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MEDSTAR MEDICAL GROUP II LLC

General Practice·BALTIMORE, MD·NPI: 1184046187Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $91.6M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$91.6M

$91,615,801

Total Claims

1.8M

Beneficiaries

1.3M

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-25%
2019
$2.5M
+150%
2020
$6.3M
+100%
2021
$12.6M
+58%
2022
$19.9M
+28%
2023
$25.5M
-16%
2024
$21.4M

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 31% of total spending.

99214Top 25%

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

$28.0M

317K claims · 30.5%

Your Cost: $88.21/claim|Median: $53.41
1.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$16.5M

325K claims · 18.0%

Your Cost: $50.81/claim|Median: $35.30
1.4× median
99213Top 25%

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

$10.8M

172K claims · 11.8%

Your Cost: $62.92/claim|Median: $37.81
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$4.6M

55K claims · 5.0%

Your Cost: $82.69/claim|Median: $67.32
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$2.4M

29K claims · 2.7%

Your Cost: $84.43/claim|Median: $101.24
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$2.2M

27K claims · 2.4%

Your Cost: $83.97/claim|Median: $74.09
1.1× median
99204Normal range

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

$1.8M

19K claims · 1.9%

Your Cost: $93.67/claim|Median: $84.03
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.5M

29K claims · 1.6%

Your Cost: $51.00/claim|Median: $58.55
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.4M

30K claims · 1.6%

Your Cost: $48.17/claim|Median: $35.80
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.4M

19K claims · 1.6%

Your Cost: $73.37/claim|Median: $54.68
1.3× median
99203Normal range

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

$1.3M

20K claims · 1.4%

Your Cost: $67.03/claim|Median: $57.85
1.2× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.3M

12K claims · 1.4%

Your Cost: $105.55/claim|Median: $75.18
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.0M

38K claims · 1.1%

Your Cost: $27.30/claim|Median: $23.99
1.1× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$947K

8,894 claims · 1.0%

Your Cost: $106.50/claim|Median: $74.82
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$928K

9,818 claims · 1.0%

Your Cost: $94.56/claim|Median: $69.35
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$814K

190K claims · 0.9%

Your Cost: $4.29/claim|Median: $5.60
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$747K

8,854 claims · 0.8%

Your Cost: $84.39/claim|Median: $106.79
0.8× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$708K

10K claims · 0.8%

Your Cost: $67.83/claim|Median: $59.38
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$694K

13K claims · 0.8%

Your Cost: $54.91/claim|Median: $51.25
1.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$654K

5,650 claims · 0.7%

Your Cost: $115.69/claim|Median: $80.15
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$636K

22K claims · 0.7%

Your Cost: $29.11/claim|Median: $43.85
0.7× median
76818Normal range

$437K

9,681 claims · 0.5%

Your Cost: $45.16/claim|Median: $68.15
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$434K

3,808 claims · 0.5%

Your Cost: $114.07/claim|Median: $72.71
1.6× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$434K

25K claims · 0.5%

Your Cost: $17.32/claim|Median: $9.70
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$430K

12K claims · 0.5%

Your Cost: $35.85/claim|Median: $25.06
1.4× median
59025Normal range

Fetal non-stress test

$404K

16K claims · 0.4%

Your Cost: $25.14/claim|Median: $26.45
1.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$393K

15K claims · 0.4%

Your Cost: $26.54/claim|Median: $36.79
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$371K

5,592 claims · 0.4%

Your Cost: $66.37/claim|Median: $151.68
0.4× median
99220Normal range

$361K

7,183 claims · 0.4%

Your Cost: $50.23/claim|Median: $73.56
0.7× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$334K

17K claims · 0.4%

Your Cost: $20.13/claim|Median: $7.18
2.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$316K

3,979 claims · 0.3%

Your Cost: $79.42/claim|Median: $111.09
0.7× median
76819Normal range

Fetal biophysical profile with non-stress test

$304K

6,601 claims · 0.3%

Your Cost: $46.01/claim|Median: $49.45
0.9× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$297K

5,431 claims · 0.3%

Your Cost: $54.60/claim|Median: $29.03
1.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$288K

5,562 claims · 0.3%

Your Cost: $51.82/claim|Median: $47.65
1.1× median
45380Normal range

Colonoscopy with biopsy

$248K

2,627 claims · 0.3%

Your Cost: $94.30/claim|Median: $200.68
0.5× median
11043Normal range

$236K

4,954 claims · 0.3%

Your Cost: $47.68/claim|Median: $62.99
0.8× median
87426Top 25%

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

$184K

4,723 claims · 0.2%

Your Cost: $39.06/claim|Median: $30.04
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$184K

5,106 claims · 0.2%

Your Cost: $36.03/claim|Median: $37.22
1.0× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$168K

1,928 claims · 0.2%

Your Cost: $87.19/claim|Median: $62.48
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$158K

5,403 claims · 0.2%

Your Cost: $29.33/claim|Median: $108.91
0.3× median
99245Top 25%

Office consultation, high complexity

$158K

736 claims · 0.2%

Your Cost: $214.47/claim|Median: $143.30
1.5× median
99226Normal range

$132K

6,725 claims · 0.1%

Your Cost: $19.58/claim|Median: $34.09
0.6× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$128K

2,518 claims · 0.1%

Your Cost: $50.81/claim|Median: $58.16
0.9× median
90670Top 10%

$126K

4,443 claims · 0.1%

Your Cost: $28.28/claim|Median: $5.94
4.8× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$113K

1,913 claims · 0.1%

Your Cost: $59.01/claim|Median: $70.87
0.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$105K

886 claims · 0.1%

Your Cost: $118.83/claim|Median: $76.06
1.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$105K

1,452 claims · 0.1%

Your Cost: $72.29/claim|Median: $106.14
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$101K

1,899 claims · 0.1%

Your Cost: $53.10/claim|Median: $65.76
0.8× median
76820Normal range

$100K

4,107 claims · 0.1%

Your Cost: $24.47/claim|Median: $31.79
0.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$95K

2,093 claims · 0.1%

Your Cost: $45.51/claim|Median: $24.33
1.9× median

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