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GRAVES GILBERT CLINIC PLLC

Specialist·BOWLING GREEN, KY·NPI: 1114948288Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$78.3M

$78,279,218

Total Claims

2.7M

Beneficiaries

2.3M

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$9.4M
+9%
2019
$10.2M
-8%
2020
$9.5M
+31%
2021
$12.4M
+4%
2022
$12.8M
+4%
2023
$13.3M
-20%
2024
$10.7M

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 31% of total spending.

99214Normal range

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

$24.3M

487K claims · 31.0%

Your Cost: $49.94/claim|Median: $53.41
0.9× median
99213Normal range

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

$9.9M

278K claims · 12.6%

Your Cost: $35.39/claim|Median: $37.81
0.9× median
87804Normal range

Influenza virus detection, rapid test

$3.0M

196K claims · 3.8%

Your Cost: $15.36/claim|Median: $12.59
1.2× median
87426Normal range

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

$2.8M

101K claims · 3.5%

Your Cost: $27.41/claim|Median: $30.04
0.9× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$2.4M

156K claims · 3.1%

Your Cost: $15.37/claim|Median: $11.48
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

21K claims · 2.1%

Your Cost: $76.60/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

23K claims · 1.9%

Your Cost: $66.59/claim|Median: $69.35
1.0× median
99203Normal range

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

$1.3M

20K claims · 1.7%

Your Cost: $68.09/claim|Median: $57.85
1.2× median
99050Top 5%

$1.3M

23K claims · 1.7%

Your Cost: $57.82/claim|Median: $11.81
4.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.2M

9,878 claims · 1.6%

Your Cost: $126.41/claim|Median: $121.58
1.0× median
99204Normal range

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

$1.2M

13K claims · 1.5%

Your Cost: $93.36/claim|Median: $84.03
1.1× median
70553Top 10%

MRI brain without contrast, then with contrast

$1.1M

1,934 claims · 1.4%

Your Cost: $576.52/claim|Median: $133.68
4.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.0M

45K claims · 1.3%

Your Cost: $22.39/claim|Median: $23.99
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$884K

40K claims · 1.1%

Your Cost: $22.30/claim|Median: $24.49
0.9× median
80050Top 25%

General health panel

$874K

20K claims · 1.1%

Your Cost: $43.86/claim|Median: $25.59
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$817K

8,168 claims · 1.0%

Your Cost: $100.03/claim|Median: $54.68
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$807K

30K claims · 1.0%

Your Cost: $26.98/claim|Median: $25.06
1.1× median
90471Top 25%

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

$757K

42K claims · 1.0%

Your Cost: $17.95/claim|Median: $9.80
1.8× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$733K

8,199 claims · 0.9%

Your Cost: $89.44/claim|Median: $35.80
2.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$669K

50K claims · 0.9%

Your Cost: $13.42/claim|Median: $12.93
1.0× median
90472Top 25%

Immunization administration, each additional vaccine

$663K

31K claims · 0.8%

Your Cost: $21.12/claim|Median: $11.79
1.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$653K

20K claims · 0.8%

Your Cost: $32.45/claim|Median: $63.08
0.5× median
96110Top 10%

Developmental screening, per standardized instrument

$541K

17K claims · 0.7%

Your Cost: $32.01/claim|Median: $9.10
3.5× median
80053Normal range

Comprehensive metabolic panel

$536K

69K claims · 0.7%

Your Cost: $7.74/claim|Median: $7.24
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$529K

86K claims · 0.7%

Your Cost: $6.16/claim|Median: $4.71
1.3× median
80061Normal range

Lipid panel

$521K

53K claims · 0.7%

Your Cost: $9.91/claim|Median: $8.41
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$509K

6,680 claims · 0.7%

Your Cost: $76.21/claim|Median: $74.82
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$477K

21K claims · 0.6%

Your Cost: $23.02/claim|Median: $33.11
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$466K

1,512 claims · 0.6%

Your Cost: $308.46/claim|Median: $233.73
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$409K

4,351 claims · 0.5%

Your Cost: $94.00/claim|Median: $151.68
0.6× median
86235Top 25%

Nuclear antigen antibody (ENA) blood test

$398K

5,774 claims · 0.5%

Your Cost: $68.98/claim|Median: $28.79
2.4× median
95004Normal range

Percutaneous allergy skin tests, each

$387K

4,118 claims · 0.5%

Your Cost: $94.00/claim|Median: $134.97
0.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$375K

25K claims · 0.5%

Your Cost: $14.80/claim|Median: $16.79
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$373K

17K claims · 0.5%

Your Cost: $22.03/claim|Median: $20.04
1.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$369K

4,357 claims · 0.5%

Your Cost: $84.80/claim|Median: $75.28
1.1× median
82306Normal range

Vitamin D, 25 hydroxy

$343K

16K claims · 0.4%

Your Cost: $21.08/claim|Median: $18.18
1.2× median
95806Top 25%

$328K

2,151 claims · 0.4%

Your Cost: $152.47/claim|Median: $64.51
2.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$324K

23K claims · 0.4%

Your Cost: $14.15/claim|Median: $9.56
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$307K

24K claims · 0.4%

Your Cost: $12.84/claim|Median: $9.87
1.3× median
71046Top 25%

Chest X-ray, 2 views

$301K

15K claims · 0.4%

Your Cost: $20.51/claim|Median: $8.92
2.3× median
45380Normal range

Colonoscopy with biopsy

$295K

2,089 claims · 0.4%

Your Cost: $141.40/claim|Median: $200.68
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$291K

7,033 claims · 0.4%

Your Cost: $41.42/claim|Median: $37.22
1.1× median
99173Top 1%

$286K

5,043 claims · 0.4%

Your Cost: $56.72/claim|Median: $2.16
26.3× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$281K

4,880 claims · 0.4%

Your Cost: $57.61/claim|Median: $47.65
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$271K

3,819 claims · 0.3%

Your Cost: $71.00/claim|Median: $72.71
1.0× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$268K

8,370 claims · 0.3%

Your Cost: $31.99/claim|Median: $23.39
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$265K

8,355 claims · 0.3%

Your Cost: $31.71/claim|Median: $24.95
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$246K

35K claims · 0.3%

Your Cost: $7.03/claim|Median: $5.50
1.3× median
95886Normal range

$241K

2,351 claims · 0.3%

Your Cost: $102.59/claim|Median: $67.70
1.5× median
11102Normal range

$222K

4,698 claims · 0.3%

Your Cost: $47.35/claim|Median: $48.69
1.0× median

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