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$156K

12K claims · 0.4%

Your Cost: $12.90/claim|Median: $47.08
0.3× median
72125Normal range

CT cervical spine without contrast

$155K

5,596 claims · 0.4%

Your Cost: $27.76/claim|Median: $32.30
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$135K

4,284 claims · 0.3%

Your Cost: $31.54/claim|Median: $51.25
0.6× median
76820Normal range

$132K

3,712 claims · 0.3%

Your Cost: $35.67/claim|Median: $31.79
1.1× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$118K

1,728 claims · 0.3%

Your Cost: $68.52/claim|Median: $283.78
0.2× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$116K

1,675 claims · 0.3%

Your Cost: $69.13/claim|Median: $73.46
0.9× median
88141Normal range

$113K

6,269 claims · 0.3%

Your Cost: $17.96/claim|Median: $14.87
1.2× median
99204Normal range

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

$111K

1,237 claims · 0.3%

Your Cost: $89.58/claim|Median: $84.03
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$110K

13K claims · 0.3%

Your Cost: $8.75/claim|Median: $16.77
0.5× median
71250Normal range

CT scan of chest without contrast

$109K

4,373 claims · 0.3%

Your Cost: $24.85/claim|Median: $39.11
0.6× median
70496Normal range

$90K

2,204 claims · 0.2%

Your Cost: $40.67/claim|Median: $78.92
0.5× median
70498Normal range

$88K

2,202 claims · 0.2%

Your Cost: $40.16/claim|Median: $58.88
0.7× median

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