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COMMUNITY MEDICAL ASSOCIATES, INC.

Clinic/Center, Multi-Specialty·LOUISVILLE, KY·NPI: 1306983762Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.0M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$49.0M

$48,974,124

Total Claims

895K

Beneficiaries

840K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+21%
2019
$4.1M
-8%
2020
$3.8M
+111%
2021
$8.0M
+35%
2022
$10.8M
-3%
2023
$10.4M
-20%
2024
$8.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 46 distinct procedure codes. The top code (87636 (Respiratory virus detection, 6-11 targets, nucleic acid)) accounts for 36% of total spending.

87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$17.6M

162K claims · 36.0%

Your Cost: $108.63/claim|Median: $97.61
1.1× median
99214Normal range

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

$15.4M

253K claims · 31.4%

Your Cost: $60.87/claim|Median: $53.41
1.1× median
99213Normal range

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

$9.7M

224K claims · 19.7%

Your Cost: $43.14/claim|Median: $37.81
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$3.2M

125K claims · 6.5%

Your Cost: $25.34/claim|Median: $28.46
0.9× median
99203Normal range

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

$1.7M

25K claims · 3.4%

Your Cost: $65.96/claim|Median: $57.85
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$430K

13K claims · 0.9%

Your Cost: $33.08/claim|Median: $65.64
0.5× median
99204Normal range

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

$319K

3,797 claims · 0.7%

Your Cost: $84.08/claim|Median: $84.03
1.0× median
87811Top 5%

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

$221K

5,311 claims · 0.5%

Your Cost: $41.57/claim|Median: $30.53
1.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$78K

836 claims · 0.2%

Your Cost: $93.59/claim|Median: $65.45
1.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$67K

966 claims · 0.1%

Your Cost: $69.54/claim|Median: $40.11
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$56K

8,231 claims · 0.1%

Your Cost: $6.84/claim|Median: $11.48
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$53K

1,419 claims · 0.1%

Your Cost: $37.62/claim|Median: $25.06
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$47K

641 claims · 0.1%

Your Cost: $73.15/claim|Median: $74.09
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46K

5,738 claims · 0.1%

Your Cost: $8.06/claim|Median: $9.56
0.8× median
87804Normal range

Influenza virus detection, rapid test

$34K

8,115 claims · 0.1%

Your Cost: $4.17/claim|Median: $12.59
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$34K

40K claims · 0.1%

Your Cost: $0.85/claim|Median: $1.48
0.6× median
36415Top 25%

Collection of venous blood by venipuncture

$22K

7,113 claims · 0.0%

Your Cost: $3.07/claim|Median: $1.57
2.0× median
71046Normal range

Chest X-ray, 2 views

$16K

1,362 claims · 0.0%

Your Cost: $11.41/claim|Median: $8.92
1.3× median
87807Normal range

$13K

1,171 claims · 0.0%

Your Cost: $10.90/claim|Median: $10.06
1.1× median
81025Normal range

Urine pregnancy test

$9K

2,494 claims · 0.0%

Your Cost: $3.61/claim|Median: $4.81
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

260 claims · 0.0%

Your Cost: $18.35/claim|Median: $12.93
1.4× median
J0561Normal range

$2K

14 claims · 0.0%

Your Cost: $143.67/claim|Median: $96.49
1.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$2K

938 claims · 0.0%

Your Cost: $1.62/claim|Median: $10.88
0.1× median
J0696Normal range

$1K

399 claims · 0.0%

Your Cost: $2.62/claim|Median: $1.34
2.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$382

410 claims · 0.0%

Your Cost: $0.93/claim|Median: $4.71
0.2× median
A6449Top 25%

$357

12 claims · 0.0%

Your Cost: $29.73/claim|Median: $5.88
5.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$266

423 claims · 0.0%

Your Cost: $0.63/claim|Median: $0.91
0.7× median
J2930Normal range

$261

148 claims · 0.0%

Your Cost: $1.76/claim|Median: $3.03
0.6× median
J2920Normal range

$175

87 claims · 0.0%

Your Cost: $2.01/claim|Median: $2.93
0.7× median
J1040Normal range

$170

115 claims · 0.0%

Your Cost: $1.47/claim|Median: $6.87
0.2× median
86308Normal range

$156

189 claims · 0.0%

Your Cost: $0.83/claim|Median: $3.84
0.2× median
82947Normal range

Blood glucose level test

$75

171 claims · 0.0%

Your Cost: $0.44/claim|Median: $2.38
0.2× median
J7510Normal range

Prednisolone oral, per five milligrams

$52

66 claims · 0.0%

Your Cost: $0.78/claim|Median: $0.45
1.7× median
J7620Normal range

$25

196 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.14
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$22

138 claims · 0.0%

Your Cost: $0.16/claim|Median: $9.70
0.0× median
73610Normal range

X-ray of ankle, complete, minimum three views

$17

239 claims · 0.0%

Your Cost: $0.07/claim|Median: $13.55
0.0× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$17

235 claims · 0.0%

Your Cost: $0.07/claim|Median: $12.06
0.0× median
J1100Normal range

$17

22 claims · 0.0%

Your Cost: $0.77/claim|Median: $0.52
1.5× median
81002Normal range

Urinalysis, non-automated without microscopy

$14

582 claims · 0.0%

Your Cost: $0.02/claim|Median: $2.00
0.0× median
36416Normal range

$12

67 claims · 0.0%

Your Cost: $0.18/claim|Median: $1.31
0.1× median
J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$2

283 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.08
0.1× median
73140Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.18
69209Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.70
73130Normal range

$0

75 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.69
73562Normal range

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.28
73110Normal range

X-ray of wrist, complete, minimum three views

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.64

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