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ST LUKES CLINIC-TREASURE VALLEY LLC

Family Medicine·BOISE, ID·NPI: 1326336058Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.3M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$59.3M

$59,258,796

Total Claims

1.1M

Beneficiaries

1.0M

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$7.2M
+7%
2019
$7.7M
-12%
2020
$6.8M
+32%
2021
$9.0M
+21%
2022
$10.9M
-14%
2023
$9.4M
-12%
2024
$8.3M

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 19% of total spending.

99213Top 25%

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

$11.2M

206K claims · 18.9%

Your Cost: $54.17/claim|Median: $37.81
1.4× median
99214Normal range

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

$10.8M

147K claims · 18.3%

Your Cost: $73.48/claim|Median: $53.41
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$9.2M

82K claims · 15.6%

Your Cost: $113.01/claim|Median: $85.65
1.3× median
99284Normal range

Emergency dept visit, high complexity

$7.8M

95K claims · 13.2%

Your Cost: $82.83/claim|Median: $69.51
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$2.4M

49K claims · 4.0%

Your Cost: $48.55/claim|Median: $42.48
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$1.6M

14K claims · 2.8%

Your Cost: $112.67/claim|Median: $74.09
1.5× median
99204Top 25%

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

$1.5M

12K claims · 2.5%

Your Cost: $123.82/claim|Median: $84.03
1.5× median
99203Top 25%

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

$1.0M

13K claims · 1.7%

Your Cost: $80.55/claim|Median: $57.85
1.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.0M

1,969 claims · 1.7%

Your Cost: $517.21/claim|Median: $470.36
1.1× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$989K

11K claims · 1.7%

Your Cost: $91.47/claim|Median: $47.08
1.9× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$858K

8,962 claims · 1.4%

Your Cost: $95.79/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$764K

8,912 claims · 1.3%

Your Cost: $85.74/claim|Median: $69.35
1.2× median
90471Top 25%

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

$693K

40K claims · 1.2%

Your Cost: $17.13/claim|Median: $9.80
1.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$675K

126K claims · 1.1%

Your Cost: $5.34/claim|Median: $5.60
1.0× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$503K

2,319 claims · 0.8%

Your Cost: $217.12/claim|Median: $331.68
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$489K

9,070 claims · 0.8%

Your Cost: $53.92/claim|Median: $63.65
0.8× median
99282Normal range

Emergency dept visit, low complexity

$417K

13K claims · 0.7%

Your Cost: $31.13/claim|Median: $37.72
0.8× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$416K

3,580 claims · 0.7%

Your Cost: $116.09/claim|Median: $59.72
1.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$405K

8,895 claims · 0.7%

Your Cost: $45.51/claim|Median: $54.68
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$385K

4,239 claims · 0.6%

Your Cost: $90.78/claim|Median: $98.15
0.9× median
69436Normal range

Tympanostomy, general anesthesia

$349K

2,258 claims · 0.6%

Your Cost: $154.59/claim|Median: $205.50
0.8× median
90472Top 25%

Immunization administration, each additional vaccine

$326K

17K claims · 0.6%

Your Cost: $19.52/claim|Median: $11.79
1.7× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$326K

3,350 claims · 0.5%

Your Cost: $97.27/claim|Median: $103.70
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$289K

8,122 claims · 0.5%

Your Cost: $35.55/claim|Median: $25.06
1.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$274K

1,663 claims · 0.5%

Your Cost: $165.04/claim|Median: $111.09
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$264K

5,937 claims · 0.4%

Your Cost: $44.53/claim|Median: $23.99
1.9× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$246K

6,660 claims · 0.4%

Your Cost: $36.90/claim|Median: $36.13
1.0× median
92060Normal range

$228K

4,846 claims · 0.4%

Your Cost: $47.00/claim|Median: $35.83
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$220K

3,376 claims · 0.4%

Your Cost: $65.16/claim|Median: $35.30
1.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$193K

2,057 claims · 0.3%

Your Cost: $93.74/claim|Median: $74.82
1.3× median
64615Normal range

$162K

2,241 claims · 0.3%

Your Cost: $72.46/claim|Median: $82.82
0.9× median
92587Normal range

$127K

7,500 claims · 0.2%

Your Cost: $16.87/claim|Median: $19.24
0.9× median
92567Normal range

$126K

11K claims · 0.2%

Your Cost: $11.78/claim|Median: $11.50
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$114K

3,422 claims · 0.2%

Your Cost: $33.45/claim|Median: $58.55
0.6× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$110K

369 claims · 0.2%

Your Cost: $298.17/claim|Median: $293.45
1.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$110K

2,589 claims · 0.2%

Your Cost: $42.33/claim|Median: $39.63
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$109K

2,878 claims · 0.2%

Your Cost: $37.86/claim|Median: $36.70
1.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$105K

888 claims · 0.2%

Your Cost: $118.74/claim|Median: $67.32
1.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$105K

2,970 claims · 0.2%

Your Cost: $35.34/claim|Median: $33.72
1.0× median
96118Normal range

$104K

452 claims · 0.2%

Your Cost: $230.89/claim|Median: $196.66
1.2× median
99417Normal range

$102K

4,408 claims · 0.2%

Your Cost: $23.13/claim|Median: $34.90
0.7× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$94K

2,724 claims · 0.2%

Your Cost: $34.67/claim|Median: $38.83
0.9× median
93304Normal range

$91K

3,283 claims · 0.2%

Your Cost: $27.64/claim|Median: $54.29
0.5× median
99291Top 25%

Critical care, first 30-74 minutes

$88K

629 claims · 0.1%

Your Cost: $139.69/claim|Median: $101.24
1.4× median
90961Normal range

$83K

1,832 claims · 0.1%

Your Cost: $45.08/claim|Median: $47.22
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$81K

1,133 claims · 0.1%

Your Cost: $71.55/claim|Median: $43.85
1.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$69K

5,620 claims · 0.1%

Your Cost: $12.25/claim|Median: $9.70
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$68K

919 claims · 0.1%

Your Cost: $73.87/claim|Median: $106.79
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$66K

5,213 claims · 0.1%

Your Cost: $12.67/claim|Median: $11.48
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$64K

1,166 claims · 0.1%

Your Cost: $54.53/claim|Median: $40.11
1.4× median

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