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STATE OF FRANKLIN HEALTHCARE ASSOCIATES PLLC

Internal Medicine·JOHNSON CITY, TN·NPI: 1063459410Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.2M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$23.2M

$23,193,206

Total Claims

922K

Beneficiaries

740K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+19%
2019
$1.8M
+31%
2020
$2.3M
+68%
2021
$3.9M
+17%
2022
$4.5M
+7%
2023
$4.9M
-12%
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 24% of total spending.

99214Normal range

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

$5.6M

127K claims · 24.3%

Your Cost: $44.27/claim|Median: $53.41
0.8× median
99213Normal range

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

$4.8M

122K claims · 20.5%

Your Cost: $38.86/claim|Median: $37.81
1.0× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$1.8M

38K claims · 7.7%

Your Cost: $47.21/claim|Median: $17.85
2.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

19K claims · 5.7%

Your Cost: $68.39/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

22K claims · 5.5%

Your Cost: $58.90/claim|Median: $69.35
0.8× median
96110Top 10%

Developmental screening, per standardized instrument

$1.0M

36K claims · 4.4%

Your Cost: $28.36/claim|Median: $9.10
3.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$751K

22K claims · 3.2%

Your Cost: $33.68/claim|Median: $28.46
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$739K

16K claims · 3.2%

Your Cost: $45.79/claim|Median: $39.70
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$652K

9,834 claims · 2.8%

Your Cost: $66.31/claim|Median: $74.82
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$646K

12K claims · 2.8%

Your Cost: $54.15/claim|Median: $58.55
0.9× median
87804Top 25%

Influenza virus detection, rapid test

$355K

20K claims · 1.5%

Your Cost: $17.83/claim|Median: $12.59
1.4× median
96160Top 10%

Patient-focused health risk assessment

$344K

20K claims · 1.5%

Your Cost: $17.09/claim|Median: $2.10
8.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$315K

15K claims · 1.4%

Your Cost: $20.42/claim|Median: $35.30
0.6× median
59025Normal range

Fetal non-stress test

$245K

8,667 claims · 1.1%

Your Cost: $28.26/claim|Median: $26.45
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$214K

16K claims · 0.9%

Your Cost: $13.18/claim|Median: $23.99
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$177K

2,477 claims · 0.8%

Your Cost: $71.44/claim|Median: $80.15
0.9× median
96161Top 10%

$173K

12K claims · 0.7%

Your Cost: $13.88/claim|Median: $2.49
5.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$146K

1,672 claims · 0.6%

Your Cost: $87.06/claim|Median: $74.78
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$135K

4,219 claims · 0.6%

Your Cost: $32.03/claim|Median: $35.43
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$134K

7,798 claims · 0.6%

Your Cost: $17.15/claim|Median: $12.63
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$134K

3,069 claims · 0.6%

Your Cost: $43.56/claim|Median: $67.32
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$112K

1,640 claims · 0.5%

Your Cost: $68.41/claim|Median: $72.71
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$100K

1,607 claims · 0.4%

Your Cost: $62.32/claim|Median: $49.45
1.3× median
0503FNormal range

$97K

2,970 claims · 0.4%

Your Cost: $32.54/claim|Median: $10.68
3.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$94K

16K claims · 0.4%

Your Cost: $6.00/claim|Median: $9.79
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$93K

4,082 claims · 0.4%

Your Cost: $22.80/claim|Median: $43.85
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$90K

16K claims · 0.4%

Your Cost: $5.69/claim|Median: $4.71
1.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$85K

1,818 claims · 0.4%

Your Cost: $46.76/claim|Median: $39.33
1.2× median
99204Normal range

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

$77K

990 claims · 0.3%

Your Cost: $77.92/claim|Median: $84.03
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$71K

2,781 claims · 0.3%

Your Cost: $25.59/claim|Median: $25.06
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$67K

43K claims · 0.3%

Your Cost: $1.56/claim|Median: $1.57
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$61K

14K claims · 0.3%

Your Cost: $4.51/claim|Median: $3.67
1.2× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$60K

1,913 claims · 0.3%

Your Cost: $31.29/claim|Median: $16.79
1.9× median
71046Normal range

Chest X-ray, 2 views

$53K

4,317 claims · 0.2%

Your Cost: $12.24/claim|Median: $8.92
1.4× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$51K

37 claims · 0.2%

Your Cost: $1,367.82/claim|Median: $1,482.45
0.9× median
99203Normal range

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

$50K

863 claims · 0.2%

Your Cost: $58.05/claim|Median: $57.85
1.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$48K

669 claims · 0.2%

Your Cost: $71.91/claim|Median: $58.16
1.2× median
81025Normal range

Urine pregnancy test

$48K

8,238 claims · 0.2%

Your Cost: $5.80/claim|Median: $4.81
1.2× median
99309Normal range

Nursing facility care, subsequent, low complexity

$46K

6,871 claims · 0.2%

Your Cost: $6.63/claim|Median: $14.00
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$42K

460 claims · 0.2%

Your Cost: $91.88/claim|Median: $74.09
1.2× median
76641Normal range

Ultrasound imaging of one breast, complete

$37K

575 claims · 0.2%

Your Cost: $63.83/claim|Median: $49.03
1.3× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$36K

1,859 claims · 0.2%

Your Cost: $19.22/claim|Median: $21.41
0.9× median
76830Normal range

Ultrasound, transvaginal

$35K

468 claims · 0.2%

Your Cost: $75.22/claim|Median: $57.47
1.3× median
87807Normal range

$32K

2,854 claims · 0.1%

Your Cost: $11.17/claim|Median: $10.06
1.1× median
99220Normal range

$32K

497 claims · 0.1%

Your Cost: $63.74/claim|Median: $73.56
0.9× median
95911Normal range

$29K

255 claims · 0.1%

Your Cost: $111.85/claim|Median: $122.86
0.9× median
95886Normal range

$27K

714 claims · 0.1%

Your Cost: $38.35/claim|Median: $67.70
0.6× median
80081Normal range

$27K

371 claims · 0.1%

Your Cost: $73.17/claim|Median: $59.44
1.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$26K

2,283 claims · 0.1%

Your Cost: $11.48/claim|Median: $9.80
1.2× median
99177Top 25%

$26K

3,545 claims · 0.1%

Your Cost: $7.21/claim|Median: $3.74
1.9× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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