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STAYWELL HEALTH CARE, INC.

Family Medicine·WATERBURY, CT·NPI: 1154342335Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $76.7M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$76.7M

$76,706,977

Total Claims

1.5M

Beneficiaries

1.2M

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$10.1M
+13%
2019
$11.4M
-11%
2020
$10.2M
+21%
2021
$12.3M
-1%
2022
$12.1M
-4%
2023
$11.7M
-24%
2024
$8.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 91% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$69.9M

530K claims · 91.1%

Your Cost: $131.82/claim|Median: $121.16
1.1× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$4.8M

91K claims · 6.2%

Your Cost: $52.15/claim|Median: $11.35
4.6× median
99213Normal range

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

$672K

118K claims · 0.9%

Your Cost: $5.71/claim|Median: $37.81
0.2× median
99214Normal range

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

$269K

26K claims · 0.4%

Your Cost: $10.46/claim|Median: $53.41
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$205K

24K claims · 0.3%

Your Cost: $8.48/claim|Median: $41.28
0.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$105K

13K claims · 0.1%

Your Cost: $8.00/claim|Median: $22.44
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$99K

8,003 claims · 0.1%

Your Cost: $12.36/claim|Median: $21.91
0.6× median
95115Normal range

$93K

22K claims · 0.1%

Your Cost: $4.19/claim|Median: $6.96
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$83K

18K claims · 0.1%

Your Cost: $4.67/claim|Median: $63.65
0.1× median
G2025Top 25%

$76K

1,688 claims · 0.1%

Your Cost: $44.95/claim|Median: $15.63
2.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$71K

2,256 claims · 0.1%

Your Cost: $31.42/claim|Median: $12.93
2.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$70K

8,426 claims · 0.1%

Your Cost: $8.37/claim|Median: $76.06
0.1× median
99397Normal range

$62K

1,347 claims · 0.1%

Your Cost: $45.99/claim|Median: $22.92
2.0× median
G0439Normal range

Annual wellness visit, subsequent visit

$54K

3,325 claims · 0.1%

Your Cost: $16.25/claim|Median: $5.42
3.0× median
99212Normal range

Office/outpatient visit, low complexity

$48K

13K claims · 0.1%

Your Cost: $3.79/claim|Median: $25.06
0.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$43K

3,347 claims · 0.1%

Your Cost: $12.95/claim|Median: $32.55
0.4× median
90853Normal range

Group psychotherapy

$31K

6,434 claims · 0.0%

Your Cost: $4.77/claim|Median: $25.02
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$12K

3,356 claims · 0.0%

Your Cost: $3.70/claim|Median: $85.66
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$10K

979 claims · 0.0%

Your Cost: $10.13/claim|Median: $24.33
0.4× median
G0470Normal range

Chronic care management services, FQHC/RHC

$9K

261 claims · 0.0%

Your Cost: $34.81/claim|Median: $45.95
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

772 claims · 0.0%

Your Cost: $10.85/claim|Median: $40.11
0.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$8K

1,394 claims · 0.0%

Your Cost: $5.96/claim|Median: $12.70
0.5× median
G0008Top 25%

$6K

655 claims · 0.0%

Your Cost: $9.62/claim|Median: $2.54
3.8× median
99203Normal range

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

$6K

648 claims · 0.0%

Your Cost: $9.33/claim|Median: $57.85
0.2× median
97810Normal range

$6K

186 claims · 0.0%

Your Cost: $30.45/claim|Median: $23.92
1.3× median
G2012Top 1%

Brief communication technology-based service

$5K

34 claims · 0.0%

Your Cost: $142.31/claim|Median: $8.79
16.2× median
0064ANormal range

$4K

264 claims · 0.0%

Your Cost: $16.36/claim|Median: $34.17
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$4K

232 claims · 0.0%

Your Cost: $16.64/claim|Median: $74.09
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$4K

818 claims · 0.0%

Your Cost: $4.50/claim|Median: $9.56
0.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$4K

1,223 claims · 0.0%

Your Cost: $2.94/claim|Median: $13.30
0.2× median
90471Normal range

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

$3K

7,038 claims · 0.0%

Your Cost: $0.37/claim|Median: $9.80
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

666 claims · 0.0%

Your Cost: $3.09/claim|Median: $99.21
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

1,765 claims · 0.0%

Your Cost: $0.89/claim|Median: $33.85
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

32K claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

459 claims · 0.0%

Your Cost: $3.19/claim|Median: $108.91
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$1K

1,845 claims · 0.0%

Your Cost: $0.77/claim|Median: $25.93
0.0× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$964

418 claims · 0.0%

Your Cost: $2.31/claim|Median: $87.82
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$604

1,717 claims · 0.0%

Your Cost: $0.35/claim|Median: $72.71
0.0× median
11721Normal range

$535

1,207 claims · 0.0%

Your Cost: $0.44/claim|Median: $8.56
0.1× median
99000Normal range

$345

1,981 claims · 0.0%

Your Cost: $0.17/claim|Median: $2.30
0.1× median
92250Normal range

Fundus photography with interpretation and report

$328

15 claims · 0.0%

Your Cost: $21.86/claim|Median: $27.95
0.8× median
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$319

595 claims · 0.0%

Your Cost: $0.54/claim|Median: $11.01
0.0× median
90662Normal range

$217

150 claims · 0.0%

Your Cost: $1.45/claim|Median: $6.55
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$165

21K claims · 0.0%

Your Cost: $0.01/claim|Median: $3.67
0.0× median
Q2038Normal range

$160

263 claims · 0.0%

Your Cost: $0.61/claim|Median: $3.31
0.2× median
G0071Normal range

$157

111 claims · 0.0%

Your Cost: $1.41/claim|Median: $7.20
0.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$146

47K claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
0.0× median
11720Normal range

$146

403 claims · 0.0%

Your Cost: $0.36/claim|Median: $4.64
0.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$145

1,624 claims · 0.0%

Your Cost: $0.09/claim|Median: $76.22
0.0× median
11055Normal range

$134

335 claims · 0.0%

Your Cost: $0.40/claim|Median: $7.46
0.1× median

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