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FRANCISCAN MEDICAL GROUP

Family Medicine·TACOMA, WA·NPI: 1366539421Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.0M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$93.0M

$92,984,395

Total Claims

2.0M

Beneficiaries

1.8M

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$11.2M
+6%
2019
$11.8M
-6%
2020
$11.1M
+28%
2021
$14.3M
+10%
2022
$15.7M
+0%
2023
$15.7M
-17%
2024
$13.1M

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 43% of total spending.

99214Normal range

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

$40.1M

711K claims · 43.1%

Your Cost: $56.40/claim|Median: $53.41
1.1× median
99213Normal range

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

$14.6M

302K claims · 15.7%

Your Cost: $48.35/claim|Median: $37.81
1.3× median
99204Normal range

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

$3.7M

47K claims · 4.0%

Your Cost: $79.40/claim|Median: $84.03
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.0M

62K claims · 3.2%

Your Cost: $48.20/claim|Median: $35.30
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$2.1M

30K claims · 2.3%

Your Cost: $69.76/claim|Median: $58.55
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.1M

65K claims · 2.3%

Your Cost: $32.22/claim|Median: $23.99
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.0M

20K claims · 2.2%

Your Cost: $99.28/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.0M

22K claims · 2.1%

Your Cost: $91.92/claim|Median: $69.35
1.3× median
99203Normal range

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

$1.9M

30K claims · 2.0%

Your Cost: $61.75/claim|Median: $57.85
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$1.8M

19K claims · 1.9%

Your Cost: $92.45/claim|Median: $67.32
1.4× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$1.4M

1,886 claims · 1.5%

Your Cost: $728.14/claim|Median: $470.36
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.4M

33K claims · 1.5%

Your Cost: $41.21/claim|Median: $54.68
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$1.3M

21K claims · 1.4%

Your Cost: $61.63/claim|Median: $74.09
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.2M

11K claims · 1.3%

Your Cost: $107.57/claim|Median: $106.79
1.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$934K

9,383 claims · 1.0%

Your Cost: $99.57/claim|Median: $74.82
1.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$792K

9,172 claims · 0.9%

Your Cost: $86.30/claim|Median: $74.78
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$781K

14K claims · 0.8%

Your Cost: $54.04/claim|Median: $49.45
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$629K

5,407 claims · 0.7%

Your Cost: $116.31/claim|Median: $121.58
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$611K

12K claims · 0.7%

Your Cost: $51.60/claim|Median: $151.68
0.3× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$542K

29K claims · 0.6%

Your Cost: $18.46/claim|Median: $7.18
2.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$437K

8,228 claims · 0.5%

Your Cost: $53.11/claim|Median: $43.85
1.2× median
90961Normal range

$360K

7,316 claims · 0.4%

Your Cost: $49.25/claim|Median: $47.22
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$356K

94K claims · 0.4%

Your Cost: $3.80/claim|Median: $5.60
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$354K

16K claims · 0.4%

Your Cost: $22.55/claim|Median: $36.13
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$327K

3,346 claims · 0.4%

Your Cost: $97.63/claim|Median: $101.24
1.0× median
95886Normal range

$315K

3,942 claims · 0.3%

Your Cost: $79.95/claim|Median: $67.70
1.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$310K

4,281 claims · 0.3%

Your Cost: $72.44/claim|Median: $58.16
1.2× median
45380Normal range

Colonoscopy with biopsy

$310K

3,880 claims · 0.3%

Your Cost: $79.85/claim|Median: $200.68
0.4× median
90471Normal range

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

$286K

20K claims · 0.3%

Your Cost: $14.25/claim|Median: $9.80
1.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$284K

2,175 claims · 0.3%

Your Cost: $130.45/claim|Median: $255.17
0.5× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$280K

9,666 claims · 0.3%

Your Cost: $29.01/claim|Median: $43.07
0.7× median
G0108Normal range

Diabetes self-management training, individual

$277K

5,524 claims · 0.3%

Your Cost: $50.06/claim|Median: $35.89
1.4× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$243K

11K claims · 0.3%

Your Cost: $22.15/claim|Median: $25.43
0.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$228K

2,105 claims · 0.2%

Your Cost: $108.47/claim|Median: $80.15
1.4× median
90670Top 25%

$176K

12K claims · 0.2%

Your Cost: $15.09/claim|Median: $5.94
2.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$162K

2,053 claims · 0.2%

Your Cost: $78.87/claim|Median: $108.91
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$162K

3,532 claims · 0.2%

Your Cost: $45.81/claim|Median: $40.11
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$159K

13K claims · 0.2%

Your Cost: $12.53/claim|Median: $12.93
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$152K

1,616 claims · 0.2%

Your Cost: $94.03/claim|Median: $111.09
0.8× median
59025Normal range

Fetal non-stress test

$150K

3,580 claims · 0.2%

Your Cost: $41.91/claim|Median: $26.45
1.6× median
99220Normal range

$132K

1,860 claims · 0.1%

Your Cost: $70.71/claim|Median: $73.56
1.0× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$129K

1,760 claims · 0.1%

Your Cost: $73.17/claim|Median: $70.87
1.0× median
87804Normal range

Influenza virus detection, rapid test

$126K

8,246 claims · 0.1%

Your Cost: $15.34/claim|Median: $12.59
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$123K

2,716 claims · 0.1%

Your Cost: $45.45/claim|Median: $47.08
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$117K

1,939 claims · 0.1%

Your Cost: $60.35/claim|Median: $59.72
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$113K

3,867 claims · 0.1%

Your Cost: $29.12/claim|Median: $25.06
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$112K

2,140 claims · 0.1%

Your Cost: $52.52/claim|Median: $36.79
1.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$108K

1,386 claims · 0.1%

Your Cost: $77.69/claim|Median: $82.43
0.9× median
90680Top 25%

$108K

7,109 claims · 0.1%

Your Cost: $15.13/claim|Median: $5.58
2.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$106K

2,511 claims · 0.1%

Your Cost: $42.15/claim|Median: $22.44
1.9× median

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