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THE SOUTH BEND CLINIC LLC

Clinic/Center·SOUTH BEND, IN·NPI: 1073680419Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.3M is at the 25th percentile among 13 Clinic/Center providers.

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

Total Paid

$19.3M

$19,309,037

Total Claims

658K

Beneficiaries

530K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+65%
2019
$1.7M
+1%
2020
$1.7M
+94%
2021
$3.4M
+22%
2022
$4.1M
-18%
2023
$3.4M
+16%
2024
$3.9M

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 36% of total spending.

99214Normal range

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

$6.9M

110K claims · 36.0%

Your Cost: $62.96/claim|Median: $53.41
1.2× median
99213Normal range

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

$5.1M

95K claims · 26.2%

Your Cost: $53.16/claim|Median: $37.81
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$909K

9,419 claims · 4.7%

Your Cost: $96.54/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$698K

7,919 claims · 3.6%

Your Cost: $88.09/claim|Median: $69.35
1.3× median
99204Normal range

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

$473K

5,581 claims · 2.5%

Your Cost: $84.79/claim|Median: $84.03
1.0× median
90471Normal range

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

$429K

33K claims · 2.2%

Your Cost: $12.89/claim|Median: $9.80
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$422K

4,348 claims · 2.2%

Your Cost: $97.01/claim|Median: $74.82
1.3× median
90472Top 25%

Immunization administration, each additional vaccine

$399K

17K claims · 2.1%

Your Cost: $23.05/claim|Median: $11.79
2.0× median
99203Normal range

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

$299K

5,994 claims · 1.5%

Your Cost: $49.85/claim|Median: $57.85
0.9× median
80050Normal range

General health panel

$257K

6,497 claims · 1.3%

Your Cost: $39.54/claim|Median: $25.59
1.5× median
59426Normal range

Antepartum care only, high risk, additional visits

$251K

3,085 claims · 1.3%

Your Cost: $81.35/claim|Median: $122.30
0.7× median
87428Normal range

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

$237K

7,011 claims · 1.2%

Your Cost: $33.74/claim|Median: $39.63
0.9× median
95004Normal range

Percutaneous allergy skin tests, each

$197K

2,349 claims · 1.0%

Your Cost: $84.01/claim|Median: $134.97
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$180K

2,804 claims · 0.9%

Your Cost: $64.09/claim|Median: $63.63
1.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$135K

3,284 claims · 0.7%

Your Cost: $41.16/claim|Median: $38.79
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$116K

49K claims · 0.6%

Your Cost: $2.34/claim|Median: $1.57
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$111K

1,296 claims · 0.6%

Your Cost: $85.64/claim|Median: $99.21
0.9× median
87426Normal range

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

$108K

4,038 claims · 0.6%

Your Cost: $26.84/claim|Median: $30.04
0.9× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$102K

317 claims · 0.5%

Your Cost: $323.25/claim|Median: $268.70
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$79K

5,222 claims · 0.4%

Your Cost: $15.10/claim|Median: $18.18
0.8× median
80061Normal range

Lipid panel

$78K

11K claims · 0.4%

Your Cost: $6.84/claim|Median: $8.41
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$77K

12K claims · 0.4%

Your Cost: $6.59/claim|Median: $9.87
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$77K

2,613 claims · 0.4%

Your Cost: $29.30/claim|Median: $25.06
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$75K

1,086 claims · 0.4%

Your Cost: $68.63/claim|Median: $54.68
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$74K

19K claims · 0.4%

Your Cost: $3.89/claim|Median: $4.71
0.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$73K

769 claims · 0.4%

Your Cost: $94.80/claim|Median: $80.15
1.2× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$64K

4,544 claims · 0.3%

Your Cost: $14.07/claim|Median: $11.48
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$60K

917 claims · 0.3%

Your Cost: $65.02/claim|Median: $59.72
1.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$57K

878 claims · 0.3%

Your Cost: $65.00/claim|Median: $39.33
1.7× median
V2103Top 25%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$56K

1,512 claims · 0.3%

Your Cost: $37.15/claim|Median: $18.82
2.0× median
80053Normal range

Comprehensive metabolic panel

$55K

14K claims · 0.3%

Your Cost: $4.02/claim|Median: $7.24
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$50K

1,344 claims · 0.3%

Your Cost: $36.91/claim|Median: $41.28
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$47K

10K claims · 0.2%

Your Cost: $4.68/claim|Median: $5.50
0.9× median
11721Normal range

$44K

5,160 claims · 0.2%

Your Cost: $8.44/claim|Median: $8.56
1.0× median
V2020Normal range

Frames, purchases

$43K

1,993 claims · 0.2%

Your Cost: $21.81/claim|Median: $19.33
1.1× median
95117Normal range

$43K

6,019 claims · 0.2%

Your Cost: $7.12/claim|Median: $8.34
0.9× median
92015Normal range

Determination of refractive state

$42K

4,747 claims · 0.2%

Your Cost: $8.95/claim|Median: $10.36
0.9× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$42K

2,420 claims · 0.2%

Your Cost: $17.23/claim|Median: $18.03
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$35K

3,653 claims · 0.2%

Your Cost: $9.46/claim|Median: $14.00
0.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$35K

1,243 claims · 0.2%

Your Cost: $27.76/claim|Median: $28.46
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$30K

240 claims · 0.2%

Your Cost: $124.19/claim|Median: $111.09
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$29K

5,727 claims · 0.1%

Your Cost: $4.99/claim|Median: $9.70
0.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$28K

408 claims · 0.1%

Your Cost: $68.46/claim|Median: $47.65
1.4× median
99308Normal range

Nursing facility care, subsequent, straightforward

$28K

4,259 claims · 0.1%

Your Cost: $6.52/claim|Median: $9.79
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$27K

1,400 claims · 0.1%

Your Cost: $18.93/claim|Median: $36.13
0.5× median
84439Normal range

Free thyroxine level blood test

$25K

4,884 claims · 0.1%

Your Cost: $5.05/claim|Median: $6.31
0.8× median
87088Normal range

$24K

4,749 claims · 0.1%

Your Cost: $5.14/claim|Median: $5.45
0.9× median
71046Normal range

Chest X-ray, 2 views

$23K

2,503 claims · 0.1%

Your Cost: $9.38/claim|Median: $8.92
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$23K

347 claims · 0.1%

Your Cost: $67.60/claim|Median: $74.09
0.9× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$22K

716 claims · 0.1%

Your Cost: $31.21/claim|Median: $21.41
1.5× median

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A.w. Holdings LLC

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$260.2M

Meridian Services

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$245.2M

The Health and Hospital Corporation of Marion County

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$231.5M

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$125.5M

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