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BILLINGS CLINIC

General Practice·BILLINGS, MT·NPI: 1376598714Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.9M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$53.9M

$53,853,510

Total Claims

940K

Beneficiaries

842K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$7.5M
-1%
2019
$7.4M
-20%
2020
$5.9M
+36%
2021
$8.0M
+13%
2022
$9.0M
+1%
2023
$9.1M
-24%
2024
$6.9M

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 24% of total spending.

99213Top 10%

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

$12.9M

156K claims · 24.0%

Your Cost: $83.12/claim|Median: $37.81
2.2× median
99214Top 10%

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

$12.5M

114K claims · 23.2%

Your Cost: $109.90/claim|Median: $53.41
2.1× median
99215Top 10%

Office/outpatient visit, high complexity

$2.5M

15K claims · 4.7%

Your Cost: $167.31/claim|Median: $74.09
2.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.7M

11K claims · 3.1%

Your Cost: $154.11/claim|Median: $108.91
1.4× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

33K claims · 3.0%

Your Cost: $48.95/claim|Median: $17.85
2.7× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.3M

11K claims · 2.3%

Your Cost: $119.69/claim|Median: $75.18
1.6× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.2M

11K claims · 2.2%

Your Cost: $109.39/claim|Median: $69.35
1.6× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$1.1M

16K claims · 2.0%

Your Cost: $66.02/claim|Median: $23.99
2.8× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$960K

8,780 claims · 1.8%

Your Cost: $109.37/claim|Median: $35.30
3.1× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$918K

16K claims · 1.7%

Your Cost: $58.09/claim|Median: $35.80
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$820K

6,861 claims · 1.5%

Your Cost: $119.55/claim|Median: $54.68
2.2× median
99291Top 10%

Critical care, first 30-74 minutes

$764K

3,894 claims · 1.4%

Your Cost: $196.08/claim|Median: $101.24
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$689K

7,453 claims · 1.3%

Your Cost: $92.41/claim|Median: $65.76
1.4× median
99204Top 5%

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

$550K

3,360 claims · 1.0%

Your Cost: $163.72/claim|Median: $84.03
1.9× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$529K

4,382 claims · 1.0%

Your Cost: $120.73/claim|Median: $74.82
1.6× median
99203Top 10%

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

$500K

4,404 claims · 0.9%

Your Cost: $113.63/claim|Median: $57.85
2.0× median
77067Top 5%

Screening mammography, bilateral, including CAD

$448K

3,193 claims · 0.8%

Your Cost: $140.39/claim|Median: $39.33
3.6× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$441K

4,055 claims · 0.8%

Your Cost: $108.88/claim|Median: $47.08
2.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$407K

2,156 claims · 0.8%

Your Cost: $188.92/claim|Median: $85.65
2.2× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$401K

3,068 claims · 0.7%

Your Cost: $130.81/claim|Median: $59.72
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$385K

2,952 claims · 0.7%

Your Cost: $130.30/claim|Median: $69.51
1.9× median
36415Top 25%

Collection of venous blood by venipuncture

$332K

85K claims · 0.6%

Your Cost: $3.92/claim|Median: $1.57
2.5× median
95004Normal range

Percutaneous allergy skin tests, each

$324K

2,134 claims · 0.6%

Your Cost: $151.82/claim|Median: $134.97
1.1× median
97530Top 25%

Therapeutic activities, each 15 min

$318K

4,137 claims · 0.6%

Your Cost: $76.85/claim|Median: $33.11
2.3× median
70450Normal range

CT head/brain without contrast

$318K

7,698 claims · 0.6%

Your Cost: $41.27/claim|Median: $45.53
0.9× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$310K

2,550 claims · 0.6%

Your Cost: $121.37/claim|Median: $58.55
2.1× median
70553Normal range

MRI brain without contrast, then with contrast

$272K

2,511 claims · 0.5%

Your Cost: $108.41/claim|Median: $133.68
0.8× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$249K

1,087 claims · 0.5%

Your Cost: $229.37/claim|Median: $111.09
2.1× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$248K

395 claims · 0.5%

Your Cost: $628.74/claim|Median: $233.73
2.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$248K

34K claims · 0.5%

Your Cost: $7.29/claim|Median: $5.60
1.3× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$240K

3,485 claims · 0.4%

Your Cost: $68.93/claim|Median: $37.22
1.9× median
90833Top 25%

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

$225K

3,553 claims · 0.4%

Your Cost: $63.44/claim|Median: $38.83
1.6× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$222K

1,963 claims · 0.4%

Your Cost: $112.95/claim|Median: $43.85
2.6× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$209K

1,704 claims · 0.4%

Your Cost: $122.48/claim|Median: $52.76
2.3× median
71046Top 25%

Chest X-ray, 2 views

$206K

9,704 claims · 0.4%

Your Cost: $21.25/claim|Median: $8.92
2.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$205K

1,541 claims · 0.4%

Your Cost: $133.19/claim|Median: $80.15
1.7× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$201K

2,809 claims · 0.4%

Your Cost: $71.70/claim|Median: $40.11
1.8× median
92060Top 10%

$199K

3,042 claims · 0.4%

Your Cost: $65.32/claim|Median: $35.83
1.8× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$180K

21K claims · 0.3%

Your Cost: $8.70/claim|Median: $5.50
1.6× median
94060Top 25%

$170K

3,126 claims · 0.3%

Your Cost: $54.46/claim|Median: $25.18
2.2× median
93303Top 25%

Echocardiography, transthoracic, limited

$167K

837 claims · 0.3%

Your Cost: $199.69/claim|Median: $112.83
1.8× median
90837Normal range

Psychotherapy, 60 minutes

$165K

2,258 claims · 0.3%

Your Cost: $73.26/claim|Median: $85.66
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$165K

2,151 claims · 0.3%

Your Cost: $76.87/claim|Median: $42.48
1.8× median
71045Top 25%

Chest X-ray, single view

$163K

20K claims · 0.3%

Your Cost: $8.25/claim|Median: $4.93
1.7× median
97110Normal range

Therapeutic exercises, each 15 min

$154K

4,851 claims · 0.3%

Your Cost: $31.66/claim|Median: $24.49
1.3× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$153K

2,622 claims · 0.3%

Your Cost: $58.31/claim|Median: $21.41
2.7× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$147K

745 claims · 0.3%

Your Cost: $196.79/claim|Median: $106.79
1.8× median
99217Top 5%

$144K

2,058 claims · 0.3%

Your Cost: $70.10/claim|Median: $31.89
2.2× median
92015Top 25%

Determination of refractive state

$140K

7,736 claims · 0.3%

Your Cost: $18.07/claim|Median: $10.36
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$139K

3,351 claims · 0.3%

Your Cost: $41.48/claim|Median: $39.70
1.0× median

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$392.7M

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