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WELLMONT MEDICAL ASSOCIATES INC

Family Medicine·BIG STONE GAP, VA·NPI: 1174808216Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.5M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$24.5M

$24,537,622

Total Claims

772K

Beneficiaries

684K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+167%
2019
$3.7M
-22%
2020
$2.9M
+34%
2021
$3.9M
+9%
2022
$4.3M
+5%
2023
$4.5M
-13%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 34% of total spending.

99213Normal range

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

$8.3M

162K claims · 34.0%

Your Cost: $51.59/claim|Median: $37.81
1.4× median
99214Normal range

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

$7.2M

116K claims · 29.2%

Your Cost: $61.56/claim|Median: $53.41
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.3M

11K claims · 5.4%

Your Cost: $117.11/claim|Median: $91.47
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$708K

16K claims · 2.9%

Your Cost: $43.69/claim|Median: $39.70
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$548K

7,043 claims · 2.2%

Your Cost: $77.87/claim|Median: $75.18
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$539K

16K claims · 2.2%

Your Cost: $33.33/claim|Median: $28.46
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$480K

6,111 claims · 2.0%

Your Cost: $78.57/claim|Median: $65.64
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$455K

6,478 claims · 1.9%

Your Cost: $70.30/claim|Median: $69.35
1.0× median
87804Normal range

Influenza virus detection, rapid test

$444K

33K claims · 1.8%

Your Cost: $13.42/claim|Median: $12.59
1.1× median
99203Normal range

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

$367K

5,313 claims · 1.5%

Your Cost: $69.07/claim|Median: $57.85
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$331K

8,901 claims · 1.3%

Your Cost: $37.14/claim|Median: $23.99
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$284K

3,678 claims · 1.2%

Your Cost: $77.26/claim|Median: $74.82
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$277K

20K claims · 1.1%

Your Cost: $13.63/claim|Median: $11.48
1.2× median
3078FTop 5%

$179K

47K claims · 0.7%

Your Cost: $3.84/claim|Median: $0.08
48.0× median
3074FTop 10%

$170K

44K claims · 0.7%

Your Cost: $3.84/claim|Median: $0.11
34.9× median
99204Normal range

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

$134K

1,535 claims · 0.5%

Your Cost: $87.41/claim|Median: $84.03
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$126K

8,716 claims · 0.5%

Your Cost: $14.44/claim|Median: $12.93
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$120K

1,435 claims · 0.5%

Your Cost: $83.82/claim|Median: $80.15
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$111K

1,631 claims · 0.5%

Your Cost: $67.99/claim|Median: $51.25
1.3× median
80053Normal range

Comprehensive metabolic panel

$109K

21K claims · 0.4%

Your Cost: $5.12/claim|Median: $7.24
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$107K

21K claims · 0.4%

Your Cost: $5.10/claim|Median: $4.71
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$91K

1,163 claims · 0.4%

Your Cost: $78.52/claim|Median: $74.09
1.1× median
71046Top 25%

Chest X-ray, 2 views

$91K

4,164 claims · 0.4%

Your Cost: $21.79/claim|Median: $8.92
2.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$89K

1,946 claims · 0.4%

Your Cost: $45.95/claim|Median: $40.11
1.1× median
80061Normal range

Lipid panel

$87K

9,990 claims · 0.4%

Your Cost: $8.74/claim|Median: $8.41
1.0× median
95886Normal range

$84K

1,314 claims · 0.3%

Your Cost: $63.76/claim|Median: $67.70
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$82K

7,224 claims · 0.3%

Your Cost: $11.30/claim|Median: $7.18
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$75K

2,683 claims · 0.3%

Your Cost: $28.00/claim|Median: $25.06
1.1× median
27096Normal range

$73K

1,036 claims · 0.3%

Your Cost: $70.81/claim|Median: $89.16
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$73K

6,234 claims · 0.3%

Your Cost: $11.75/claim|Median: $9.56
1.2× median
64635Normal range

$66K

404 claims · 0.3%

Your Cost: $163.41/claim|Median: $207.78
0.8× median
76830Top 25%

Ultrasound, transvaginal

$64K

727 claims · 0.3%

Your Cost: $87.74/claim|Median: $57.47
1.5× median
90670Top 25%

$63K

4,623 claims · 0.3%

Your Cost: $13.53/claim|Median: $5.94
2.3× median
36415Normal range

Collection of venous blood by venipuncture

$52K

38K claims · 0.2%

Your Cost: $1.37/claim|Median: $1.57
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$49K

3,134 claims · 0.2%

Your Cost: $15.55/claim|Median: $16.77
0.9× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$48K

761 claims · 0.2%

Your Cost: $63.00/claim|Median: $111.02
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$46K

1,276 claims · 0.2%

Your Cost: $35.78/claim|Median: $37.22
1.0× median
3075FTop 10%

$45K

11K claims · 0.2%

Your Cost: $4.16/claim|Median: $0.15
27.7× median
99188Top 25%

$44K

2,170 claims · 0.2%

Your Cost: $20.39/claim|Median: $12.80
1.6× median
90648Top 25%

$43K

4,214 claims · 0.2%

Your Cost: $10.29/claim|Median: $4.08
2.5× median
3077FTop 10%

$42K

11K claims · 0.2%

Your Cost: $3.82/claim|Median: $0.12
31.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$42K

3,524 claims · 0.2%

Your Cost: $11.85/claim|Median: $5.78
2.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$39K

7,060 claims · 0.2%

Your Cost: $5.53/claim|Median: $5.50
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$38K

832 claims · 0.2%

Your Cost: $45.78/claim|Median: $43.85
1.0× median
80050Normal range

General health panel

$38K

2,984 claims · 0.2%

Your Cost: $12.68/claim|Median: $25.59
0.5× median
64493Normal range

$38K

462 claims · 0.2%

Your Cost: $81.81/claim|Median: $103.44
0.8× median
90677Normal range

$34K

716 claims · 0.1%

Your Cost: $47.51/claim|Median: $12.96
3.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$33K

3,146 claims · 0.1%

Your Cost: $10.37/claim|Median: $9.87
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$28K

724 claims · 0.1%

Your Cost: $39.08/claim|Median: $35.30
1.1× median
3079FTop 10%

$26K

9,136 claims · 0.1%

Your Cost: $2.84/claim|Median: $0.12
23.7× median

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