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HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC

Family Medicine·RED BANK, NJ·NPI: 1336203538Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.8M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$21.8M

$21,839,693

Total Claims

515K

Beneficiaries

451K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+57%
2019
$2.0M
-13%
2020
$1.8M
+40%
2021
$2.5M
+8%
2022
$2.7M
+98%
2023
$5.3M
+16%
2024
$6.2M

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 42% of total spending.

99214Top 25%

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

$9.1M

110K claims · 41.9%

Your Cost: $82.89/claim|Median: $53.41
1.6× median
99213Top 25%

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

$7.0M

115K claims · 32.0%

Your Cost: $60.57/claim|Median: $37.81
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$722K

37K claims · 3.3%

Your Cost: $19.37/claim|Median: $17.85
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$649K

23K claims · 3.0%

Your Cost: $27.66/claim|Median: $23.99
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$482K

4,519 claims · 2.2%

Your Cost: $106.58/claim|Median: $67.32
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$412K

6,900 claims · 1.9%

Your Cost: $59.73/claim|Median: $75.18
0.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$332K

5,112 claims · 1.5%

Your Cost: $65.03/claim|Median: $35.30
1.8× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$286K

5,438 claims · 1.3%

Your Cost: $52.63/claim|Median: $22.44
2.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$241K

4,703 claims · 1.1%

Your Cost: $51.28/claim|Median: $69.35
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$221K

3,171 claims · 1.0%

Your Cost: $69.60/claim|Median: $51.25
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$209K

3,364 claims · 1.0%

Your Cost: $62.21/claim|Median: $74.82
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$191K

4,463 claims · 0.9%

Your Cost: $42.76/claim|Median: $37.22
1.1× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$187K

2,718 claims · 0.9%

Your Cost: $68.97/claim|Median: $43.85
1.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$160K

9,140 claims · 0.7%

Your Cost: $17.52/claim|Median: $6.93
2.5× median
99204Normal range

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

$144K

1,475 claims · 0.7%

Your Cost: $97.46/claim|Median: $84.03
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$123K

2,278 claims · 0.6%

Your Cost: $53.88/claim|Median: $62.48
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$103K

10K claims · 0.5%

Your Cost: $9.93/claim|Median: $9.10
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$101K

1,101 claims · 0.5%

Your Cost: $92.15/claim|Median: $76.06
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$90K

1,369 claims · 0.4%

Your Cost: $65.59/claim|Median: $80.15
0.8× median
99203Top 25%

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

$86K

932 claims · 0.4%

Your Cost: $91.84/claim|Median: $57.85
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$84K

1,206 claims · 0.4%

Your Cost: $69.74/claim|Median: $54.68
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$68K

5,964 claims · 0.3%

Your Cost: $11.42/claim|Median: $11.48
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$67K

6,431 claims · 0.3%

Your Cost: $10.38/claim|Median: $9.70
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$57K

3,587 claims · 0.3%

Your Cost: $15.84/claim|Median: $9.79
1.6× median
90471Normal range

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

$56K

4,228 claims · 0.3%

Your Cost: $13.18/claim|Median: $9.80
1.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$50K

993 claims · 0.2%

Your Cost: $50.14/claim|Median: $32.55
1.5× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$48K

1,335 claims · 0.2%

Your Cost: $35.65/claim|Median: $14.00
2.5× median
92551Top 25%

Screening audiometry, pure tone, air only

$41K

3,540 claims · 0.2%

Your Cost: $11.68/claim|Median: $6.61
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$38K

1,014 claims · 0.2%

Your Cost: $37.88/claim|Median: $25.06
1.5× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$36K

1,183 claims · 0.2%

Your Cost: $30.41/claim|Median: $13.30
2.3× median
87811Normal range

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

$26K

820 claims · 0.1%

Your Cost: $31.66/claim|Median: $30.53
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$25K

8,457 claims · 0.1%

Your Cost: $2.93/claim|Median: $1.57
1.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$21K

5,525 claims · 0.1%

Your Cost: $3.81/claim|Median: $3.67
1.0× median
99218Normal range

$21K

419 claims · 0.1%

Your Cost: $50.05/claim|Median: $51.50
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$21K

219 claims · 0.1%

Your Cost: $94.46/claim|Median: $74.09
1.3× median
87804Normal range

Influenza virus detection, rapid test

$20K

3,207 claims · 0.1%

Your Cost: $6.30/claim|Median: $12.59
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$20K

6,691 claims · 0.1%

Your Cost: $2.94/claim|Median: $7.18
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$19K

923 claims · 0.1%

Your Cost: $21.08/claim|Median: $16.77
1.3× median
90682Normal range

$18K

394 claims · 0.1%

Your Cost: $46.29/claim|Median: $34.72
1.3× median
99217Normal range

$17K

484 claims · 0.1%

Your Cost: $36.10/claim|Median: $31.89
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$16K

365 claims · 0.1%

Your Cost: $44.37/claim|Median: $72.71
0.6× median
80305Normal range

$14K

1,591 claims · 0.1%

Your Cost: $9.00/claim|Median: $7.44
1.2× median
99462Normal range

$14K

511 claims · 0.1%

Your Cost: $26.79/claim|Median: $27.49
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$12K

157 claims · 0.1%

Your Cost: $79.35/claim|Median: $40.11
2.0× median
93922Normal range

$12K

362 claims · 0.1%

Your Cost: $33.50/claim|Median: $26.06
1.3× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$12K

189 claims · 0.1%

Your Cost: $62.00/claim|Median: $106.14
0.6× median
92552Normal range

Pure tone audiometry, air only, each ear

$9K

533 claims · 0.0%

Your Cost: $16.96/claim|Median: $12.63
1.3× median
92587Normal range

$9K

426 claims · 0.0%

Your Cost: $20.43/claim|Median: $19.24
1.1× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$9K

78 claims · 0.0%

Your Cost: $110.37/claim|Median: $59.25
1.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$7K

102 claims · 0.0%

Your Cost: $71.32/claim|Median: $91.47
0.8× median

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