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SANFORD MEDICAL CENTER FARGO

Family Medicine·WEST FARGO, ND·NPI: 1184917924Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.6M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$75.6M

$75,644,437

Total Claims

1.6M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+60%
2019
$9.2M
+0%
2020
$9.3M
+35%
2021
$12.5M
+1%
2022
$12.6M
+13%
2023
$14.3M
-17%
2024
$11.9M

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 19% of total spending.

99214Normal range

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

$14.5M

205K claims · 19.1%

Your Cost: $70.61/claim|Median: $53.41
1.3× median
99213Normal range

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

$14.1M

268K claims · 18.6%

Your Cost: $52.62/claim|Median: $37.81
1.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$6.5M

45K claims · 8.5%

Your Cost: $143.33/claim|Median: $85.65
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$5.0M

51K claims · 6.7%

Your Cost: $99.14/claim|Median: $69.51
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4.6M

109K claims · 6.1%

Your Cost: $41.94/claim|Median: $23.99
1.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.5M

28K claims · 2.0%

Your Cost: $53.41/claim|Median: $35.30
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.2M

11K claims · 1.6%

Your Cost: $106.72/claim|Median: $67.32
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$1.2M

15K claims · 1.5%

Your Cost: $76.32/claim|Median: $74.09
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$1.2M

9,081 claims · 1.5%

Your Cost: $127.91/claim|Median: $101.24
1.3× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$1.2M

1,533 claims · 1.5%

Your Cost: $752.02/claim|Median: $470.36
1.6× median
99203Normal range

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

$1.1M

22K claims · 1.5%

Your Cost: $49.53/claim|Median: $57.85
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

16K claims · 1.4%

Your Cost: $67.09/claim|Median: $63.65
1.1× median
99204Normal range

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

$1.0M

15K claims · 1.4%

Your Cost: $71.00/claim|Median: $84.03
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$833K

15K claims · 1.1%

Your Cost: $56.99/claim|Median: $65.76
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$805K

12K claims · 1.1%

Your Cost: $66.03/claim|Median: $75.18
0.9× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$799K

11K claims · 1.1%

Your Cost: $73.35/claim|Median: $47.08
1.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$672K

11K claims · 0.9%

Your Cost: $62.43/claim|Median: $43.85
1.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$625K

14K claims · 0.8%

Your Cost: $45.03/claim|Median: $39.33
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$619K

11K claims · 0.8%

Your Cost: $58.37/claim|Median: $69.35
0.8× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$591K

6,358 claims · 0.8%

Your Cost: $92.88/claim|Median: $59.72
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$518K

12K claims · 0.7%

Your Cost: $43.62/claim|Median: $58.55
0.7× median
70450Normal range

CT head/brain without contrast

$503K

20K claims · 0.7%

Your Cost: $24.69/claim|Median: $45.53
0.5× median
90837Top 25%

Psychotherapy, 60 minutes

$497K

4,637 claims · 0.7%

Your Cost: $107.25/claim|Median: $85.66
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$481K

10K claims · 0.6%

Your Cost: $47.99/claim|Median: $54.68
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$481K

15K claims · 0.6%

Your Cost: $32.70/claim|Median: $17.85
1.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$477K

82K claims · 0.6%

Your Cost: $5.82/claim|Median: $5.60
1.0× median
90471Top 25%

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

$470K

29K claims · 0.6%

Your Cost: $16.13/claim|Median: $9.80
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$468K

7,352 claims · 0.6%

Your Cost: $63.62/claim|Median: $74.82
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$435K

9,199 claims · 0.6%

Your Cost: $47.27/claim|Median: $42.48
1.1× median
S0302Top 5%

$412K

7,776 claims · 0.5%

Your Cost: $53.02/claim|Median: $9.05
5.9× median
71045Normal range

Chest X-ray, single view

$411K

72K claims · 0.5%

Your Cost: $5.68/claim|Median: $4.93
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$402K

6,746 claims · 0.5%

Your Cost: $59.63/claim|Median: $51.25
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$386K

3,687 claims · 0.5%

Your Cost: $104.62/claim|Median: $111.09
0.9× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$328K

2,004 claims · 0.4%

Your Cost: $163.82/claim|Median: $108.91
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$326K

7,281 claims · 0.4%

Your Cost: $44.82/claim|Median: $37.22
1.2× median
92015Normal range

Determination of refractive state

$298K

24K claims · 0.4%

Your Cost: $12.52/claim|Median: $10.36
1.2× median
64615Normal range

$295K

3,961 claims · 0.4%

Your Cost: $74.44/claim|Median: $82.82
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$287K

19K claims · 0.4%

Your Cost: $15.25/claim|Median: $11.79
1.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$277K

8,228 claims · 0.4%

Your Cost: $33.69/claim|Median: $49.45
0.7× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$270K

2,701 claims · 0.4%

Your Cost: $100.12/claim|Median: $57.39
1.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$266K

3,587 claims · 0.4%

Your Cost: $74.08/claim|Median: $106.79
0.7× median
71046Normal range

Chest X-ray, 2 views

$265K

34K claims · 0.4%

Your Cost: $7.91/claim|Median: $8.92
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$245K

12K claims · 0.3%

Your Cost: $21.26/claim|Median: $16.77
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$233K

2,178 claims · 0.3%

Your Cost: $106.97/claim|Median: $99.21
1.1× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$228K

5,403 claims · 0.3%

Your Cost: $42.18/claim|Median: $14.00
3.0× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$217K

11K claims · 0.3%

Your Cost: $19.32/claim|Median: $21.41
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$209K

2,766 claims · 0.3%

Your Cost: $75.55/claim|Median: $77.33
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$205K

685 claims · 0.3%

Your Cost: $299.64/claim|Median: $293.45
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$195K

3,073 claims · 0.3%

Your Cost: $63.33/claim|Median: $80.15
0.8× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$184K

197 claims · 0.2%

Your Cost: $933.65/claim|Median: $1,482.45
0.6× median

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