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SOUTHWEST MEDICAL ASSOCIATES, LLC

General Practice·ALBUQUERQUE, NM·NPI: 1164491072Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.4M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$41.4M

$41,399,341

Total Claims

758K

Beneficiaries

675K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+49%
2019
$4.9M
+29%
2020
$6.4M
+2%
2021
$6.5M
-7%
2022
$6.1M
+18%
2023
$7.1M
-0%
2024
$7.1M

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 17% of total spending.

99214Top 25%

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

$7.0M

85K claims · 16.9%

Your Cost: $82.22/claim|Median: $53.41
1.5× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$5.4M

9,909 claims · 13.1%

Your Cost: $549.04/claim|Median: $470.36
1.2× median
99213Top 25%

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

$4.7M

77K claims · 11.3%

Your Cost: $60.83/claim|Median: $37.81
1.6× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$3.6M

47K claims · 8.6%

Your Cost: $76.41/claim|Median: $35.30
2.2× median
99204Top 25%

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

$2.3M

18K claims · 5.6%

Your Cost: $127.98/claim|Median: $84.03
1.5× median
99223Top 10%

Initial hospital care, per day, high complexity

$2.2M

15K claims · 5.3%

Your Cost: $145.42/claim|Median: $67.32
2.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$2.1M

41K claims · 5.0%

Your Cost: $50.43/claim|Median: $23.99
2.1× median
99203Top 25%

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

$1.7M

19K claims · 4.2%

Your Cost: $92.23/claim|Median: $57.85
1.6× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.2M

15K claims · 2.9%

Your Cost: $82.30/claim|Median: $43.85
1.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$796K

15K claims · 1.9%

Your Cost: $51.86/claim|Median: $54.68
0.9× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$655K

4,240 claims · 1.6%

Your Cost: $154.51/claim|Median: $58.16
2.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$655K

6,059 claims · 1.6%

Your Cost: $108.11/claim|Median: $51.25
2.1× median
99291Normal range

Critical care, first 30-74 minutes

$653K

5,622 claims · 1.6%

Your Cost: $116.16/claim|Median: $101.24
1.1× median
99490Top 5%

Chronic care management services, 20 minutes per month

$632K

16K claims · 1.5%

Your Cost: $38.49/claim|Median: $6.31
6.1× median
43239Normal range

Upper GI endoscopy with biopsy

$626K

4,275 claims · 1.5%

Your Cost: $146.50/claim|Median: $151.68
1.0× median
64615Top 25%

$575K

4,753 claims · 1.4%

Your Cost: $121.05/claim|Median: $82.82
1.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$486K

74K claims · 1.2%

Your Cost: $6.59/claim|Median: $5.60
1.2× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$430K

4,076 claims · 1.0%

Your Cost: $105.43/claim|Median: $69.35
1.5× median
45380Normal range

Colonoscopy with biopsy

$397K

1,825 claims · 1.0%

Your Cost: $217.30/claim|Median: $200.68
1.1× median
90461Top 1%

Immunization admin, additional vaccine, counseling

$392K

4,767 claims · 0.9%

Your Cost: $82.28/claim|Median: $6.93
11.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$341K

8,216 claims · 0.8%

Your Cost: $41.51/claim|Median: $17.85
2.3× median
99215Top 25%

Office/outpatient visit, high complexity

$321K

2,689 claims · 0.8%

Your Cost: $119.21/claim|Median: $74.09
1.6× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$270K

2,562 claims · 0.7%

Your Cost: $105.49/claim|Median: $75.18
1.4× median
90471Top 10%

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

$199K

9,214 claims · 0.5%

Your Cost: $21.63/claim|Median: $9.80
2.2× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$169K

936 claims · 0.4%

Your Cost: $180.97/claim|Median: $76.22
2.4× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$138K

1,340 claims · 0.3%

Your Cost: $102.83/claim|Median: $72.71
1.4× median
45378Normal range

Colonoscopy, diagnostic

$134K

585 claims · 0.3%

Your Cost: $229.12/claim|Median: $225.49
1.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$121K

1,159 claims · 0.3%

Your Cost: $104.53/claim|Median: $76.06
1.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$119K

2,102 claims · 0.3%

Your Cost: $56.60/claim|Median: $37.22
1.5× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$113K

61 claims · 0.3%

Your Cost: $1,847.55/claim|Median: $1,482.45
1.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$111K

419 claims · 0.3%

Your Cost: $265.53/claim|Median: $255.17
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$109K

2,947 claims · 0.3%

Your Cost: $36.94/claim|Median: $25.06
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$98K

960 claims · 0.2%

Your Cost: $102.38/claim|Median: $233.73
0.4× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$90K

1,579 claims · 0.2%

Your Cost: $56.84/claim|Median: $24.33
2.3× median
93458Normal range

Left heart catheterization with imaging

$85K

434 claims · 0.2%

Your Cost: $196.46/claim|Median: $183.33
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$82K

7,289 claims · 0.2%

Your Cost: $11.22/claim|Median: $7.18
1.6× median
59025Normal range

Fetal non-stress test

$80K

2,406 claims · 0.2%

Your Cost: $33.23/claim|Median: $26.45
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$78K

1,220 claims · 0.2%

Your Cost: $63.56/claim|Median: $40.11
1.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$77K

733 claims · 0.2%

Your Cost: $104.40/claim|Median: $255.03
0.4× median
64405Top 25%

$73K

755 claims · 0.2%

Your Cost: $96.69/claim|Median: $48.36
2.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$68K

695 claims · 0.2%

Your Cost: $97.34/claim|Median: $75.28
1.3× median
47563Normal range

$63K

123 claims · 0.2%

Your Cost: $511.09/claim|Median: $701.74
0.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$62K

347 claims · 0.2%

Your Cost: $179.64/claim|Median: $111.09
1.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$62K

584 claims · 0.1%

Your Cost: $105.83/claim|Median: $74.82
1.4× median
Q0138Normal range

$60K

181 claims · 0.1%

Your Cost: $330.79/claim|Median: $214.34
1.5× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$53K

953 claims · 0.1%

Your Cost: $55.52/claim|Median: $29.03
1.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$51K

576 claims · 0.1%

Your Cost: $88.65/claim|Median: $74.78
1.2× median
99497Top 25%

$49K

1,294 claims · 0.1%

Your Cost: $38.16/claim|Median: $10.99
3.5× median
81025Top 10%

Urine pregnancy test

$47K

5,434 claims · 0.1%

Your Cost: $8.65/claim|Median: $4.81
1.8× median
94729Top 25%

$47K

1,251 claims · 0.1%

Your Cost: $37.21/claim|Median: $12.24
3.0× median

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