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MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC

Family Medicine·YOUNGSTOWN, OH·NPI: 1154636066Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.1M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$25.1M

$25,138,945

Total Claims

2.3M

Beneficiaries

2.1M

1.1 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+18%
2019
$4.7M
-13%
2020
$4.1M
+41%
2021
$5.8M
-51%
2022
$2.8M
-31%
2023
$1.9M
-9%
2024
$1.8M

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 35% of total spending.

99214Normal range

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

$8.9M

185K claims · 35.4%

Your Cost: $48.19/claim|Median: $53.41
0.9× median
99213Normal range

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

$7.4M

229K claims · 29.3%

Your Cost: $32.26/claim|Median: $37.81
0.9× median
99204Normal range

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

$1.0M

16K claims · 4.1%

Your Cost: $64.87/claim|Median: $84.03
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$610K

34K claims · 2.4%

Your Cost: $17.79/claim|Median: $23.99
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$493K

20K claims · 2.0%

Your Cost: $24.63/claim|Median: $35.30
0.7× median
99203Normal range

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

$473K

11K claims · 1.9%

Your Cost: $44.77/claim|Median: $57.85
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$372K

66K claims · 1.5%

Your Cost: $5.66/claim|Median: $5.60
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$285K

8,962 claims · 1.1%

Your Cost: $31.84/claim|Median: $54.68
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$263K

8,739 claims · 1.0%

Your Cost: $30.14/claim|Median: $25.06
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$217K

3,487 claims · 0.9%

Your Cost: $62.24/claim|Median: $106.79
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$206K

8,844 claims · 0.8%

Your Cost: $23.33/claim|Median: $49.45
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$205K

4,334 claims · 0.8%

Your Cost: $47.20/claim|Median: $67.32
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$199K

17K claims · 0.8%

Your Cost: $11.69/claim|Median: $16.77
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$197K

6,080 claims · 0.8%

Your Cost: $32.38/claim|Median: $58.55
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$194K

5,110 claims · 0.8%

Your Cost: $37.94/claim|Median: $51.25
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$185K

17K claims · 0.7%

Your Cost: $10.66/claim|Median: $9.70
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$180K

6,201 claims · 0.7%

Your Cost: $29.10/claim|Median: $43.85
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$169K

4,284 claims · 0.7%

Your Cost: $39.41/claim|Median: $29.03
1.4× median
76820Normal range

$165K

8,742 claims · 0.7%

Your Cost: $18.90/claim|Median: $31.79
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$164K

3,204 claims · 0.7%

Your Cost: $51.27/claim|Median: $74.09
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$163K

12K claims · 0.6%

Your Cost: $13.36/claim|Median: $14.00
1.0× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$158K

6,377 claims · 0.6%

Your Cost: $24.79/claim|Median: $47.65
0.5× median
76818Normal range

$140K

5,047 claims · 0.6%

Your Cost: $27.81/claim|Median: $68.15
0.4× median
99291Normal range

Critical care, first 30-74 minutes

$127K

2,873 claims · 0.5%

Your Cost: $44.38/claim|Median: $101.24
0.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$127K

3,543 claims · 0.5%

Your Cost: $35.76/claim|Median: $74.78
0.5× median
87426Normal range

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

$112K

4,376 claims · 0.4%

Your Cost: $25.54/claim|Median: $30.04
0.9× median
90471Top 25%

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

$88K

5,604 claims · 0.3%

Your Cost: $15.65/claim|Median: $9.80
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$81K

3,439 claims · 0.3%

Your Cost: $23.68/claim|Median: $37.22
0.6× median
95886Normal range

$72K

2,626 claims · 0.3%

Your Cost: $27.45/claim|Median: $67.70
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$70K

3,594 claims · 0.3%

Your Cost: $19.46/claim|Median: $24.49
0.8× median
77427Normal range

$65K

779 claims · 0.3%

Your Cost: $83.37/claim|Median: $83.73
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$57K

1,614 claims · 0.2%

Your Cost: $35.58/claim|Median: $33.72
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$57K

9,697 claims · 0.2%

Your Cost: $5.86/claim|Median: $5.50
1.1× median
90674Top 25%

$56K

2,255 claims · 0.2%

Your Cost: $24.94/claim|Median: $15.16
1.6× median
43239Normal range

Upper GI endoscopy with biopsy

$56K

481 claims · 0.2%

Your Cost: $116.88/claim|Median: $151.68
0.8× median
87804Normal range

Influenza virus detection, rapid test

$56K

5,653 claims · 0.2%

Your Cost: $9.86/claim|Median: $12.59
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$56K

1,539 claims · 0.2%

Your Cost: $36.16/claim|Median: $36.70
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$54K

3,711 claims · 0.2%

Your Cost: $14.63/claim|Median: $17.85
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$52K

1,495 claims · 0.2%

Your Cost: $34.76/claim|Median: $82.43
0.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$51K

743 claims · 0.2%

Your Cost: $69.27/claim|Median: $121.58
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$48K

2,091 claims · 0.2%

Your Cost: $23.13/claim|Median: $36.79
0.6× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$47K

3,233 claims · 0.2%

Your Cost: $14.48/claim|Median: $7.18
2.0× median
99221Normal range

Initial hospital care, straightforward/low

$46K

2,016 claims · 0.2%

Your Cost: $22.80/claim|Median: $39.96
0.6× median
59514Normal range

Cesarean delivery only

$45K

224 claims · 0.2%

Your Cost: $200.07/claim|Median: $452.80
0.4× median
93295Top 25%

$42K

1,342 claims · 0.2%

Your Cost: $31.44/claim|Median: $21.14
1.5× median
99253Normal range

$41K

912 claims · 0.2%

Your Cost: $45.02/claim|Median: $55.16
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$41K

797 claims · 0.2%

Your Cost: $50.82/claim|Median: $69.35
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$37K

1,023 claims · 0.1%

Your Cost: $36.03/claim|Median: $40.11
0.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$36K

3,682 claims · 0.1%

Your Cost: $9.70/claim|Median: $9.79
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$34K

3,417 claims · 0.1%

Your Cost: $9.83/claim|Median: $11.48
0.9× median

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$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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