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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

General Practice·WEST DES MOINES, IA·NPI: 1366425274Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $102.7M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$102.7M

$102,711,486

Total Claims

3.1M

Beneficiaries

2.8M

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$11.7M
+21%
2019
$14.2M
-16%
2020
$11.9M
+36%
2021
$16.2M
+6%
2022
$17.2M
+2%
2023
$17.5M
-20%
2024
$14.1M

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 39% of total spending.

99213Normal range

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

$39.8M

1.2M claims · 38.7%

Your Cost: $34.25/claim|Median: $37.81
0.9× median
99214Normal range

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

$21.5M

483K claims · 21.0%

Your Cost: $44.52/claim|Median: $53.41
0.8× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$5.3M

120K claims · 5.2%

Your Cost: $44.60/claim|Median: $17.85
2.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.4M

46K claims · 3.3%

Your Cost: $73.90/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.1M

46K claims · 3.0%

Your Cost: $66.98/claim|Median: $69.35
1.0× median
87428Top 1%

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

$1.9M

15K claims · 1.8%

Your Cost: $122.77/claim|Median: $39.63
3.1× median
99203Normal range

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

$1.8M

29K claims · 1.7%

Your Cost: $61.78/claim|Median: $57.85
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.7M

60K claims · 1.7%

Your Cost: $28.98/claim|Median: $23.99
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.7M

22K claims · 1.6%

Your Cost: $73.98/claim|Median: $74.82
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1.6M

116K claims · 1.5%

Your Cost: $13.70/claim|Median: $11.48
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1.1M

90K claims · 1.1%

Your Cost: $12.64/claim|Median: $7.18
1.8× median
96110Top 5%

Developmental screening, per standardized instrument

$876K

15K claims · 0.9%

Your Cost: $60.02/claim|Median: $9.10
6.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$784K

45K claims · 0.8%

Your Cost: $17.40/claim|Median: $6.93
2.5× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$759K

4,491 claims · 0.7%

Your Cost: $168.93/claim|Median: $106.79
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$719K

13K claims · 0.7%

Your Cost: $57.38/claim|Median: $63.65
0.9× median
92507Normal range

Speech/hearing/language treatment

$617K

9,894 claims · 0.6%

Your Cost: $62.37/claim|Median: $49.45
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$616K

6,942 claims · 0.6%

Your Cost: $88.77/claim|Median: $101.24
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$603K

7,348 claims · 0.6%

Your Cost: $82.01/claim|Median: $80.15
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$552K

32K claims · 0.5%

Your Cost: $17.00/claim|Median: $14.00
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$551K

20K claims · 0.5%

Your Cost: $27.04/claim|Median: $33.11
0.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$538K

1,553 claims · 0.5%

Your Cost: $346.35/claim|Median: $470.36
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$514K

5,694 claims · 0.5%

Your Cost: $90.25/claim|Median: $67.32
1.3× median
99204Normal range

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

$503K

7,332 claims · 0.5%

Your Cost: $68.66/claim|Median: $84.03
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$484K

12K claims · 0.5%

Your Cost: $39.38/claim|Median: $35.30
1.1× median
90471Normal range

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

$452K

62K claims · 0.4%

Your Cost: $7.28/claim|Median: $9.80
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$434K

6,161 claims · 0.4%

Your Cost: $70.37/claim|Median: $74.09
0.9× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$428K

5,865 claims · 0.4%

Your Cost: $73.06/claim|Median: $3.67
19.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$412K

4,604 claims · 0.4%

Your Cost: $89.57/claim|Median: $54.68
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$392K

5,007 claims · 0.4%

Your Cost: $78.36/claim|Median: $72.71
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$385K

7,068 claims · 0.4%

Your Cost: $54.47/claim|Median: $37.22
1.5× median
87804Top 10%

Influenza virus detection, rapid test

$382K

14K claims · 0.4%

Your Cost: $27.23/claim|Median: $12.59
2.2× median
90677Top 25%

$367K

3,835 claims · 0.4%

Your Cost: $95.79/claim|Median: $12.96
7.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$363K

6,698 claims · 0.4%

Your Cost: $54.22/claim|Median: $58.55
0.9× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$359K

9,381 claims · 0.3%

Your Cost: $38.23/claim|Median: $17.67
2.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$340K

5,351 claims · 0.3%

Your Cost: $63.55/claim|Median: $62.48
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$333K

16K claims · 0.3%

Your Cost: $20.82/claim|Median: $16.77
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$307K

124K claims · 0.3%

Your Cost: $2.48/claim|Median: $1.57
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$257K

6,996 claims · 0.3%

Your Cost: $36.74/claim|Median: $36.70
1.0× median
90833Normal range

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

$239K

6,198 claims · 0.2%

Your Cost: $38.61/claim|Median: $38.83
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$237K

7,330 claims · 0.2%

Your Cost: $32.40/claim|Median: $33.72
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$209K

10K claims · 0.2%

Your Cost: $20.31/claim|Median: $24.49
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$208K

2,228 claims · 0.2%

Your Cost: $93.42/claim|Median: $108.91
0.9× median
95251Top 5%

$208K

4,179 claims · 0.2%

Your Cost: $49.69/claim|Median: $18.02
2.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$203K

2,225 claims · 0.2%

Your Cost: $91.19/claim|Median: $76.06
1.2× median
76819Top 25%

Fetal biophysical profile with non-stress test

$194K

2,647 claims · 0.2%

Your Cost: $73.23/claim|Median: $49.45
1.5× median
59025Normal range

Fetal non-stress test

$186K

6,749 claims · 0.2%

Your Cost: $27.60/claim|Median: $26.45
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$184K

3,044 claims · 0.2%

Your Cost: $60.50/claim|Median: $51.25
1.2× median
87426Top 25%

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

$181K

4,373 claims · 0.2%

Your Cost: $41.50/claim|Median: $30.04
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$177K

20K claims · 0.2%

Your Cost: $8.90/claim|Median: $4.71
1.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$159K

3,320 claims · 0.2%

Your Cost: $47.97/claim|Median: $43.85
1.1× median

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