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UNIVERSITY PHYSICIAN GROUP

Internal Medicine·DETROIT, MI·NPI: 1447299797Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $87.3M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$87.3M

$87,270,474

Total Claims

1.7M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$14.0M
-11%
2019
$12.6M
-13%
2020
$10.9M
+18%
2021
$12.9M
-3%
2022
$12.5M
+5%
2023
$13.1M
-14%
2024
$11.3M

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 13% of total spending.

99214Normal range

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

$11.3M

183K claims · 12.9%

Your Cost: $61.65/claim|Median: $53.41
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$6.7M

163K claims · 7.6%

Your Cost: $40.85/claim|Median: $23.99
1.7× median
99213Normal range

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

$5.5M

130K claims · 6.2%

Your Cost: $42.04/claim|Median: $37.81
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.3M

73K claims · 5.0%

Your Cost: $59.15/claim|Median: $35.30
1.7× median
99204Normal range

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

$3.5M

39K claims · 4.0%

Your Cost: $87.67/claim|Median: $84.03
1.0× median
59409Normal range

Vaginal delivery only

$3.3M

4,382 claims · 3.8%

Your Cost: $751.12/claim|Median: $619.91
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$2.5M

30K claims · 2.8%

Your Cost: $84.00/claim|Median: $74.09
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$2.4M

62K claims · 2.7%

Your Cost: $38.06/claim|Median: $35.80
1.1× median
J0178Normal range

Injection, aflibercept, 1 mg

$2.0M

1,938 claims · 2.3%

Your Cost: $1,038.49/claim|Median: $730.09
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$2.0M

17K claims · 2.3%

Your Cost: $120.61/claim|Median: $101.24
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$2.0M

26K claims · 2.3%

Your Cost: $74.59/claim|Median: $51.25
1.5× median
59514Top 25%

Cesarean delivery only

$1.7M

2,067 claims · 2.0%

Your Cost: $844.29/claim|Median: $452.80
1.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.7M

16K claims · 2.0%

Your Cost: $106.16/claim|Median: $67.32
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.7M

26K claims · 1.9%

Your Cost: $64.05/claim|Median: $47.08
1.4× median
99203Normal range

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

$1.7M

30K claims · 1.9%

Your Cost: $55.34/claim|Median: $57.85
1.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$1.7M

31K claims · 1.9%

Your Cost: $54.35/claim|Median: $59.38
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.4M

14K claims · 1.6%

Your Cost: $99.72/claim|Median: $108.91
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.3M

16K claims · 1.5%

Your Cost: $81.05/claim|Median: $59.72
1.4× median
59426Normal range

Antepartum care only, high risk, additional visits

$1.3M

1,935 claims · 1.5%

Your Cost: $674.23/claim|Median: $122.30
5.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1.1M

10K claims · 1.3%

Your Cost: $109.04/claim|Median: $111.09
1.0× median
99254Normal range

$1.0M

11K claims · 1.2%

Your Cost: $88.72/claim|Median: $81.43
1.1× median
99284Normal range

Emergency dept visit, high complexity

$853K

13K claims · 1.0%

Your Cost: $66.28/claim|Median: $69.51
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$827K

20K claims · 0.9%

Your Cost: $41.03/claim|Median: $37.22
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$680K

30K claims · 0.8%

Your Cost: $23.02/claim|Median: $16.77
1.4× median
77427Normal range

$666K

6,325 claims · 0.8%

Your Cost: $105.35/claim|Median: $83.73
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$652K

12K claims · 0.7%

Your Cost: $52.63/claim|Median: $54.68
1.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$625K

13K claims · 0.7%

Your Cost: $46.59/claim|Median: $38.23
1.2× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$593K

289 claims · 0.7%

Your Cost: $2,053.15/claim|Median: $1,482.45
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$586K

22K claims · 0.7%

Your Cost: $26.35/claim|Median: $58.55
0.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$545K

9,777 claims · 0.6%

Your Cost: $55.73/claim|Median: $106.79
0.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$537K

1,902 claims · 0.6%

Your Cost: $282.48/claim|Median: $268.70
1.1× median
67228Normal range

$524K

2,851 claims · 0.6%

Your Cost: $183.85/claim|Median: $256.67
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$513K

5,652 claims · 0.6%

Your Cost: $90.77/claim|Median: $121.58
0.7× median
59425Top 10%

Antepartum care only, 4-6 visits

$502K

1,443 claims · 0.6%

Your Cost: $348.09/claim|Median: $63.63
5.5× median
99283Normal range

Emergency dept visit, moderate complexity

$487K

9,349 claims · 0.6%

Your Cost: $52.11/claim|Median: $42.48
1.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$483K

3,438 claims · 0.6%

Your Cost: $140.36/claim|Median: $255.17
0.6× median
99221Normal range

Initial hospital care, straightforward/low

$478K

9,044 claims · 0.5%

Your Cost: $52.84/claim|Median: $39.96
1.3× median
92083Normal range

Visual field exam, extended testing, bilateral

$470K

15K claims · 0.5%

Your Cost: $32.08/claim|Median: $29.82
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$464K

20K claims · 0.5%

Your Cost: $22.84/claim|Median: $25.06
0.9× median
99253Normal range

$464K

7,534 claims · 0.5%

Your Cost: $61.61/claim|Median: $55.16
1.1× median
77014Normal range

CT guidance for radiation therapy procedure

$452K

19K claims · 0.5%

Your Cost: $24.16/claim|Median: $26.94
0.9× median
99245Normal range

Office consultation, high complexity

$414K

3,628 claims · 0.5%

Your Cost: $114.00/claim|Median: $143.30
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$374K

6,784 claims · 0.4%

Your Cost: $55.11/claim|Median: $82.43
0.7× median
95720Normal range

$359K

3,127 claims · 0.4%

Your Cost: $114.77/claim|Median: $120.95
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$359K

9,509 claims · 0.4%

Your Cost: $37.74/claim|Median: $40.11
0.9× median
88341Normal range

$328K

6,449 claims · 0.4%

Your Cost: $50.93/claim|Median: $45.31
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$327K

4,507 claims · 0.4%

Your Cost: $72.45/claim|Median: $72.71
1.0× median
99255Normal range

$324K

2,932 claims · 0.4%

Your Cost: $110.62/claim|Median: $90.45
1.2× median
92134Normal range

$321K

16K claims · 0.4%

Your Cost: $19.96/claim|Median: $15.46
1.3× median
J0561Top 5%

$320K

985 claims · 0.4%

Your Cost: $324.89/claim|Median: $96.49
3.4× median