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PROVIDENCE HEALTH & SERVICES WASHINGTON

Family Medicine·OLYMPIA, WA·NPI: 1174744304Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.0M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$20.0M

$20,038,422

Total Claims

524K

Beneficiaries

456K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-1%
2019
$2.8M
-12%
2020
$2.4M
+25%
2021
$3.1M
+8%
2022
$3.3M
-7%
2023
$3.1M
-14%
2024
$2.6M

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 45% of total spending.

99214Normal range

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

$8.9M

171K claims · 44.5%

Your Cost: $52.18/claim|Median: $53.41
1.0× median
99213Normal range

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

$5.1M

114K claims · 25.3%

Your Cost: $44.48/claim|Median: $37.81
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.1M

36K claims · 5.3%

Your Cost: $29.30/claim|Median: $23.99
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$705K

15K claims · 3.5%

Your Cost: $47.80/claim|Median: $35.30
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$544K

5,288 claims · 2.7%

Your Cost: $102.90/claim|Median: $101.24
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$410K

13K claims · 2.0%

Your Cost: $31.17/claim|Median: $54.68
0.6× median
59025Normal range

Fetal non-stress test

$334K

12K claims · 1.7%

Your Cost: $27.74/claim|Median: $26.45
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$322K

3,831 claims · 1.6%

Your Cost: $84.00/claim|Median: $67.32
1.2× median
99204Normal range

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

$293K

3,975 claims · 1.5%

Your Cost: $73.77/claim|Median: $84.03
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$250K

4,005 claims · 1.2%

Your Cost: $62.37/claim|Median: $74.09
0.8× median
99203Normal range

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

$246K

3,671 claims · 1.2%

Your Cost: $67.02/claim|Median: $57.85
1.2× median
G0108Normal range

Diabetes self-management training, individual

$229K

6,018 claims · 1.1%

Your Cost: $38.12/claim|Median: $35.89
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$98K

3,582 claims · 0.5%

Your Cost: $27.26/claim|Median: $25.06
1.1× median
87426Normal range

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

$96K

3,021 claims · 0.5%

Your Cost: $31.63/claim|Median: $30.04
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$83K

3,567 claims · 0.4%

Your Cost: $23.33/claim|Median: $33.11
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$80K

1,811 claims · 0.4%

Your Cost: $44.08/claim|Median: $41.28
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$79K

22K claims · 0.4%

Your Cost: $3.54/claim|Median: $5.60
0.6× median
90471Normal range

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

$76K

13K claims · 0.4%

Your Cost: $6.02/claim|Median: $9.80
0.6× median
87804Normal range

Influenza virus detection, rapid test

$76K

4,626 claims · 0.4%

Your Cost: $16.36/claim|Median: $12.59
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$73K

3,854 claims · 0.4%

Your Cost: $18.84/claim|Median: $16.79
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$65K

764 claims · 0.3%

Your Cost: $85.28/claim|Median: $111.09
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$64K

1,345 claims · 0.3%

Your Cost: $47.82/claim|Median: $63.65
0.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$61K

3,645 claims · 0.3%

Your Cost: $16.80/claim|Median: $7.18
2.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$54K

1,378 claims · 0.3%

Your Cost: $39.40/claim|Median: $38.83
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$53K

2,418 claims · 0.3%

Your Cost: $22.08/claim|Median: $20.04
1.1× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$50K

26 claims · 0.2%

Your Cost: $1,908.92/claim|Median: $1,482.45
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$48K

924 claims · 0.2%

Your Cost: $52.42/claim|Median: $43.85
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$42K

2,279 claims · 0.2%

Your Cost: $18.55/claim|Median: $24.49
0.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$42K

439 claims · 0.2%

Your Cost: $95.32/claim|Median: $72.71
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$40K

389 claims · 0.2%

Your Cost: $101.97/claim|Median: $85.66
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$34K

600 claims · 0.2%

Your Cost: $57.23/claim|Median: $47.65
1.2× median
94729Normal range

$32K

1,945 claims · 0.2%

Your Cost: $16.66/claim|Median: $12.24
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$31K

654 claims · 0.2%

Your Cost: $47.52/claim|Median: $40.11
1.2× median
81025Top 25%

Urine pregnancy test

$30K

4,118 claims · 0.2%

Your Cost: $7.33/claim|Median: $4.81
1.5× median
94726Normal range

$29K

1,775 claims · 0.1%

Your Cost: $16.07/claim|Median: $13.41
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$22K

1,745 claims · 0.1%

Your Cost: $12.56/claim|Median: $16.77
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$19K

207 claims · 0.1%

Your Cost: $90.65/claim|Median: $108.91
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$19K

219 claims · 0.1%

Your Cost: $85.34/claim|Median: $99.21
0.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$15K

553 claims · 0.1%

Your Cost: $27.48/claim|Median: $106.14
0.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$13K

473 claims · 0.1%

Your Cost: $28.47/claim|Median: $33.85
0.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$13K

530 claims · 0.1%

Your Cost: $24.68/claim|Median: $25.93
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$13K

198 claims · 0.1%

Your Cost: $64.26/claim|Median: $51.25
1.3× median
81003Normal range

Urinalysis, automated without microscopy

$13K

6,679 claims · 0.1%

Your Cost: $1.87/claim|Median: $1.48
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$11K

711 claims · 0.1%

Your Cost: $14.78/claim|Median: $11.48
1.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$10K

184 claims · 0.0%

Your Cost: $53.92/claim|Median: $32.55
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$9K

101 claims · 0.0%

Your Cost: $91.28/claim|Median: $69.35
1.3× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$9K

1,395 claims · 0.0%

Your Cost: $6.53/claim|Median: $10.24
0.6× median
97161Normal range

Physical therapy evaluation, low complexity

$9K

187 claims · 0.0%

Your Cost: $46.85/claim|Median: $47.89
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$7K

2,430 claims · 0.0%

Your Cost: $2.91/claim|Median: $1.57
1.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$7K

195 claims · 0.0%

Your Cost: $33.95/claim|Median: $58.16
0.6× median

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