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FRANCISCAN PHYSICIAN NETWORK

Family Medicine·INDIANAPOLIS, IN·NPI: 1225327984Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $105.9M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$105.9M

$105,947,780

Total Claims

3.3M

Beneficiaries

2.5M

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$7.7M
+118%
2019
$16.8M
-25%
2020
$12.6M
+36%
2021
$17.2M
+4%
2022
$17.9M
+8%
2023
$19.3M
-26%
2024
$14.4M

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 37% of total spending.

99214Normal range

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

$39.5M

699K claims · 37.3%

Your Cost: $56.49/claim|Median: $53.41
1.1× median
99213Normal range

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

$23.6M

509K claims · 22.3%

Your Cost: $46.42/claim|Median: $37.81
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.6M

43K claims · 3.4%

Your Cost: $83.88/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.1M

35K claims · 2.9%

Your Cost: $88.31/claim|Median: $75.18
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$2.6M

38K claims · 2.5%

Your Cost: $69.40/claim|Median: $74.09
0.9× median
99204Normal range

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

$2.3M

32K claims · 2.1%

Your Cost: $71.91/claim|Median: $84.03
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.3M

90K claims · 2.1%

Your Cost: $25.28/claim|Median: $23.99
1.1× median
59425Normal range

Antepartum care only, 4-6 visits

$2.2M

35K claims · 2.1%

Your Cost: $62.48/claim|Median: $63.63
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.0M

58K claims · 1.9%

Your Cost: $35.05/claim|Median: $35.30
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$2.0M

56K claims · 1.9%

Your Cost: $35.52/claim|Median: $63.65
0.6× median
90471Normal range

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

$1.6M

136K claims · 1.5%

Your Cost: $11.83/claim|Median: $9.80
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.5M

17K claims · 1.4%

Your Cost: $87.43/claim|Median: $74.82
1.2× median
99203Normal range

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

$1.4M

29K claims · 1.3%

Your Cost: $47.09/claim|Median: $57.85
0.8× median
59426Normal range

Antepartum care only, high risk, additional visits

$1.2M

19K claims · 1.1%

Your Cost: $64.92/claim|Median: $122.30
0.5× median
90472Normal range

Immunization administration, each additional vaccine

$1.2M

73K claims · 1.1%

Your Cost: $16.48/claim|Median: $11.79
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

42K claims · 1.1%

Your Cost: $27.22/claim|Median: $54.68
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$925K

14K claims · 0.9%

Your Cost: $67.84/claim|Median: $67.32
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$915K

11K claims · 0.9%

Your Cost: $85.52/claim|Median: $101.24
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$748K

13K claims · 0.7%

Your Cost: $58.72/claim|Median: $85.66
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$699K

195K claims · 0.7%

Your Cost: $3.58/claim|Median: $5.60
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$644K

10K claims · 0.6%

Your Cost: $63.88/claim|Median: $58.55
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$638K

24K claims · 0.6%

Your Cost: $26.16/claim|Median: $25.06
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$580K

6,628 claims · 0.5%

Your Cost: $87.44/claim|Median: $80.15
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$544K

5,787 claims · 0.5%

Your Cost: $93.92/claim|Median: $106.79
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$461K

12K claims · 0.4%

Your Cost: $39.54/claim|Median: $43.85
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$408K

5,036 claims · 0.4%

Your Cost: $81.08/claim|Median: $108.91
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$357K

7,647 claims · 0.3%

Your Cost: $46.66/claim|Median: $39.70
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$348K

5,751 claims · 0.3%

Your Cost: $60.56/claim|Median: $111.09
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$324K

5,071 claims · 0.3%

Your Cost: $63.95/claim|Median: $99.21
0.6× median
97110Normal range

Therapeutic exercises, each 15 min

$293K

12K claims · 0.3%

Your Cost: $24.16/claim|Median: $24.49
1.0× median
76820Normal range

$285K

8,608 claims · 0.3%

Your Cost: $33.09/claim|Median: $31.79
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$274K

4,966 claims · 0.3%

Your Cost: $55.11/claim|Median: $85.65
0.6× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$258K

358 claims · 0.2%

Your Cost: $720.05/claim|Median: $470.36
1.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$224K

4,242 claims · 0.2%

Your Cost: $52.78/claim|Median: $77.33
0.7× median
99284Normal range

Emergency dept visit, high complexity

$221K

5,030 claims · 0.2%

Your Cost: $43.94/claim|Median: $69.51
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$214K

5,319 claims · 0.2%

Your Cost: $40.29/claim|Median: $37.22
1.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$213K

4,112 claims · 0.2%

Your Cost: $51.70/claim|Median: $47.65
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$207K

7,807 claims · 0.2%

Your Cost: $26.57/claim|Median: $29.03
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$206K

8,432 claims · 0.2%

Your Cost: $24.45/claim|Median: $42.48
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$196K

3,414 claims · 0.2%

Your Cost: $57.52/claim|Median: $151.68
0.4× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$193K

4,693 claims · 0.2%

Your Cost: $41.13/claim|Median: $38.83
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$192K

13K claims · 0.2%

Your Cost: $15.22/claim|Median: $16.77
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$180K

4,897 claims · 0.2%

Your Cost: $36.80/claim|Median: $51.25
0.7× median
87804Normal range

Influenza virus detection, rapid test

$179K

13K claims · 0.2%

Your Cost: $13.98/claim|Median: $12.59
1.1× median
J0588Normal range

$151K

335 claims · 0.1%

Your Cost: $450.38/claim|Median: $234.99
1.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$144K

12K claims · 0.1%

Your Cost: $11.57/claim|Median: $11.48
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$144K

5,200 claims · 0.1%

Your Cost: $27.63/claim|Median: $28.46
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$137K

4,050 claims · 0.1%

Your Cost: $33.91/claim|Median: $41.28
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$133K

4,386 claims · 0.1%

Your Cost: $30.26/claim|Median: $40.11
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$132K

10K claims · 0.1%

Your Cost: $12.89/claim|Median: $14.00
0.9× median