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ALLIANCE PHYSICIANS INC

Family Medicine·KETTERING, OH·NPI: 1437125572Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$38.8M

$38,760,509

Total Claims

1.0M

Beneficiaries

918K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+15%
2019
$6.4M
-7%
2020
$6.0M
+25%
2021
$7.5M
+0%
2022
$7.5M
-57%
2023
$3.2M
-17%
2024
$2.7M

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 35% of total spending.

99214Normal range

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

$13.5M

267K claims · 34.9%

Your Cost: $50.64/claim|Median: $53.41
0.9× median
99213Normal range

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

$13.4M

344K claims · 34.5%

Your Cost: $38.84/claim|Median: $37.81
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$919K

25K claims · 2.4%

Your Cost: $36.82/claim|Median: $54.68
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$872K

18K claims · 2.2%

Your Cost: $48.35/claim|Median: $58.55
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$653K

21K claims · 1.7%

Your Cost: $30.86/claim|Median: $35.30
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$599K

11K claims · 1.5%

Your Cost: $52.96/claim|Median: $74.09
0.7× median
76819Normal range

Fetal biophysical profile with non-stress test

$562K

14K claims · 1.4%

Your Cost: $41.21/claim|Median: $49.45
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$556K

26K claims · 1.4%

Your Cost: $21.34/claim|Median: $23.99
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$553K

5,869 claims · 1.4%

Your Cost: $94.19/claim|Median: $106.79
0.9× median
99204Normal range

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

$533K

7,201 claims · 1.4%

Your Cost: $73.97/claim|Median: $84.03
0.9× median
99203Normal range

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

$446K

9,056 claims · 1.2%

Your Cost: $49.24/claim|Median: $57.85
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$432K

62K claims · 1.1%

Your Cost: $6.97/claim|Median: $5.60
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$286K

8,492 claims · 0.7%

Your Cost: $33.62/claim|Median: $25.06
1.3× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$265K

6,461 claims · 0.7%

Your Cost: $41.00/claim|Median: $29.03
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$230K

3,610 claims · 0.6%

Your Cost: $63.60/claim|Median: $72.71
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$223K

2,225 claims · 0.6%

Your Cost: $100.22/claim|Median: $151.68
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$217K

14K claims · 0.6%

Your Cost: $15.26/claim|Median: $17.85
0.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$202K

5,238 claims · 0.5%

Your Cost: $38.49/claim|Median: $47.65
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$183K

5,196 claims · 0.5%

Your Cost: $35.27/claim|Median: $43.85
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$182K

2,962 claims · 0.5%

Your Cost: $61.49/claim|Median: $67.32
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$173K

1,390 claims · 0.4%

Your Cost: $124.70/claim|Median: $91.47
1.4× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$153K

5,551 claims · 0.4%

Your Cost: $27.48/claim|Median: $43.07
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$151K

1,748 claims · 0.4%

Your Cost: $86.13/claim|Median: $99.21
0.9× median
76818Normal range

$120K

1,655 claims · 0.3%

Your Cost: $72.32/claim|Median: $68.15
1.1× median
77014Normal range

CT guidance for radiation therapy procedure

$110K

4,028 claims · 0.3%

Your Cost: $27.42/claim|Median: $26.94
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$101K

1,882 claims · 0.3%

Your Cost: $53.45/claim|Median: $75.18
0.7× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$92K

1,184 claims · 0.2%

Your Cost: $78.10/claim|Median: $111.02
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$89K

973 claims · 0.2%

Your Cost: $91.79/claim|Median: $74.78
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$88K

1,996 claims · 0.2%

Your Cost: $44.01/claim|Median: $51.25
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$87K

7,432 claims · 0.2%

Your Cost: $11.77/claim|Median: $9.70
1.2× median
27096Normal range

$86K

1,260 claims · 0.2%

Your Cost: $68.60/claim|Median: $89.16
0.8× median
0240UTop 25%

$86K

667 claims · 0.2%

Your Cost: $129.22/claim|Median: $89.76
1.4× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$85K

2,336 claims · 0.2%

Your Cost: $36.31/claim|Median: $36.70
1.0× median
J1050Top 5%

Injection, medroxyprogesterone acetate, one milligram

$83K

934 claims · 0.2%

Your Cost: $88.78/claim|Median: $41.92
2.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$81K

2,401 claims · 0.2%

Your Cost: $33.89/claim|Median: $33.72
1.0× median
76820Normal range

$80K

3,613 claims · 0.2%

Your Cost: $22.07/claim|Median: $31.79
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$77K

926 claims · 0.2%

Your Cost: $83.19/claim|Median: $121.58
0.7× median
99220Normal range

$73K

1,159 claims · 0.2%

Your Cost: $62.58/claim|Median: $73.56
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$69K

11K claims · 0.2%

Your Cost: $6.09/claim|Median: $5.50
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$65K

3,191 claims · 0.2%

Your Cost: $20.41/claim|Median: $22.44
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$63K

1,064 claims · 0.2%

Your Cost: $59.67/claim|Median: $101.24
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$62K

854 claims · 0.2%

Your Cost: $73.03/claim|Median: $108.91
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$62K

1,435 claims · 0.2%

Your Cost: $42.98/claim|Median: $69.35
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$60K

2,764 claims · 0.2%

Your Cost: $21.78/claim|Median: $28.46
0.8× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$59K

787 claims · 0.2%

Your Cost: $74.90/claim|Median: $70.87
1.1× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$59K

2,903 claims · 0.2%

Your Cost: $20.19/claim|Median: $25.43
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$54K

4,369 claims · 0.1%

Your Cost: $12.29/claim|Median: $9.79
1.3× median
81025Normal range

Urine pregnancy test

$52K

8,178 claims · 0.1%

Your Cost: $6.34/claim|Median: $4.81
1.3× median
58662Normal range

$48K

162 claims · 0.1%

Your Cost: $298.76/claim|Median: $457.94
0.7× median
76830Normal range

Ultrasound, transvaginal

$48K

707 claims · 0.1%

Your Cost: $67.38/claim|Median: $57.47
1.2× median

Other Top Providers in Ohio

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$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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