Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

INCARE HEALTH SOLUTIONS LLC

Internal Medicine·MARION, OH·NPI: 1235422403Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.2M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$40.2M

$40,186,260

Total Claims

873K

Beneficiaries

795K

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+13%
2019
$3.9M
+0%
2020
$3.9M
+72%
2021
$6.7M
-28%
2022
$4.8M
-26%
2023
$3.6M
+284%
2024
$13.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 34% of total spending.

99214Normal range

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

$13.5M

219K claims · 33.7%

Your Cost: $61.93/claim|Median: $53.41
1.2× median
K1034Top 25%

$10.8M

146K claims · 26.9%

Your Cost: $73.99/claim|Median: $2.76
26.8× median
99203Normal range

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

$6.4M

116K claims · 15.9%

Your Cost: $55.27/claim|Median: $57.85
1.0× median
99213Normal range

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

$3.3M

74K claims · 8.2%

Your Cost: $44.24/claim|Median: $37.81
1.2× median
87426Normal range

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

$2.1M

84K claims · 5.3%

Your Cost: $25.22/claim|Median: $30.04
0.8× median
99204Normal range

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

$1.9M

26K claims · 4.7%

Your Cost: $70.89/claim|Median: $84.03
0.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$793K

25K claims · 2.0%

Your Cost: $32.27/claim|Median: $34.62
0.9× median
87804Normal range

Influenza virus detection, rapid test

$381K

41K claims · 0.9%

Your Cost: $9.20/claim|Median: $12.59
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$287K

38K claims · 0.7%

Your Cost: $7.63/claim|Median: $11.48
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$178K

3,786 claims · 0.4%

Your Cost: $47.00/claim|Median: $40.11
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$136K

1,888 claims · 0.3%

Your Cost: $72.03/claim|Median: $74.09
1.0× median
87428Normal range

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

$132K

11K claims · 0.3%

Your Cost: $12.47/claim|Median: $39.63
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$80K

2,563 claims · 0.2%

Your Cost: $31.02/claim|Median: $25.06
1.2× median
81025Normal range

Urine pregnancy test

$40K

11K claims · 0.1%

Your Cost: $3.62/claim|Median: $4.81
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$39K

6,042 claims · 0.1%

Your Cost: $6.47/claim|Median: $9.56
0.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$34K

24K claims · 0.1%

Your Cost: $1.40/claim|Median: $2.00
0.7× median
86328Normal range

$16K

894 claims · 0.0%

Your Cost: $17.44/claim|Median: $20.52
0.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$9K

1,934 claims · 0.0%

Your Cost: $4.75/claim|Median: $10.88
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$5K

55 claims · 0.0%

Your Cost: $86.74/claim|Median: $111.09
0.8× median
A4250Normal range

$4K

23K claims · 0.0%

Your Cost: $0.18/claim|Median: $4.46
0.0× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$3K

45 claims · 0.0%

Your Cost: $68.51/claim|Median: $60.05
1.1× median
J2930Normal range

$3K

1,860 claims · 0.0%

Your Cost: $1.57/claim|Median: $3.03
0.5× median
94664Normal range

$2K

646 claims · 0.0%

Your Cost: $3.35/claim|Median: $8.88
0.4× median
69210Normal range

$2K

137 claims · 0.0%

Your Cost: $11.47/claim|Median: $21.74
0.5× median
71046Normal range

Chest X-ray, 2 views

$1K

133 claims · 0.0%

Your Cost: $9.77/claim|Median: $8.92
1.1× median
81001Normal range

Urinalysis, automated, with microscopy

$960

1,396 claims · 0.0%

Your Cost: $0.69/claim|Median: $2.03
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$771

71 claims · 0.0%

Your Cost: $10.85/claim|Median: $7.18
1.5× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$558

1,047 claims · 0.0%

Your Cost: $0.53/claim|Median: $0.91
0.6× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$538

14 claims · 0.0%

Your Cost: $38.46/claim|Median: $27.38
1.4× median
87070Normal range

Bacterial culture, any source except blood or urine

$511

102 claims · 0.0%

Your Cost: $5.01/claim|Median: $5.89
0.9× median
90471Normal range

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

$340

70 claims · 0.0%

Your Cost: $4.86/claim|Median: $9.80
0.5× median
J0696Normal range

$285

677 claims · 0.0%

Your Cost: $0.42/claim|Median: $1.34
0.3× median
94060Normal range

$211

29 claims · 0.0%

Your Cost: $7.28/claim|Median: $25.18
0.3× median
A6449Normal range

$180

420 claims · 0.0%

Your Cost: $0.43/claim|Median: $5.88
0.1× median
73610Normal range

X-ray of ankle, complete, minimum three views

$126

13 claims · 0.0%

Your Cost: $9.73/claim|Median: $13.55
0.7× median
86308Normal range

$64

14 claims · 0.0%

Your Cost: $4.57/claim|Median: $3.84
1.2× median
J7620Normal range

$39

1,645 claims · 0.0%

Your Cost: $0.02/claim|Median: $0.14
0.2× median
99000Normal range

$28

6,592 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$4

2,856 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.79
0.0× median
A4550Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.85
H0033Normal range

Oral medication administration, direct observation

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.37
3511F

$0

13 claims · 0.0%

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

Similar Providers

Other top providers in Internal Medicine

New York City Health and Hospitals Corporation

Bronx, NY

$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

New York City Health and Hospitals Corporation

New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

← All providersAll providers in Ohio →How we detect fraud →