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HEALTHSTAR PHYSICIANS, P.C.

Family Medicine·MORRISTOWN, TN·NPI: 1184610248Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.0M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$28.0M

$28,049,642

Total Claims

3.4M

Beneficiaries

2.6M

1.3 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+7%
2019
$3.9M
-7%
2020
$3.6M
+13%
2021
$4.1M
-2%
2022
$4.1M
+14%
2023
$4.6M
-14%
2024
$4.0M

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 25% of total spending.

99213Normal range

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

$7.1M

237K claims · 25.4%

Your Cost: $30.08/claim|Median: $37.81
0.8× median
99214Normal range

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

$6.7M

215K claims · 24.0%

Your Cost: $31.26/claim|Median: $53.41
0.6× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$1.7M

1,237 claims · 6.0%

Your Cost: $1,360.84/claim|Median: $1,482.45
0.9× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$589K

6,064 claims · 2.1%

Your Cost: $97.20/claim|Median: $144.04
0.7× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$588K

13K claims · 2.1%

Your Cost: $47.04/claim|Median: $17.85
2.6× median
99215Normal range

Office/outpatient visit, high complexity

$535K

11K claims · 1.9%

Your Cost: $47.01/claim|Median: $74.09
0.6× median
99203Normal range

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

$522K

12K claims · 1.9%

Your Cost: $44.54/claim|Median: $57.85
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$432K

3,475 claims · 1.5%

Your Cost: $124.42/claim|Median: $121.58
1.0× median
87426Normal range

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

$366K

13K claims · 1.3%

Your Cost: $27.30/claim|Median: $30.04
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$351K

43K claims · 1.3%

Your Cost: $8.12/claim|Median: $9.56
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$346K

34K claims · 1.2%

Your Cost: $10.04/claim|Median: $11.48
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$313K

4,005 claims · 1.1%

Your Cost: $78.04/claim|Median: $75.18
1.0× median
99204Normal range

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

$301K

5,771 claims · 1.1%

Your Cost: $52.08/claim|Median: $84.03
0.6× median
87804Normal range

Influenza virus detection, rapid test

$294K

29K claims · 1.0%

Your Cost: $10.20/claim|Median: $12.59
0.8× median
95913Normal range

$287K

1,880 claims · 1.0%

Your Cost: $152.48/claim|Median: $166.25
0.9× median
95886Normal range

$254K

3,375 claims · 0.9%

Your Cost: $75.40/claim|Median: $67.70
1.1× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$250K

12K claims · 0.9%

Your Cost: $21.62/claim|Median: $27.28
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$246K

2,683 claims · 0.9%

Your Cost: $91.87/claim|Median: $82.43
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$231K

54K claims · 0.8%

Your Cost: $4.30/claim|Median: $4.71
0.9× median
95117Normal range

$228K

32K claims · 0.8%

Your Cost: $7.02/claim|Median: $8.34
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$226K

2,953 claims · 0.8%

Your Cost: $76.57/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$215K

3,212 claims · 0.8%

Your Cost: $66.79/claim|Median: $69.35
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$193K

11K claims · 0.7%

Your Cost: $17.95/claim|Median: $25.06
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$179K

2,872 claims · 0.6%

Your Cost: $62.39/claim|Median: $58.55
1.1× median
99245Normal range

Office consultation, high complexity

$169K

1,095 claims · 0.6%

Your Cost: $154.11/claim|Median: $143.30
1.1× median
11721Normal range

$168K

34K claims · 0.6%

Your Cost: $4.94/claim|Median: $8.56
0.6× median
17110Normal range

Destruction of benign lesions, up to fourteen

$162K

3,669 claims · 0.6%

Your Cost: $44.04/claim|Median: $59.25
0.7× median
92567Normal range

$156K

15K claims · 0.6%

Your Cost: $10.18/claim|Median: $11.50
0.9× median
59025Normal range

Fetal non-stress test

$147K

4,194 claims · 0.5%

Your Cost: $35.06/claim|Median: $26.45
1.3× median
96110Top 10%

Developmental screening, per standardized instrument

$140K

5,851 claims · 0.5%

Your Cost: $23.94/claim|Median: $9.10
2.6× median
11102Normal range

$138K

3,452 claims · 0.5%

Your Cost: $40.11/claim|Median: $48.69
0.8× median
76830Normal range

Ultrasound, transvaginal

$137K

2,094 claims · 0.5%

Your Cost: $65.65/claim|Median: $57.47
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$131K

1,640 claims · 0.5%

Your Cost: $79.77/claim|Median: $72.71
1.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$131K

1,981 claims · 0.5%

Your Cost: $65.95/claim|Median: $47.65
1.4× median
82306Normal range

Vitamin D, 25 hydroxy

$128K

15K claims · 0.5%

Your Cost: $8.77/claim|Median: $18.18
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$114K

1,612 claims · 0.4%

Your Cost: $70.81/claim|Median: $111.09
0.6× median
70553Normal range

MRI brain without contrast, then with contrast

$104K

523 claims · 0.4%

Your Cost: $199.22/claim|Median: $133.68
1.5× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$98K

989 claims · 0.3%

Your Cost: $99.12/claim|Median: $74.78
1.3× median
Q0091Normal range

$97K

5,876 claims · 0.3%

Your Cost: $16.52/claim|Median: $11.15
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$88K

1,043 claims · 0.3%

Your Cost: $84.64/claim|Median: $80.15
1.1× median
80061Normal range

Lipid panel

$85K

24K claims · 0.3%

Your Cost: $3.63/claim|Median: $8.41
0.4× median
99307Normal range

$84K

15K claims · 0.3%

Your Cost: $5.51/claim|Median: $6.57
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$81K

72K claims · 0.3%

Your Cost: $1.12/claim|Median: $1.57
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$80K

325 claims · 0.3%

Your Cost: $244.79/claim|Median: $331.68
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$72K

811 claims · 0.3%

Your Cost: $89.33/claim|Median: $233.73
0.4× median
99050Normal range

$72K

4,507 claims · 0.3%

Your Cost: $15.87/claim|Median: $11.81
1.3× median
80050Normal range

General health panel

$69K

4,570 claims · 0.2%

Your Cost: $15.21/claim|Median: $25.59
0.6× median
L3908Normal range

$69K

2,530 claims · 0.2%

Your Cost: $27.45/claim|Median: $35.79
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$67K

1,285 claims · 0.2%

Your Cost: $52.31/claim|Median: $63.65
0.8× median
93922Normal range

$67K

3,077 claims · 0.2%

Your Cost: $21.64/claim|Median: $26.06
0.8× median

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$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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