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ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Clinic/Center, Urgent Care·MAITLAND, FL·NPI: 1073565610Share
Active Billing Period:2018-02→2024-12(78 months)

Total Paid

$67.2M

$67,197,564

Total Claims

1.0M

Beneficiaries

797K

1.3 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$27K
+34525%
2019
$9.4M
-20%
2020
$7.5M
+64%
2021
$12.3M
-13%
2022
$10.8M
+45%
2023
$15.6M
-25%
2024
$11.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 33% of total spending.

99213Top 5%

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

$22.1M

207K claims · 32.9%

Your Cost: $106.67/claim|Median: $37.81
2.8× median
99214Top 5%

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

$18.9M

158K claims · 28.2%

Your Cost: $119.54/claim|Median: $53.41
2.2× median
99203Top 10%

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

$14.5M

129K claims · 21.6%

Your Cost: $112.69/claim|Median: $57.85
1.9× median
99204Top 25%

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

$5.5M

46K claims · 8.2%

Your Cost: $119.62/claim|Median: $84.03
1.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$3.0M

24K claims · 4.4%

Your Cost: $123.92/claim|Median: $40.11
3.1× median
99212Top 5%

Office/outpatient visit, low complexity

$1.9M

18K claims · 2.9%

Your Cost: $108.04/claim|Median: $25.06
4.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$416K

156K claims · 0.6%

Your Cost: $2.66/claim|Median: $30.04
0.1× median
S9083Top 10%

Global fee, urgent care centers

$277K

1,892 claims · 0.4%

Your Cost: $146.45/claim|Median: $103.99
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$109K

943 claims · 0.2%

Your Cost: $115.50/claim|Median: $74.09
1.6× median
87804Normal range

Influenza virus detection, rapid test

$97K

108K claims · 0.1%

Your Cost: $0.89/claim|Median: $12.59
0.1× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$81K

644 claims · 0.1%

Your Cost: $125.96/claim|Median: $27.38
4.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$65K

68K claims · 0.1%

Your Cost: $0.96/claim|Median: $11.48
0.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$34K

291 claims · 0.1%

Your Cost: $118.38/claim|Median: $111.09
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$23K

27K claims · 0.0%

Your Cost: $0.85/claim|Median: $2.00
0.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$15K

5,949 claims · 0.0%

Your Cost: $2.45/claim|Median: $39.63
0.1× median
S9088Top 5%

Services provided in an urgent care center

$10K

65 claims · 0.0%

Your Cost: $157.54/claim|Median: $28.22
5.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$10K

7,177 claims · 0.0%

Your Cost: $1.38/claim|Median: $9.56
0.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$8K

618 claims · 0.0%

Your Cost: $12.54/claim|Median: $36.70
0.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

675 claims · 0.0%

Your Cost: $11.07/claim|Median: $33.72
0.3× median
87807Normal range

$6K

7,929 claims · 0.0%

Your Cost: $0.73/claim|Median: $10.06
0.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$5K

2,053 claims · 0.0%

Your Cost: $2.37/claim|Median: $10.88
0.2× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$4K

1,348 claims · 0.0%

Your Cost: $2.97/claim|Median: $12.06
0.2× median
81025Normal range

Urine pregnancy test

$4K

8,859 claims · 0.0%

Your Cost: $0.42/claim|Median: $4.81
0.1× median
71046Normal range

Chest X-ray, 2 views

$4K

1,392 claims · 0.0%

Your Cost: $2.57/claim|Median: $8.92
0.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$3K

1,206 claims · 0.0%

Your Cost: $2.66/claim|Median: $9.70
0.3× median
73610Normal range

X-ray of ankle, complete, minimum three views

$2K

1,362 claims · 0.0%

Your Cost: $1.43/claim|Median: $13.55
0.1× median
73130Normal range

$1K

606 claims · 0.0%

Your Cost: $2.18/claim|Median: $10.69
0.2× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$1K

293 claims · 0.0%

Your Cost: $4.17/claim|Median: $0.79
5.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$1K

231 claims · 0.0%

Your Cost: $4.48/claim|Median: $33.85
0.1× median
87808Normal range

$733

2,327 claims · 0.0%

Your Cost: $0.31/claim|Median: $9.35
0.0× median
A9150Normal range

Non-prescription drug or biological supply

$693

3,819 claims · 0.0%

Your Cost: $0.18/claim|Median: $7.16
0.0× median
90471Normal range

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

$666

344 claims · 0.0%

Your Cost: $1.94/claim|Median: $9.80
0.2× median
A6449Normal range

$590

192 claims · 0.0%

Your Cost: $3.07/claim|Median: $5.88
0.5× median
87905Normal range

$589

1,142 claims · 0.0%

Your Cost: $0.52/claim|Median: $9.68
0.1× median
73562Normal range

$550

328 claims · 0.0%

Your Cost: $1.68/claim|Median: $12.28
0.1× median
83986Normal range

$532

1,816 claims · 0.0%

Your Cost: $0.29/claim|Median: $2.70
0.1× median
73110Normal range

X-ray of wrist, complete, minimum three views

$505

454 claims · 0.0%

Your Cost: $1.11/claim|Median: $12.64
0.1× median
A4570Normal range

$491

183 claims · 0.0%

Your Cost: $2.68/claim|Median: $6.68
0.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$476

248 claims · 0.0%

Your Cost: $1.92/claim|Median: $25.93
0.1× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$475

278 claims · 0.0%

Your Cost: $1.71/claim|Median: $5.04
0.3× median
J1100Normal range

$385

1,285 claims · 0.0%

Your Cost: $0.30/claim|Median: $0.52
0.6× median
73140Normal range

$367

429 claims · 0.0%

Your Cost: $0.86/claim|Median: $11.18
0.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$283

1,145 claims · 0.0%

Your Cost: $0.25/claim|Median: $0.91
0.3× median
J2930Normal range

$253

704 claims · 0.0%

Your Cost: $0.36/claim|Median: $3.03
0.1× median
J0696Normal range

$240

1,665 claims · 0.0%

Your Cost: $0.14/claim|Median: $1.34
0.1× median
69209Normal range

$222

28 claims · 0.0%

Your Cost: $7.93/claim|Median: $8.70
0.9× median
82962Normal range

Blood glucose test by monitoring device

$169

222 claims · 0.0%

Your Cost: $0.76/claim|Median: $1.40
0.5× median
99000Normal range

$155

654 claims · 0.0%

Your Cost: $0.24/claim|Median: $2.30
0.1× median
E0114Normal range

$82

314 claims · 0.0%

Your Cost: $0.26/claim|Median: $29.11
0.0× median
86308Normal range

$50

943 claims · 0.0%

Your Cost: $0.05/claim|Median: $3.84
0.0× median

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