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PRIMARY CARE GROUP LLC

Family Medicine·MEMPHIS, TN·NPI: 1093016651Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.5M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$23.5M

$23,513,421

Total Claims

1.1M

Beneficiaries

927K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+38%
2019
$3.6M
-9%
2020
$3.2M
+22%
2021
$3.9M
-2%
2022
$3.8M
-8%
2023
$3.5M
-20%
2024
$2.8M

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 23% of total spending.

99213Normal range

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

$5.4M

140K claims · 23.1%

Your Cost: $38.94/claim|Median: $37.81
1.0× median
99214Normal range

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

$4.5M

145K claims · 19.0%

Your Cost: $30.84/claim|Median: $53.41
0.6× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$3.3M

67K claims · 14.0%

Your Cost: $49.44/claim|Median: $17.85
2.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.0M

27K claims · 8.5%

Your Cost: $74.77/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

22K claims · 6.4%

Your Cost: $66.68/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

14K claims · 4.3%

Your Cost: $73.84/claim|Median: $74.82
1.0× median
59426Normal range

Antepartum care only, high risk, additional visits

$606K

7,413 claims · 2.6%

Your Cost: $81.70/claim|Median: $122.30
0.7× median
59425Normal range

Antepartum care only, 4-6 visits

$504K

6,702 claims · 2.1%

Your Cost: $75.16/claim|Median: $63.63
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$483K

5,807 claims · 2.1%

Your Cost: $83.17/claim|Median: $80.15
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$357K

7,450 claims · 1.5%

Your Cost: $47.94/claim|Median: $39.70
1.2× median
96110Top 10%

Developmental screening, per standardized instrument

$298K

9,902 claims · 1.3%

Your Cost: $30.08/claim|Median: $9.10
3.3× median
87804Normal range

Influenza virus detection, rapid test

$264K

20K claims · 1.1%

Your Cost: $13.22/claim|Median: $12.59
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$252K

57K claims · 1.1%

Your Cost: $4.40/claim|Median: $4.71
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$222K

19K claims · 0.9%

Your Cost: $11.77/claim|Median: $11.48
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$220K

4,384 claims · 0.9%

Your Cost: $50.24/claim|Median: $58.55
0.9× median
59410Normal range

$194K

287 claims · 0.8%

Your Cost: $674.85/claim|Median: $781.64
0.9× median
99204Normal range

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

$140K

2,425 claims · 0.6%

Your Cost: $57.89/claim|Median: $84.03
0.7× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$136K

1,578 claims · 0.6%

Your Cost: $86.04/claim|Median: $65.64
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$120K

3,688 claims · 0.5%

Your Cost: $32.47/claim|Median: $28.46
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$114K

1,714 claims · 0.5%

Your Cost: $66.46/claim|Median: $74.78
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$111K

4,155 claims · 0.5%

Your Cost: $26.69/claim|Median: $25.06
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$88K

3,169 claims · 0.4%

Your Cost: $27.72/claim|Median: $41.28
0.7× median
59409Normal range

Vaginal delivery only

$86K

144 claims · 0.4%

Your Cost: $599.08/claim|Median: $619.91
1.0× median
80050Normal range

General health panel

$85K

6,969 claims · 0.4%

Your Cost: $12.13/claim|Median: $25.59
0.5× median
80061Normal range

Lipid panel

$84K

23K claims · 0.4%

Your Cost: $3.58/claim|Median: $8.41
0.4× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$83K

2,156 claims · 0.4%

Your Cost: $38.41/claim|Median: $30.53
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$78K

6,638 claims · 0.3%

Your Cost: $11.74/claim|Median: $23.99
0.5× median
96160Top 10%

Patient-focused health risk assessment

$70K

4,113 claims · 0.3%

Your Cost: $17.01/claim|Median: $2.10
8.1× median
99215Normal range

Office/outpatient visit, high complexity

$62K

1,545 claims · 0.3%

Your Cost: $39.87/claim|Median: $74.09
0.5× median
80053Normal range

Comprehensive metabolic panel

$57K

24K claims · 0.2%

Your Cost: $2.34/claim|Median: $7.24
0.3× median
82306Normal range

Vitamin D, 25 hydroxy

$56K

7,449 claims · 0.2%

Your Cost: $7.54/claim|Median: $18.18
0.4× median
90471Normal range

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

$47K

4,528 claims · 0.2%

Your Cost: $10.37/claim|Median: $9.80
1.1× median
99177Top 25%

$46K

5,659 claims · 0.2%

Your Cost: $8.09/claim|Median: $3.74
2.2× median
99490Normal range

Chronic care management services, 20 minutes per month

$46K

9,025 claims · 0.2%

Your Cost: $5.05/claim|Median: $6.31
0.8× median
3008FNormal range

$45K

80K claims · 0.2%

Your Cost: $0.56/claim|Median: $0.06
9.3× median
81025Normal range

Urine pregnancy test

$44K

8,664 claims · 0.2%

Your Cost: $5.12/claim|Median: $4.81
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$38K

8,663 claims · 0.2%

Your Cost: $4.37/claim|Median: $3.67
1.2× median
81003Normal range

Urinalysis, automated without microscopy

$35K

24K claims · 0.1%

Your Cost: $1.48/claim|Median: $1.48
1.0× median
99203Normal range

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

$35K

683 claims · 0.1%

Your Cost: $50.85/claim|Median: $57.85
0.9× median
92558Normal range

$34K

6,657 claims · 0.1%

Your Cost: $5.15/claim|Median: $6.67
0.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$32K

18K claims · 0.1%

Your Cost: $1.81/claim|Median: $5.50
0.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$30K

10K claims · 0.1%

Your Cost: $3.03/claim|Median: $9.87
0.3× median
43239Normal range

Upper GI endoscopy with biopsy

$30K

371 claims · 0.1%

Your Cost: $81.56/claim|Median: $151.68
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$28K

392 claims · 0.1%

Your Cost: $70.68/claim|Median: $99.21
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$25K

13K claims · 0.1%

Your Cost: $1.84/claim|Median: $1.57
1.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$21K

39K claims · 0.1%

Your Cost: $0.55/claim|Median: $6.93
0.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$20K

301 claims · 0.1%

Your Cost: $65.35/claim|Median: $77.33
0.8× median
90670Normal range

$19K

14K claims · 0.1%

Your Cost: $1.38/claim|Median: $5.94
0.2× median
87807Normal range

$19K

1,646 claims · 0.1%

Your Cost: $11.46/claim|Median: $10.06
1.1× median
83655Top 25%

$19K

1,423 claims · 0.1%

Your Cost: $13.04/claim|Median: $10.49
1.2× median

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$781.0M

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$615.3M

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$363.8M

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