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GN MEDICAL ASSOCIATES, INC.

Family Medicine·COSTA MESA, CA·NPI: 1275576522Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.6M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$19.6M

$19,595,817

Total Claims

197K

Beneficiaries

123K

1.6 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$892K
+123%
2019
$2.0M
+68%
2020
$3.3M
+16%
2021
$3.9M
-17%
2022
$3.2M
+5%
2023
$3.3M
-11%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 43 distinct procedure codes. The top code (M1017) accounts for 28% of total spending.

M1017Top 1%

$5.6M

34K claims · 28.3%

Your Cost: $161.22/claim|Median: $149.73
1.1× median
99344Top 5%

$3.9M

10K claims · 20.1%

Your Cost: $377.56/claim|Median: $50.43
7.5× median
99341Top 10%

$2.9M

9,072 claims · 14.8%

Your Cost: $319.79/claim|Median: $20.60
15.5× median
99310Top 10%

$1.7M

23K claims · 8.8%

Your Cost: $75.25/claim|Median: $21.82
3.4× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$1.6M

37K claims · 8.3%

Your Cost: $44.08/claim|Median: $14.00
3.1× median
99306Top 10%

$944K

10K claims · 4.8%

Your Cost: $92.86/claim|Median: $29.97
3.1× median
99497Top 10%

$774K

15K claims · 4.0%

Your Cost: $52.35/claim|Median: $10.99
4.8× median
99336Top 10%

$520K

8,253 claims · 2.7%

Your Cost: $63.07/claim|Median: $20.35
3.1× median
99337Top 10%

$443K

3,964 claims · 2.3%

Your Cost: $111.68/claim|Median: $29.39
3.8× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$434K

15K claims · 2.2%

Your Cost: $28.88/claim|Median: $9.79
2.9× median
99335Top 10%

$318K

6,059 claims · 1.6%

Your Cost: $52.56/claim|Median: $14.90
3.5× median
G9002Top 10%

Coordinated care fee, maintenance period

$65K

250 claims · 0.3%

Your Cost: $261.58/claim|Median: $108.80
2.4× median
G9001Top 25%

$63K

180 claims · 0.3%

Your Cost: $349.96/claim|Median: $53.98
6.5× median
99316Top 25%

$62K

1,131 claims · 0.3%

Your Cost: $54.83/claim|Median: $25.78
2.1× median
99315Top 5%

$56K

1,048 claims · 0.3%

Your Cost: $53.81/claim|Median: $14.17
3.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$46K

1,167 claims · 0.2%

Your Cost: $39.48/claim|Median: $137.85
0.3× median
99498Top 25%

$35K

800 claims · 0.2%

Your Cost: $43.44/claim|Median: $15.46
2.8× median
99349Top 25%

$33K

539 claims · 0.2%

Your Cost: $60.89/claim|Median: $24.29
2.5× median
99348Top 25%

$22K

651 claims · 0.1%

Your Cost: $33.15/claim|Median: $17.17
1.9× median
99490Top 25%

Chronic care management services, 20 minutes per month

$18K

1,110 claims · 0.1%

Your Cost: $16.09/claim|Median: $6.31
2.6× median
99350Top 25%

$17K

209 claims · 0.1%

Your Cost: $80.19/claim|Median: $35.62
2.3× median
99305Top 5%

$4K

47 claims · 0.0%

Your Cost: $80.13/claim|Median: $19.28
4.2× median
99345Normal range

$4K

72 claims · 0.0%

Your Cost: $51.20/claim|Median: $56.78
0.9× median
99307Top 10%

$2K

82 claims · 0.0%

Your Cost: $23.91/claim|Median: $6.57
3.6× median
G0509Normal range

$976

18 claims · 0.0%

Your Cost: $54.23/claim|Median: $88.67
0.6× median
99334Top 5%

$898

19 claims · 0.0%

Your Cost: $47.27/claim|Median: $9.92
4.8× median
G0407Normal range

$684

104 claims · 0.0%

Your Cost: $6.58/claim|Median: $8.73
0.8× median
99441Normal range

Telephone E/M by physician, 5-10 min

$533

75 claims · 0.0%

Your Cost: $7.11/claim|Median: $13.30
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$373

23 claims · 0.0%

Your Cost: $16.20/claim|Median: $22.44
0.7× median
G0438Normal range

Annual wellness visit, first visit

$262

27 claims · 0.0%

Your Cost: $9.70/claim|Median: $19.28
0.5× median
Q3014Normal range

Telehealth originating site facility fee

$72

32 claims · 0.0%

Your Cost: $2.25/claim|Median: $15.37
0.1× median
1170FNormal range

$0

2,955 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
G8730Normal range

$0

244 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
3288FNormal range

$0

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
1125FNormal range

$0

2,986 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
1158FNormal range

$0

1,091 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
99215Normal range

Office/outpatient visit, high complexity

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
99214Normal range

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

$0

744 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
1160FNormal range

$0

2,912 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G0299Normal range

Skilled nursing services, home health, per visit, RN

$0

419 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.67
G0155Normal range

Services of clinical social worker in home health, per 15 min

$0

712 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.04
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

3,540 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50
1111FNormal range

$0

2,047 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08

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