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STAMFORD HEALTH MEDICAL GROUP, INC.

General Practice·STAMFORD, CT·NPI: 1154633980Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.5M is at the 25th percentile among 6 General Practice providers.

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

Total Paid

$23.5M

$23,502,617

Total Claims

790K

Beneficiaries

599K

1.3 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+10%
2019
$2.9M
+3%
2020
$3.0M
+33%
2021
$4.0M
-12%
2022
$3.5M
+12%
2023
$4.0M
-16%
2024
$3.3M

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 38% of total spending.

99214Normal range

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

$9.0M

156K claims · 38.2%

Your Cost: $57.45/claim|Median: $53.41
1.1× median
99213Normal range

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

$3.9M

97K claims · 16.5%

Your Cost: $39.74/claim|Median: $37.81
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$851K

35K claims · 3.6%

Your Cost: $24.62/claim|Median: $35.30
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$470K

27K claims · 2.0%

Your Cost: $17.33/claim|Median: $23.99
0.7× median
90960Normal range

End-stage renal disease services, per month, age 20+

$395K

6,538 claims · 1.7%

Your Cost: $60.44/claim|Median: $52.76
1.1× median
99204Normal range

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

$383K

4,986 claims · 1.6%

Your Cost: $76.75/claim|Median: $84.03
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$358K

18K claims · 1.5%

Your Cost: $19.54/claim|Median: $39.33
0.5× median
99231Normal range

Subsequent hospital care, per day, low complexity

$294K

22K claims · 1.3%

Your Cost: $13.52/claim|Median: $16.77
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$262K

7,361 claims · 1.1%

Your Cost: $35.62/claim|Median: $65.76
0.5× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$257K

18K claims · 1.1%

Your Cost: $14.10/claim|Median: $21.41
0.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$244K

4,428 claims · 1.0%

Your Cost: $55.13/claim|Median: $470.36
0.1× median
99203Normal range

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

$239K

5,239 claims · 1.0%

Your Cost: $45.55/claim|Median: $57.85
0.8× median
76641Normal range

Ultrasound imaging of one breast, complete

$238K

13K claims · 1.0%

Your Cost: $18.88/claim|Median: $49.03
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$235K

10K claims · 1.0%

Your Cost: $23.00/claim|Median: $54.68
0.4× median
99291Normal range

Critical care, first 30-74 minutes

$233K

4,519 claims · 1.0%

Your Cost: $51.47/claim|Median: $101.24
0.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$231K

30K claims · 1.0%

Your Cost: $7.62/claim|Median: $9.70
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$226K

2,956 claims · 1.0%

Your Cost: $76.60/claim|Median: $82.43
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$198K

4,526 claims · 0.8%

Your Cost: $43.69/claim|Median: $108.91
0.4× median
95912Normal range

$196K

2,025 claims · 0.8%

Your Cost: $96.67/claim|Median: $141.23
0.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$185K

5,252 claims · 0.8%

Your Cost: $35.31/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$183K

5,547 claims · 0.8%

Your Cost: $33.06/claim|Median: $33.72
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$183K

3,514 claims · 0.8%

Your Cost: $52.10/claim|Median: $67.32
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$181K

3,609 claims · 0.8%

Your Cost: $50.15/claim|Median: $74.09
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$179K

2,273 claims · 0.8%

Your Cost: $78.57/claim|Median: $106.79
0.7× median
20552Normal range

$175K

8,269 claims · 0.7%

Your Cost: $21.11/claim|Median: $23.11
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$160K

52K claims · 0.7%

Your Cost: $3.07/claim|Median: $5.60
0.5× median
G2066Top 25%

$154K

3,517 claims · 0.7%

Your Cost: $43.89/claim|Median: $14.66
3.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$149K

3,722 claims · 0.6%

Your Cost: $40.09/claim|Median: $17.85
2.2× median
11043Normal range

$146K

3,265 claims · 0.6%

Your Cost: $44.67/claim|Median: $62.99
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$145K

4,630 claims · 0.6%

Your Cost: $31.42/claim|Median: $43.85
0.7× median
76818Normal range

$141K

3,351 claims · 0.6%

Your Cost: $42.00/claim|Median: $68.15
0.6× median
97810Normal range

$134K

12K claims · 0.6%

Your Cost: $10.75/claim|Median: $23.92
0.4× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$132K

1,248 claims · 0.6%

Your Cost: $105.92/claim|Median: $76.06
1.4× median
64615Normal range

$123K

2,494 claims · 0.5%

Your Cost: $49.24/claim|Median: $82.82
0.6× median
95886Normal range

$119K

2,099 claims · 0.5%

Your Cost: $56.84/claim|Median: $67.70
0.8× median
76830Normal range

Ultrasound, transvaginal

$112K

3,666 claims · 0.5%

Your Cost: $30.69/claim|Median: $57.47
0.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$107K

901 claims · 0.5%

Your Cost: $119.01/claim|Median: $121.58
1.0× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$103K

3,852 claims · 0.4%

Your Cost: $26.63/claim|Median: $42.51
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$97K

4,589 claims · 0.4%

Your Cost: $21.21/claim|Median: $58.55
0.4× median
70450Normal range

CT head/brain without contrast

$97K

7,220 claims · 0.4%

Your Cost: $13.43/claim|Median: $45.53
0.3× median
99242Normal range

Office consultation, low complexity

$88K

1,644 claims · 0.4%

Your Cost: $53.66/claim|Median: $57.97
0.9× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$83K

802 claims · 0.4%

Your Cost: $103.43/claim|Median: $69.35
1.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$76K

1,914 claims · 0.3%

Your Cost: $39.72/claim|Median: $58.16
0.7× median
71045Normal range

Chest X-ray, single view

$75K

23K claims · 0.3%

Your Cost: $3.29/claim|Median: $4.93
0.7× median
45380Normal range

Colonoscopy with biopsy

$62K

696 claims · 0.3%

Your Cost: $89.77/claim|Median: $200.68
0.4× median
27096Normal range

$61K

2,009 claims · 0.3%

Your Cost: $30.16/claim|Median: $89.16
0.3× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$58K

1,302 claims · 0.2%

Your Cost: $44.60/claim|Median: $79.28
0.6× median
11044Normal range

$55K

1,069 claims · 0.2%

Your Cost: $51.83/claim|Median: $62.94
0.8× median
76856Normal range

Ultrasound, pelvic, complete

$50K

2,642 claims · 0.2%

Your Cost: $18.91/claim|Median: $47.58
0.4× median
64493Normal range

$49K

1,158 claims · 0.2%

Your Cost: $42.16/claim|Median: $103.44
0.4× median

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