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THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP

Neuromusculoskeletal Medicine, Sports Medicine·HERSHEY, PA·NPI: 1255482089Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.7M

$26,662,594

Total Claims

645K

Beneficiaries

579K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$155K
+120%
2019
$341K
+155%
2020
$872K
+668%
2021
$6.7M
+0%
2022
$6.7M
-4%
2023
$6.4M
-15%
2024
$5.5M

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 20% of total spending.

99213Top 25%

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

$5.2M

95K claims · 19.6%

Your Cost: $55.23/claim|Median: $37.81
1.5× median
99214Top 25%

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

$4.9M

61K claims · 18.6%

Your Cost: $81.06/claim|Median: $53.41
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$3.4M

35K claims · 12.8%

Your Cost: $98.36/claim|Median: $69.51
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$2.0M

17K claims · 7.4%

Your Cost: $118.24/claim|Median: $74.09
1.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$936K

6,925 claims · 3.5%

Your Cost: $135.12/claim|Median: $85.65
1.6× median
99203Normal range

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

$782K

11K claims · 2.9%

Your Cost: $71.29/claim|Median: $57.85
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$624K

15K claims · 2.3%

Your Cost: $40.83/claim|Median: $35.80
1.1× median
99204Top 25%

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

$608K

5,154 claims · 2.3%

Your Cost: $117.99/claim|Median: $84.03
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$513K

23K claims · 1.9%

Your Cost: $22.48/claim|Median: $23.99
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$485K

15K claims · 1.8%

Your Cost: $32.80/claim|Median: $25.06
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$443K

8,707 claims · 1.7%

Your Cost: $50.92/claim|Median: $58.55
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$411K

6,626 claims · 1.5%

Your Cost: $62.04/claim|Median: $42.48
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$338K

4,587 claims · 1.3%

Your Cost: $73.58/claim|Median: $65.76
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$313K

5,369 claims · 1.2%

Your Cost: $58.26/claim|Median: $47.08
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$292K

4,252 claims · 1.1%

Your Cost: $68.75/claim|Median: $75.18
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$263K

36K claims · 1.0%

Your Cost: $7.31/claim|Median: $5.60
1.3× median
71045Normal range

Chest X-ray, single view

$240K

33K claims · 0.9%

Your Cost: $7.29/claim|Median: $4.93
1.5× median
70553Normal range

MRI brain without contrast, then with contrast

$216K

2,503 claims · 0.8%

Your Cost: $86.31/claim|Median: $133.68
0.6× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$180K

2,655 claims · 0.7%

Your Cost: $67.64/claim|Median: $59.38
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$179K

2,916 claims · 0.7%

Your Cost: $61.30/claim|Median: $35.30
1.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$178K

2,328 claims · 0.7%

Your Cost: $76.38/claim|Median: $59.72
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$173K

2,703 claims · 0.6%

Your Cost: $64.00/claim|Median: $54.68
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$173K

2,737 claims · 0.6%

Your Cost: $63.06/claim|Median: $69.35
0.9× median
70450Normal range

CT head/brain without contrast

$170K

5,027 claims · 0.6%

Your Cost: $33.74/claim|Median: $45.53
0.7× median
93304Normal range

$167K

3,483 claims · 0.6%

Your Cost: $48.09/claim|Median: $54.29
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$154K

9,529 claims · 0.6%

Your Cost: $16.16/claim|Median: $16.77
1.0× median
92060Normal range

$152K

4,937 claims · 0.6%

Your Cost: $30.75/claim|Median: $35.83
0.9× median
76770Normal range

Ultrasound, retroperitoneal, complete

$142K

4,408 claims · 0.5%

Your Cost: $32.19/claim|Median: $37.35
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$130K

1,181 claims · 0.5%

Your Cost: $109.74/claim|Median: $106.79
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$130K

1,934 claims · 0.5%

Your Cost: $66.99/claim|Median: $74.82
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$121K

794 claims · 0.5%

Your Cost: $152.91/claim|Median: $111.09
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$117K

3,493 claims · 0.4%

Your Cost: $33.59/claim|Median: $36.79
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$107K

1,980 claims · 0.4%

Your Cost: $54.02/claim|Median: $67.32
0.8× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$102K

3,728 claims · 0.4%

Your Cost: $27.34/claim|Median: $27.28
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$100K

3,038 claims · 0.4%

Your Cost: $33.05/claim|Median: $37.22
0.9× median
95004Normal range

Percutaneous allergy skin tests, each

$94K

2,408 claims · 0.4%

Your Cost: $39.22/claim|Median: $134.97
0.3× median
92567Normal range

$92K

9,894 claims · 0.3%

Your Cost: $9.33/claim|Median: $11.50
0.8× median
69436Normal range

Tympanostomy, general anesthesia

$84K

531 claims · 0.3%

Your Cost: $158.18/claim|Median: $205.50
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$72K

1,825 claims · 0.3%

Your Cost: $39.65/claim|Median: $38.23
1.0× median
74018Normal range

$72K

9,486 claims · 0.3%

Your Cost: $7.58/claim|Median: $7.00
1.1× median
95782Normal range

$67K

562 claims · 0.3%

Your Cost: $119.72/claim|Median: $216.35
0.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$65K

598 claims · 0.2%

Your Cost: $108.39/claim|Median: $233.73
0.5× median
71046Normal range

Chest X-ray, 2 views

$61K

6,792 claims · 0.2%

Your Cost: $9.01/claim|Median: $8.92
1.0× median
59025Normal range

Fetal non-stress test

$61K

2,384 claims · 0.2%

Your Cost: $25.54/claim|Median: $26.45
1.0× median
93325Normal range

$56K

9,874 claims · 0.2%

Your Cost: $5.62/claim|Median: $14.61
0.4× median
01922Normal range

$55K

371 claims · 0.2%

Your Cost: $147.78/claim|Median: $166.77
0.9× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$54K

210 claims · 0.2%

Your Cost: $259.05/claim|Median: $331.68
0.8× median
93321Normal range

$53K

6,045 claims · 0.2%

Your Cost: $8.77/claim|Median: $9.69
0.9× median
71260Normal range

CT chest with contrast

$52K

969 claims · 0.2%

Your Cost: $53.95/claim|Median: $48.36
1.1× median
64615Normal range

$50K

562 claims · 0.2%

Your Cost: $88.56/claim|Median: $82.82
1.1× median

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