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DOCS MEDICAL INC

Family Medicine·EAST HAVEN, CT·NPI: 1104362169Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.6M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-04→2024-12(81 months)

Total Paid

$33.6M

$33,557,985

Total Claims

794K

Beneficiaries

703K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$860K
+156%
2019
$2.2M
+261%
2020
$8.0M
+17%
2021
$9.3M
-38%
2022
$5.8M
-35%
2023
$3.8M
-2%
2024
$3.7M

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 21% of total spending.

99213Normal range

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

$7.2M

137K claims · 21.3%

Your Cost: $52.04/claim|Median: $37.81
1.4× median
99203Normal range

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

$5.7M

75K claims · 16.9%

Your Cost: $75.91/claim|Median: $57.85
1.3× median
99214Top 25%

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

$3.7M

43K claims · 11.0%

Your Cost: $86.33/claim|Median: $53.41
1.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3.4M

77K claims · 10.2%

Your Cost: $44.77/claim|Median: $39.70
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$3.4M

30K claims · 10.1%

Your Cost: $113.44/claim|Median: $91.47
1.2× median
99204Top 25%

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

$2.3M

16K claims · 6.8%

Your Cost: $139.47/claim|Median: $84.03
1.7× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$1.9M

11K claims · 5.7%

Your Cost: $177.21/claim|Median: $144.04
1.2× median
87426Normal range

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

$1.5M

54K claims · 4.5%

Your Cost: $27.60/claim|Median: $30.04
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$1.4M

44K claims · 4.1%

Your Cost: $31.02/claim|Median: $25.06
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$901K

17K claims · 2.7%

Your Cost: $53.38/claim|Median: $40.11
1.3× median
87428Normal range

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

$358K

15K claims · 1.1%

Your Cost: $24.24/claim|Median: $39.63
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$292K

11K claims · 0.9%

Your Cost: $25.70/claim|Median: $28.46
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$272K

13K claims · 0.8%

Your Cost: $21.19/claim|Median: $12.93
1.6× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$267K

16K claims · 0.8%

Your Cost: $16.49/claim|Median: $3.67
4.5× median
95004Normal range

Percutaneous allergy skin tests, each

$258K

1,509 claims · 0.8%

Your Cost: $170.65/claim|Median: $134.97
1.3× median
99051Normal range

$140K

22K claims · 0.4%

Your Cost: $6.33/claim|Median: $7.89
0.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$102K

2,710 claims · 0.3%

Your Cost: $37.47/claim|Median: $22.44
1.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$55K

485 claims · 0.2%

Your Cost: $113.46/claim|Median: $72.71
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$52K

6,261 claims · 0.2%

Your Cost: $8.30/claim|Median: $11.48
0.7× median
87804Normal range

Influenza virus detection, rapid test

$47K

5,613 claims · 0.1%

Your Cost: $8.39/claim|Median: $12.59
0.7× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$46K

1,640 claims · 0.1%

Your Cost: $28.06/claim|Median: $34.62
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$45K

557 claims · 0.1%

Your Cost: $80.23/claim|Median: $100.62
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$36K

3,242 claims · 0.1%

Your Cost: $11.07/claim|Median: $9.56
1.2× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$29K

239 claims · 0.1%

Your Cost: $122.06/claim|Median: $83.63
1.5× median
99173Top 25%

$29K

4,578 claims · 0.1%

Your Cost: $6.32/claim|Median: $2.16
2.9× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$23K

437 claims · 0.1%

Your Cost: $52.00/claim|Median: $38.79
1.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$21K

208 claims · 0.1%

Your Cost: $99.89/claim|Median: $65.45
1.5× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$20K

154 claims · 0.1%

Your Cost: $127.76/claim|Median: $76.22
1.7× median
36415Top 25%

Collection of venous blood by venipuncture

$16K

5,898 claims · 0.0%

Your Cost: $2.66/claim|Median: $1.57
1.7× median
94060Normal range

$9K

413 claims · 0.0%

Your Cost: $21.79/claim|Median: $25.18
0.9× median
94660Normal range

$9K

463 claims · 0.0%

Your Cost: $19.01/claim|Median: $36.43
0.5× median
94729Normal range

$9K

436 claims · 0.0%

Your Cost: $19.99/claim|Median: $12.24
1.6× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$8K

68 claims · 0.0%

Your Cost: $122.21/claim|Median: $76.06
1.6× median
94727Normal range

$7K

429 claims · 0.0%

Your Cost: $15.59/claim|Median: $14.31
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$7K

489 claims · 0.0%

Your Cost: $13.62/claim|Median: $9.70
1.4× median
87430Normal range

$5K

481 claims · 0.0%

Your Cost: $9.55/claim|Median: $9.41
1.0× median
86580Normal range

Tuberculosis (TB) skin test

$5K

795 claims · 0.0%

Your Cost: $5.67/claim|Median: $4.46
1.3× median
99386Top 10%

Preventive visit, new patient, 40-64 yr

$4K

28 claims · 0.0%

Your Cost: $156.18/claim|Median: $87.82
1.8× median
94726Normal range

$4K

210 claims · 0.0%

Your Cost: $18.92/claim|Median: $13.41
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$4K

33 claims · 0.0%

Your Cost: $114.08/claim|Median: $74.82
1.5× median
99383Top 10%

Preventive visit, new patient, late childhood (5-11 yr)

$4K

29 claims · 0.0%

Your Cost: $123.64/claim|Median: $81.92
1.5× median
94010Normal range

$3K

242 claims · 0.0%

Your Cost: $14.41/claim|Median: $18.11
0.8× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$3K

23 claims · 0.0%

Your Cost: $121.60/claim|Median: $80.15
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

362 claims · 0.0%

Your Cost: $6.68/claim|Median: $7.18
0.9× median
81025Normal range

Urine pregnancy test

$2K

433 claims · 0.0%

Your Cost: $5.32/claim|Median: $4.81
1.1× median
95115Normal range

$2K

288 claims · 0.0%

Your Cost: $7.94/claim|Median: $6.96
1.1× median
71046Normal range

Chest X-ray, 2 views

$2K

119 claims · 0.0%

Your Cost: $15.36/claim|Median: $8.92
1.7× median
80305Normal range

$2K

237 claims · 0.0%

Your Cost: $7.30/claim|Median: $7.44
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$1K

170 claims · 0.0%

Your Cost: $7.59/claim|Median: $10.88
0.7× median
86618Normal range

$1K

107 claims · 0.0%

Your Cost: $11.75/claim|Median: $12.93
0.9× median

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