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ADENA MEDICAL GROUP LLC

Family Medicine·CHILLICOTHE, OH·NPI: 1235468083Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.2M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$40.2M

$40,188,351

Total Claims

1.5M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+13%
2019
$4.9M
+4%
2020
$5.0M
+23%
2021
$6.2M
+3%
2022
$6.4M
+9%
2023
$7.0M
-7%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 37% of total spending.

99213Normal range

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

$14.7M

483K claims · 36.7%

Your Cost: $30.46/claim|Median: $37.81
0.8× median
99214Normal range

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

$13.6M

357K claims · 33.8%

Your Cost: $38.12/claim|Median: $53.41
0.7× median
99204Normal range

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

$1.3M

26K claims · 3.2%

Your Cost: $49.36/claim|Median: $84.03
0.6× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$976K

25K claims · 2.4%

Your Cost: $38.41/claim|Median: $30.53
1.3× median
99203Normal range

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

$755K

23K claims · 1.9%

Your Cost: $32.68/claim|Median: $57.85
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$700K

16K claims · 1.7%

Your Cost: $45.09/claim|Median: $39.70
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$689K

20K claims · 1.7%

Your Cost: $34.57/claim|Median: $69.35
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$608K

15K claims · 1.5%

Your Cost: $39.62/claim|Median: $75.18
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$428K

72K claims · 1.1%

Your Cost: $5.97/claim|Median: $5.60
1.1× median
87804Normal range

Influenza virus detection, rapid test

$384K

34K claims · 1.0%

Your Cost: $11.39/claim|Median: $12.59
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$360K

12K claims · 0.9%

Your Cost: $31.26/claim|Median: $54.68
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$338K

29K claims · 0.8%

Your Cost: $11.47/claim|Median: $11.48
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$285K

33K claims · 0.7%

Your Cost: $8.64/claim|Median: $17.85
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$264K

6,619 claims · 0.7%

Your Cost: $39.89/claim|Median: $63.65
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$239K

3,066 claims · 0.6%

Your Cost: $77.94/claim|Median: $151.68
0.5× median
95004Normal range

Percutaneous allergy skin tests, each

$236K

1,982 claims · 0.6%

Your Cost: $119.09/claim|Median: $134.97
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$202K

5,089 claims · 0.5%

Your Cost: $39.75/claim|Median: $74.82
0.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$192K

8,361 claims · 0.5%

Your Cost: $22.96/claim|Median: $29.03
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$175K

6,995 claims · 0.4%

Your Cost: $25.01/claim|Median: $35.30
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$165K

8,317 claims · 0.4%

Your Cost: $19.82/claim|Median: $23.99
0.8× median
29848Normal range

$154K

767 claims · 0.4%

Your Cost: $200.38/claim|Median: $371.94
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$149K

2,100 claims · 0.4%

Your Cost: $70.83/claim|Median: $108.91
0.7× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$139K

3,498 claims · 0.3%

Your Cost: $39.87/claim|Median: $42.51
0.9× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$124K

657 claims · 0.3%

Your Cost: $188.61/claim|Median: $255.17
0.7× median
95886Normal range

$123K

6,684 claims · 0.3%

Your Cost: $18.46/claim|Median: $67.70
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$112K

8,104 claims · 0.3%

Your Cost: $13.78/claim|Median: $25.06
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$104K

2,326 claims · 0.3%

Your Cost: $44.81/claim|Median: $80.15
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$102K

2,693 claims · 0.3%

Your Cost: $37.99/claim|Median: $74.09
0.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$97K

1,834 claims · 0.2%

Your Cost: $52.95/claim|Median: $121.58
0.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$92K

2,956 claims · 0.2%

Your Cost: $31.24/claim|Median: $35.80
0.9× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$85K

330 claims · 0.2%

Your Cost: $256.64/claim|Median: $283.78
0.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$84K

2,457 claims · 0.2%

Your Cost: $34.20/claim|Median: $106.14
0.3× median
99291Normal range

Critical care, first 30-74 minutes

$81K

1,695 claims · 0.2%

Your Cost: $47.58/claim|Median: $101.24
0.5× median
90960Normal range

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

$80K

1,507 claims · 0.2%

Your Cost: $52.95/claim|Median: $52.76
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$78K

5,771 claims · 0.2%

Your Cost: $13.54/claim|Median: $12.93
1.0× median
76830Normal range

Ultrasound, transvaginal

$77K

1,682 claims · 0.2%

Your Cost: $45.81/claim|Median: $57.47
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$72K

1,126 claims · 0.2%

Your Cost: $63.93/claim|Median: $85.66
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$70K

1,220 claims · 0.2%

Your Cost: $57.49/claim|Median: $67.32
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$65K

863 claims · 0.2%

Your Cost: $75.78/claim|Median: $62.48
1.2× median
11721Normal range

$65K

8,273 claims · 0.2%

Your Cost: $7.83/claim|Median: $8.56
0.9× median
17110Normal range

Destruction of benign lesions, up to fourteen

$65K

1,916 claims · 0.2%

Your Cost: $33.81/claim|Median: $59.25
0.6× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$61K

991 claims · 0.2%

Your Cost: $61.41/claim|Median: $144.04
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$59K

1,053 claims · 0.1%

Your Cost: $55.60/claim|Median: $72.71
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$55K

1,232 claims · 0.1%

Your Cost: $44.36/claim|Median: $58.55
0.8× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$53K

3,865 claims · 0.1%

Your Cost: $13.75/claim|Median: $25.43
0.5× median
99188Normal range

$53K

3,098 claims · 0.1%

Your Cost: $17.14/claim|Median: $12.80
1.3× median
45380Normal range

Colonoscopy with biopsy

$53K

390 claims · 0.1%

Your Cost: $134.70/claim|Median: $200.68
0.7× median
95180Normal range

$52K

439 claims · 0.1%

Your Cost: $119.31/claim|Median: $156.79
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$49K

1,582 claims · 0.1%

Your Cost: $30.68/claim|Median: $37.22
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$45K

1,361 claims · 0.1%

Your Cost: $33.36/claim|Median: $82.43
0.4× median

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