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ST. VINCENT MEDICAL GROUP, INC.

Orthopaedic Surgery·WINCHESTER, IN·NPI: 1144513375Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$70.4M

$70,380,173

Total Claims

4.6M

Beneficiaries

3.7M

1.2 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+123%
2019
$9.8M
-11%
2020
$8.7M
+48%
2021
$12.8M
+8%
2022
$13.8M
-15%
2023
$11.8M
-22%
2024
$9.1M

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 34% of total spending.

99214Normal range

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

$24.0M

417K claims · 34.2%

Your Cost: $57.70/claim|Median: $53.41
1.1× median
99213Normal range

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

$17.0M

385K claims · 24.2%

Your Cost: $44.30/claim|Median: $37.81
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.2M

37K claims · 4.5%

Your Cost: $84.77/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.9M

37K claims · 4.1%

Your Cost: $78.47/claim|Median: $69.35
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.8M

57K claims · 2.6%

Your Cost: $31.58/claim|Median: $23.99
1.3× median
99204Normal range

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

$1.6M

21K claims · 2.3%

Your Cost: $78.09/claim|Median: $84.03
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.5M

18K claims · 2.2%

Your Cost: $83.73/claim|Median: $74.82
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.4M

33K claims · 2.1%

Your Cost: $44.09/claim|Median: $35.30
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$1.4M

26K claims · 2.0%

Your Cost: $53.68/claim|Median: $122.30
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.4M

33K claims · 2.0%

Your Cost: $41.82/claim|Median: $54.68
0.8× median
90472Top 25%

Immunization administration, each additional vaccine

$1.4M

63K claims · 1.9%

Your Cost: $21.79/claim|Median: $11.79
1.8× median
90471Normal range

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

$1.3M

125K claims · 1.9%

Your Cost: $10.78/claim|Median: $9.80
1.1× median
59425Normal range

Antepartum care only, 4-6 visits

$1.0M

21K claims · 1.5%

Your Cost: $49.28/claim|Median: $63.63
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$957K

9,905 claims · 1.4%

Your Cost: $96.66/claim|Median: $101.24
1.0× median
99203Normal range

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

$742K

15K claims · 1.1%

Your Cost: $49.78/claim|Median: $57.85
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$527K

6,903 claims · 0.7%

Your Cost: $76.41/claim|Median: $74.09
1.0× median
93303Normal range

Echocardiography, transthoracic, limited

$503K

5,517 claims · 0.7%

Your Cost: $91.11/claim|Median: $112.83
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$440K

5,637 claims · 0.6%

Your Cost: $78.05/claim|Median: $80.15
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$394K

5,472 claims · 0.6%

Your Cost: $72.06/claim|Median: $67.32
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$376K

6,959 claims · 0.5%

Your Cost: $54.00/claim|Median: $51.25
1.1× median
80050Top 25%

General health panel

$335K

6,957 claims · 0.5%

Your Cost: $48.17/claim|Median: $25.59
1.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$309K

84K claims · 0.4%

Your Cost: $3.68/claim|Median: $5.60
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$285K

12K claims · 0.4%

Your Cost: $24.49/claim|Median: $25.06
1.0× median
59430Normal range

$225K

3,204 claims · 0.3%

Your Cost: $70.17/claim|Median: $80.32
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$223K

3,118 claims · 0.3%

Your Cost: $71.68/claim|Median: $151.68
0.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$216K

34K claims · 0.3%

Your Cost: $6.34/claim|Median: $9.70
0.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$147K

352 claims · 0.2%

Your Cost: $417.71/claim|Median: $470.36
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$142K

13K claims · 0.2%

Your Cost: $10.98/claim|Median: $11.48
1.0× median
87428Normal range

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

$140K

4,544 claims · 0.2%

Your Cost: $30.74/claim|Median: $39.63
0.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$136K

28K claims · 0.2%

Your Cost: $4.88/claim|Median: $5.50
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$133K

3,978 claims · 0.2%

Your Cost: $33.50/claim|Median: $42.48
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$133K

5,032 claims · 0.2%

Your Cost: $26.44/claim|Median: $24.49
1.1× median
80061Normal range

Lipid panel

$126K

15K claims · 0.2%

Your Cost: $8.60/claim|Median: $8.41
1.0× median
87804Normal range

Influenza virus detection, rapid test

$124K

11K claims · 0.2%

Your Cost: $11.35/claim|Median: $12.59
0.9× median
93320Normal range

$124K

5,894 claims · 0.2%

Your Cost: $21.10/claim|Median: $28.68
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$96K

6,375 claims · 0.1%

Your Cost: $15.08/claim|Median: $12.93
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$94K

5,262 claims · 0.1%

Your Cost: $17.91/claim|Median: $18.18
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$94K

42K claims · 0.1%

Your Cost: $2.23/claim|Median: $1.57
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$93K

3,093 claims · 0.1%

Your Cost: $30.01/claim|Median: $76.06
0.4× median
95886Normal range

$93K

969 claims · 0.1%

Your Cost: $95.71/claim|Median: $67.70
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$92K

3,220 claims · 0.1%

Your Cost: $28.73/claim|Median: $37.22
0.8× median
99284Normal range

Emergency dept visit, high complexity

$82K

1,603 claims · 0.1%

Your Cost: $51.11/claim|Median: $69.51
0.7× median
99282Normal range

Emergency dept visit, low complexity

$82K

4,356 claims · 0.1%

Your Cost: $18.76/claim|Median: $37.72
0.5× median
93304Normal range

$74K

1,069 claims · 0.1%

Your Cost: $69.04/claim|Median: $54.29
1.3× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$70K

12K claims · 0.1%

Your Cost: $5.73/claim|Median: $10.24
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$70K

2,661 claims · 0.1%

Your Cost: $26.14/claim|Median: $72.71
0.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$64K

29K claims · 0.1%

Your Cost: $2.21/claim|Median: $2.00
1.1× median
59025Normal range

Fetal non-stress test

$62K

3,763 claims · 0.1%

Your Cost: $16.49/claim|Median: $26.45
0.6× median
93325Normal range

$61K

9,660 claims · 0.1%

Your Cost: $6.33/claim|Median: $14.61
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$60K

2,436 claims · 0.1%

Your Cost: $24.83/claim|Median: $40.11
0.6× median

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