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PREMIER HEALTH SPECIALISTS INC

Internal Medicine·MORAINE, OH·NPI: 1194958223Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.1M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$31.1M

$31,128,669

Total Claims

722K

Beneficiaries

600K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+7%
2019
$3.2M
+14%
2020
$3.6M
+43%
2021
$5.2M
+51%
2022
$7.8M
-34%
2023
$5.2M
-40%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J2350 (Ocrelizumab (Ocrevus) injection, 1 mg)) accounts for 24% of total spending.

J2350Top 25%

Ocrelizumab (Ocrevus) injection, 1 mg

$7.6M

294 claims · 24.5%

Your Cost: $25,896.25/claim|Median: $17,264.74
1.5× median
99213Normal range

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

$5.4M

122K claims · 17.4%

Your Cost: $44.41/claim|Median: $37.81
1.2× median
99214Normal range

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

$3.2M

64K claims · 10.2%

Your Cost: $49.13/claim|Median: $53.41
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.6M

224K claims · 5.0%

Your Cost: $7.00/claim|Median: $5.60
1.2× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.4M

2,720 claims · 4.6%

Your Cost: $531.50/claim|Median: $470.36
1.1× median
J2323Top 25%

Injection, natalizumab, one milligram

$1.4M

239 claims · 4.5%

Your Cost: $5,887.03/claim|Median: $2,797.07
2.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$953K

26K claims · 3.1%

Your Cost: $36.77/claim|Median: $54.68
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$788K

9,272 claims · 2.5%

Your Cost: $85.03/claim|Median: $106.79
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$745K

17K claims · 2.4%

Your Cost: $45.07/claim|Median: $58.55
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$744K

33K claims · 2.4%

Your Cost: $22.67/claim|Median: $23.99
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$570K

14K claims · 1.8%

Your Cost: $41.99/claim|Median: $25.06
1.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$511K

9,773 claims · 1.6%

Your Cost: $52.33/claim|Median: $74.78
0.7× median
59025Normal range

Fetal non-stress test

$501K

19K claims · 1.6%

Your Cost: $25.99/claim|Median: $26.45
1.0× median
99203Normal range

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

$440K

8,503 claims · 1.4%

Your Cost: $51.79/claim|Median: $57.85
0.9× median
99204Normal range

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

$390K

5,018 claims · 1.3%

Your Cost: $77.64/claim|Median: $84.03
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$336K

11K claims · 1.1%

Your Cost: $29.82/claim|Median: $35.30
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$270K

7,227 claims · 0.9%

Your Cost: $37.30/claim|Median: $58.16
0.6× median
76830Normal range

Ultrasound, transvaginal

$228K

4,976 claims · 0.7%

Your Cost: $45.86/claim|Median: $57.47
0.8× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$217K

4,275 claims · 0.7%

Your Cost: $50.74/claim|Median: $70.87
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$217K

4,595 claims · 0.7%

Your Cost: $47.14/claim|Median: $51.25
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$214K

2,958 claims · 0.7%

Your Cost: $72.48/claim|Median: $108.91
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$180K

4,452 claims · 0.6%

Your Cost: $40.38/claim|Median: $29.03
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$172K

2,489 claims · 0.6%

Your Cost: $68.91/claim|Median: $72.71
0.9× median
J1050Top 5%

Injection, medroxyprogesterone acetate, one milligram

$160K

1,605 claims · 0.5%

Your Cost: $99.67/claim|Median: $41.92
2.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$154K

4,511 claims · 0.5%

Your Cost: $34.16/claim|Median: $47.65
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$148K

13K claims · 0.5%

Your Cost: $11.27/claim|Median: $9.70
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$148K

2,304 claims · 0.5%

Your Cost: $64.32/claim|Median: $67.32
1.0× median
95886Normal range

$137K

2,901 claims · 0.4%

Your Cost: $47.17/claim|Median: $67.70
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$135K

9,267 claims · 0.4%

Your Cost: $14.61/claim|Median: $16.77
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$131K

3,443 claims · 0.4%

Your Cost: $38.05/claim|Median: $43.85
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$129K

1,950 claims · 0.4%

Your Cost: $66.15/claim|Median: $74.09
0.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$124K

1,307 claims · 0.4%

Your Cost: $94.58/claim|Median: $75.28
1.3× median
93295Top 10%

$110K

3,268 claims · 0.4%

Your Cost: $33.68/claim|Median: $21.14
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$96K

3,443 claims · 0.3%

Your Cost: $27.84/claim|Median: $37.22
0.7× median
76815Normal range

Ultrasound, pregnant uterus, limited

$92K

3,066 claims · 0.3%

Your Cost: $29.86/claim|Median: $36.79
0.8× median
64612Normal range

$89K

701 claims · 0.3%

Your Cost: $126.33/claim|Median: $98.05
1.3× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$86K

6,677 claims · 0.3%

Your Cost: $12.87/claim|Median: $10.24
1.3× median
95720Normal range

$66K

589 claims · 0.2%

Your Cost: $112.17/claim|Median: $120.95
0.9× median
H1000Top 10%

Prenatal care, at-risk assessment

$61K

466 claims · 0.2%

Your Cost: $130.20/claim|Median: $50.36
2.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$57K

908 claims · 0.2%

Your Cost: $62.67/claim|Median: $121.58
0.5× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$56K

1,116 claims · 0.2%

Your Cost: $49.78/claim|Median: $42.51
1.2× median
93016Top 25%

$53K

3,108 claims · 0.2%

Your Cost: $16.90/claim|Median: $12.24
1.4× median
81025Top 25%

Urine pregnancy test

$46K

6,594 claims · 0.1%

Your Cost: $6.95/claim|Median: $4.81
1.4× median
64616Normal range

$45K

728 claims · 0.1%

Your Cost: $62.16/claim|Median: $66.22
0.9× median
99254Normal range

$41K

569 claims · 0.1%

Your Cost: $71.44/claim|Median: $81.43
0.9× median
99241Normal range

Office consultation, straightforward

$37K

1,629 claims · 0.1%

Your Cost: $22.59/claim|Median: $36.49
0.6× median
J0702Top 25%

$36K

2,667 claims · 0.1%

Your Cost: $13.34/claim|Median: $7.64
1.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$35K

2,259 claims · 0.1%

Your Cost: $15.54/claim|Median: $9.56
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$35K

387 claims · 0.1%

Your Cost: $90.30/claim|Median: $111.09
0.8× median
64615Normal range

$34K

303 claims · 0.1%

Your Cost: $112.44/claim|Median: $82.82
1.4× median

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The Cleveland Clinic Foundation

General Acute Care Hospital

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$617.0M

The Metrohealth System

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$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

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New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

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