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PROVIDENCE HEALTH & SERVICES WASHINGTON

Internal Medicine, Pulmonary Disease·SPOKANE, WA·NPI: 1194099390Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$78.4M

$78,404,512

Total Claims

1.6M

Beneficiaries

1.4M

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$10.7M
+1%
2019
$10.8M
-16%
2020
$9.0M
+16%
2021
$10.5M
+19%
2022
$12.5M
+6%
2023
$13.2M
-12%
2024
$11.7M

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 29% of total spending.

99214Normal range

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

$23.1M

332K claims · 29.5%

Your Cost: $69.70/claim|Median: $53.41
1.3× median
99213Top 25%

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

$15.4M

273K claims · 19.7%

Your Cost: $56.50/claim|Median: $37.81
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$6.0M

52K claims · 7.7%

Your Cost: $117.30/claim|Median: $74.09
1.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.7M

109K claims · 4.7%

Your Cost: $34.13/claim|Median: $23.99
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.4M

73K claims · 4.4%

Your Cost: $47.03/claim|Median: $35.30
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.5M

26K claims · 3.2%

Your Cost: $97.48/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.2M

24K claims · 2.8%

Your Cost: $91.08/claim|Median: $69.35
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.7M

17K claims · 2.1%

Your Cost: $96.07/claim|Median: $74.82
1.3× median
99204Top 25%

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

$1.5M

12K claims · 1.9%

Your Cost: $123.68/claim|Median: $84.03
1.5× median
99203Normal range

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

$1.4M

19K claims · 1.8%

Your Cost: $73.06/claim|Median: $57.85
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$913K

15K claims · 1.2%

Your Cost: $59.72/claim|Median: $58.55
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$839K

8,653 claims · 1.1%

Your Cost: $97.01/claim|Median: $106.79
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$792K

5,068 claims · 1.0%

Your Cost: $156.25/claim|Median: $111.09
1.4× median
G9149Normal range

$652K

3,780 claims · 0.8%

Your Cost: $172.61/claim|Median: $206.55
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$546K

9,785 claims · 0.7%

Your Cost: $55.81/claim|Median: $151.68
0.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$544K

4,611 claims · 0.7%

Your Cost: $118.04/claim|Median: $121.58
1.0× median
93303Normal range

Echocardiography, transthoracic, limited

$539K

9,214 claims · 0.7%

Your Cost: $58.54/claim|Median: $112.83
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$428K

5,033 claims · 0.5%

Your Cost: $84.94/claim|Median: $67.32
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$412K

5,052 claims · 0.5%

Your Cost: $81.59/claim|Median: $85.66
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$397K

9,351 claims · 0.5%

Your Cost: $42.47/claim|Median: $49.45
0.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$379K

3,666 claims · 0.5%

Your Cost: $103.25/claim|Median: $80.15
1.3× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$359K

24K claims · 0.5%

Your Cost: $14.92/claim|Median: $7.18
2.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$334K

522 claims · 0.4%

Your Cost: $638.90/claim|Median: $470.36
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$318K

5,322 claims · 0.4%

Your Cost: $59.79/claim|Median: $54.68
1.1× median
99245Normal range

Office consultation, high complexity

$308K

2,454 claims · 0.4%

Your Cost: $125.65/claim|Median: $143.30
0.9× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$280K

2,519 claims · 0.4%

Your Cost: $111.20/claim|Median: $255.17
0.4× median
45380Normal range

Colonoscopy with biopsy

$273K

3,709 claims · 0.3%

Your Cost: $73.72/claim|Median: $200.68
0.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$262K

4,540 claims · 0.3%

Your Cost: $57.69/claim|Median: $43.85
1.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$260K

3,177 claims · 0.3%

Your Cost: $81.73/claim|Median: $82.43
1.0× median
90960Normal range

End-stage renal disease services, per month, age 20+

$250K

4,644 claims · 0.3%

Your Cost: $53.81/claim|Median: $52.76
1.0× median
76821Normal range

$211K

4,516 claims · 0.3%

Your Cost: $46.81/claim|Median: $46.75
1.0× median
95886Normal range

$185K

2,645 claims · 0.2%

Your Cost: $69.88/claim|Median: $67.70
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$184K

2,359 claims · 0.2%

Your Cost: $78.10/claim|Median: $74.78
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$182K

3,596 claims · 0.2%

Your Cost: $50.66/claim|Median: $40.11
1.3× median
96112Normal range

Developmental test administration

$182K

2,383 claims · 0.2%

Your Cost: $76.33/claim|Median: $102.95
0.7× median
76820Normal range

$178K

7,040 claims · 0.2%

Your Cost: $25.29/claim|Median: $31.79
0.8× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$171K

3,086 claims · 0.2%

Your Cost: $55.32/claim|Median: $72.96
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$165K

3,407 claims · 0.2%

Your Cost: $48.56/claim|Median: $57.39
0.8× median
90670Top 25%

$163K

12K claims · 0.2%

Your Cost: $13.42/claim|Median: $5.94
2.3× median
76825Normal range

$161K

1,069 claims · 0.2%

Your Cost: $150.28/claim|Median: $103.74
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$159K

1,889 claims · 0.2%

Your Cost: $84.41/claim|Median: $99.21
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$158K

17K claims · 0.2%

Your Cost: $9.33/claim|Median: $9.70
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$158K

5,357 claims · 0.2%

Your Cost: $29.43/claim|Median: $25.06
1.2× median
95819Normal range

Electroencephalogram with sleep recording

$156K

1,851 claims · 0.2%

Your Cost: $84.03/claim|Median: $62.75
1.3× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$144K

1,732 claims · 0.2%

Your Cost: $83.24/claim|Median: $62.48
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$141K

17K claims · 0.2%

Your Cost: $8.36/claim|Median: $9.10
0.9× median
93320Normal range

$141K

9,272 claims · 0.2%

Your Cost: $15.18/claim|Median: $28.68
0.5× median
95251Normal range

$135K

7,353 claims · 0.2%

Your Cost: $18.32/claim|Median: $18.02
1.0× median
59025Normal range

Fetal non-stress test

$132K

4,139 claims · 0.2%

Your Cost: $31.82/claim|Median: $26.45
1.2× median
99255Normal range

$130K

1,084 claims · 0.2%

Your Cost: $119.51/claim|Median: $90.45
1.3× median

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