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MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC

Internal Medicine·ARDEN, NC·NPI: 1366912586Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.0M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2019-02→2024-12(71 months)

Total Paid

$24.0M

$23,987,325

Total Claims

732K

Beneficiaries

442K

1.7 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2019
$3.9M
-18%
2020
$3.2M
+32%
2021
$4.2M
+3%
2022
$4.4M
+4%
2023
$4.5M
-16%
2024
$3.8M

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 18% of total spending.

99214Normal range

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

$4.4M

86K claims · 18.4%

Your Cost: $51.17/claim|Median: $53.41
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1.8M

19K claims · 7.6%

Your Cost: $96.83/claim|Median: $74.09
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.8M

29K claims · 7.5%

Your Cost: $61.75/claim|Median: $35.30
1.7× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$1.7M

6,134 claims · 7.0%

Your Cost: $275.43/claim|Median: $293.45
0.9× median
99199Normal range

Unlisted special service, procedure, or report

$1.4M

290K claims · 5.7%

Your Cost: $4.68/claim|Median: $5.39
0.9× median
99213Normal range

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

$1.2M

36K claims · 5.0%

Your Cost: $33.12/claim|Median: $37.81
0.9× median
99245Normal range

Office consultation, high complexity

$1.1M

6,446 claims · 4.5%

Your Cost: $168.55/claim|Median: $143.30
1.2× median
99479Normal range

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

$965K

11K claims · 4.0%

Your Cost: $89.55/claim|Median: $103.70
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$841K

9,885 claims · 3.5%

Your Cost: $85.11/claim|Median: $98.15
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$840K

5,911 claims · 3.5%

Your Cost: $142.06/claim|Median: $121.58
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$726K

19K claims · 3.0%

Your Cost: $37.27/claim|Median: $23.99
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$640K

18K claims · 2.7%

Your Cost: $35.30/claim|Median: $54.68
0.6× median
93303Normal range

Echocardiography, transthoracic, limited

$515K

11K claims · 2.1%

Your Cost: $48.63/claim|Median: $112.83
0.4× median
99204Normal range

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

$474K

4,659 claims · 2.0%

Your Cost: $101.80/claim|Median: $84.03
1.2× median
99203Normal range

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

$429K

7,421 claims · 1.8%

Your Cost: $57.86/claim|Median: $57.85
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$395K

5,451 claims · 1.6%

Your Cost: $72.42/claim|Median: $99.21
0.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$329K

6,145 claims · 1.4%

Your Cost: $53.54/claim|Median: $37.22
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$304K

3,644 claims · 1.3%

Your Cost: $83.55/claim|Median: $101.24
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$270K

20K claims · 1.1%

Your Cost: $13.74/claim|Median: $9.70
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$250K

3,523 claims · 1.0%

Your Cost: $71.06/claim|Median: $62.48
1.1× median
99499Top 5%

Unlisted evaluation and management service

$233K

846 claims · 1.0%

Your Cost: $275.07/claim|Median: $30.88
8.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$233K

2,049 claims · 1.0%

Your Cost: $113.55/claim|Median: $67.32
1.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$202K

2,747 claims · 0.8%

Your Cost: $73.44/claim|Median: $82.43
0.9× median
99284Normal range

Emergency dept visit, high complexity

$185K

3,301 claims · 0.8%

Your Cost: $55.92/claim|Median: $69.51
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$168K

1,304 claims · 0.7%

Your Cost: $128.55/claim|Median: $111.09
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$165K

5,226 claims · 0.7%

Your Cost: $31.52/claim|Median: $42.48
0.7× median
95720Normal range

$152K

1,412 claims · 0.6%

Your Cost: $107.53/claim|Median: $120.95
0.9× median
93320Normal range

$146K

10K claims · 0.6%

Your Cost: $14.09/claim|Median: $28.68
0.5× median
96131Normal range

Psychological testing evaluation, each additional hour

$129K

747 claims · 0.5%

Your Cost: $173.36/claim|Median: $133.38
1.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$124K

1,689 claims · 0.5%

Your Cost: $73.50/claim|Median: $43.85
1.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$116K

3,753 claims · 0.5%

Your Cost: $31.00/claim|Median: $77.33
0.4× median
95816Normal range

$111K

2,576 claims · 0.5%

Your Cost: $42.93/claim|Median: $56.87
0.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$108K

2,508 claims · 0.5%

Your Cost: $43.14/claim|Median: $24.33
1.8× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$105K

1,532 claims · 0.4%

Your Cost: $68.37/claim|Median: $12.70
5.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$89K

865 claims · 0.4%

Your Cost: $102.98/claim|Median: $108.91
0.9× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$81K

813 claims · 0.3%

Your Cost: $99.30/claim|Median: $51.25
1.9× median
94010Normal range

$81K

4,279 claims · 0.3%

Your Cost: $18.82/claim|Median: $18.11
1.0× median
70450Normal range

CT head/brain without contrast

$68K

5,067 claims · 0.3%

Your Cost: $13.45/claim|Median: $45.53
0.3× median
96040Normal range

$67K

2,463 claims · 0.3%

Your Cost: $27.28/claim|Median: $32.05
0.9× median
93295Normal range

$65K

3,435 claims · 0.3%

Your Cost: $18.88/claim|Median: $21.14
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$63K

677 claims · 0.3%

Your Cost: $93.21/claim|Median: $233.73
0.4× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$56K

6,014 claims · 0.2%

Your Cost: $9.33/claim|Median: $10.24
0.9× median
96130Normal range

Psychological testing evaluation by professional, first hour

$54K

756 claims · 0.2%

Your Cost: $71.95/claim|Median: $79.21
0.9× median
99462Normal range

$50K

1,802 claims · 0.2%

Your Cost: $27.97/claim|Median: $27.49
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$44K

1,202 claims · 0.2%

Your Cost: $36.86/claim|Median: $63.65
0.6× median
87428Normal range

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

$44K

1,160 claims · 0.2%

Your Cost: $37.96/claim|Median: $39.63
1.0× median
99417Normal range

$37K

795 claims · 0.2%

Your Cost: $46.51/claim|Median: $34.90
1.3× median
95251Top 25%

$34K

1,238 claims · 0.1%

Your Cost: $27.46/claim|Median: $18.02
1.5× median
96112Normal range

Developmental test administration

$34K

377 claims · 0.1%

Your Cost: $89.29/claim|Median: $102.95
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$32K

2,816 claims · 0.1%

Your Cost: $11.34/claim|Median: $25.06
0.5× median

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