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ALLINA HEALTH SYSTEM

Family Medicine·COON RAPIDS, MN·NPI: 1295031649Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.1M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$22.1M

$22,133,635

Total Claims

723K

Beneficiaries

679K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+287%
2019
$4.0M
-15%
2020
$3.4M
+37%
2021
$4.7M
-22%
2022
$3.6M
-16%
2023
$3.1M
-24%
2024
$2.3M

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 33% of total spending.

99214Normal range

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

$7.2M

105K claims · 32.7%

Your Cost: $68.66/claim|Median: $53.41
1.3× median
99213Normal range

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

$4.2M

85K claims · 19.1%

Your Cost: $49.70/claim|Median: $37.81
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$762K

27K claims · 3.4%

Your Cost: $28.30/claim|Median: $17.85
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$746K

11K claims · 3.4%

Your Cost: $69.90/claim|Median: $75.18
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$678K

7,561 claims · 3.1%

Your Cost: $89.64/claim|Median: $74.09
1.2× median
X5622Normal range

$635K

12K claims · 2.9%

Your Cost: $54.77/claim|Median: $52.61
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$558K

9,601 claims · 2.5%

Your Cost: $58.16/claim|Median: $69.35
0.8× median
99204Normal range

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

$435K

4,444 claims · 2.0%

Your Cost: $97.78/claim|Median: $84.03
1.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$424K

5,508 claims · 1.9%

Your Cost: $76.95/claim|Median: $47.08
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$419K

6,270 claims · 1.9%

Your Cost: $66.84/claim|Median: $74.82
0.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$408K

5,021 claims · 1.8%

Your Cost: $81.23/claim|Median: $63.08
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$401K

6,164 claims · 1.8%

Your Cost: $64.98/claim|Median: $63.65
1.0× median
99203Normal range

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

$349K

5,810 claims · 1.6%

Your Cost: $60.03/claim|Median: $57.85
1.0× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$326K

3,661 claims · 1.5%

Your Cost: $88.97/claim|Median: $59.72
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$229K

3,105 claims · 1.0%

Your Cost: $73.84/claim|Median: $80.15
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$211K

62K claims · 1.0%

Your Cost: $3.40/claim|Median: $1.57
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$188K

1,794 claims · 0.9%

Your Cost: $104.99/claim|Median: $99.21
1.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$143K

1,932 claims · 0.6%

Your Cost: $74.04/claim|Median: $39.33
1.9× median
92015Normal range

Determination of refractive state

$139K

12K claims · 0.6%

Your Cost: $11.82/claim|Median: $10.36
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$133K

3,956 claims · 0.6%

Your Cost: $33.57/claim|Median: $25.06
1.3× median
S0302Normal range

$132K

38K claims · 0.6%

Your Cost: $3.52/claim|Median: $9.05
0.4× median
82306Normal range

Vitamin D, 25 hydroxy

$131K

5,163 claims · 0.6%

Your Cost: $25.46/claim|Median: $18.18
1.4× median
G0108Normal range

Diabetes self-management training, individual

$130K

2,605 claims · 0.6%

Your Cost: $49.85/claim|Median: $35.89
1.4× median
80061Normal range

Lipid panel

$124K

12K claims · 0.6%

Your Cost: $10.62/claim|Median: $8.41
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$114K

1,528 claims · 0.5%

Your Cost: $74.44/claim|Median: $72.71
1.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$111K

4,918 claims · 0.5%

Your Cost: $22.66/claim|Median: $19.46
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$110K

7,571 claims · 0.5%

Your Cost: $14.46/claim|Median: $9.87
1.5× median
99188Normal range

$109K

13K claims · 0.5%

Your Cost: $8.36/claim|Median: $12.80
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$108K

18K claims · 0.5%

Your Cost: $5.87/claim|Median: $6.61
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$102K

13K claims · 0.5%

Your Cost: $7.69/claim|Median: $5.50
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$102K

1,291 claims · 0.5%

Your Cost: $79.04/claim|Median: $76.06
1.0× median
90471Normal range

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

$99K

9,107 claims · 0.4%

Your Cost: $10.89/claim|Median: $9.80
1.1× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$98K

2,688 claims · 0.4%

Your Cost: $36.31/claim|Median: $28.46
1.3× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$92K

3,968 claims · 0.4%

Your Cost: $23.27/claim|Median: $15.76
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$82K

1,341 claims · 0.4%

Your Cost: $61.27/claim|Median: $35.30
1.7× median
G0328Top 25%

$82K

5,644 claims · 0.4%

Your Cost: $14.50/claim|Median: $6.66
2.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$73K

1,779 claims · 0.3%

Your Cost: $41.20/claim|Median: $23.99
1.7× median
87804Top 25%

Influenza virus detection, rapid test

$71K

3,121 claims · 0.3%

Your Cost: $22.89/claim|Median: $12.59
1.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$67K

2,529 claims · 0.3%

Your Cost: $26.31/claim|Median: $36.70
0.7× median
G0439Top 25%

Annual wellness visit, subsequent visit

$66K

1,227 claims · 0.3%

Your Cost: $53.92/claim|Median: $5.42
9.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$66K

11K claims · 0.3%

Your Cost: $6.07/claim|Median: $4.71
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$65K

2,320 claims · 0.3%

Your Cost: $28.18/claim|Median: $24.95
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$65K

2,596 claims · 0.3%

Your Cost: $25.08/claim|Median: $33.72
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$61K

2,185 claims · 0.3%

Your Cost: $28.04/claim|Median: $23.39
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$59K

16K claims · 0.3%

Your Cost: $3.76/claim|Median: $7.18
0.5× median
80048Normal range

Basic metabolic panel

$57K

8,666 claims · 0.3%

Your Cost: $6.56/claim|Median: $5.78
1.1× median
V2020Normal range

Frames, purchases

$53K

2,046 claims · 0.2%

Your Cost: $25.79/claim|Median: $19.33
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

5,360 claims · 0.2%

Your Cost: $9.28/claim|Median: $11.48
0.8× median
71046Normal range

Chest X-ray, 2 views

$50K

3,073 claims · 0.2%

Your Cost: $16.16/claim|Median: $8.92
1.8× median
96110Normal range

Developmental screening, per standardized instrument

$28K

4,341 claims · 0.1%

Your Cost: $6.51/claim|Median: $9.10
0.7× median