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COMMUNITY CARE NETWORK INC

Family Medicine·ST JOHN, IN·NPI: 1457610487Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.8M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$33.8M

$33,821,607

Total Claims

1.0M

Beneficiaries

697K

1.4 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+137%
2019
$4.3M
+5%
2020
$4.5M
+36%
2021
$6.1M
+2%
2022
$6.3M
+3%
2023
$6.5M
-34%
2024
$4.3M

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 31% of total spending.

99214Normal range

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

$10.6M

205K claims · 31.4%

Your Cost: $51.76/claim|Median: $53.41
1.0× median
99213Normal range

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

$5.3M

129K claims · 15.7%

Your Cost: $41.05/claim|Median: $37.81
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.3M

59K claims · 6.8%

Your Cost: $38.77/claim|Median: $35.30
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.8M

81K claims · 5.4%

Your Cost: $22.60/claim|Median: $23.99
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$1.4M

19K claims · 4.2%

Your Cost: $76.60/claim|Median: $67.32
1.1× median
99204Normal range

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

$1.4M

16K claims · 4.2%

Your Cost: $86.77/claim|Median: $84.03
1.0× median
59425Normal range

Antepartum care only, 4-6 visits

$1.0M

14K claims · 3.0%

Your Cost: $70.41/claim|Median: $63.63
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$695K

9,376 claims · 2.1%

Your Cost: $74.11/claim|Median: $69.35
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$628K

5,565 claims · 1.9%

Your Cost: $112.87/claim|Median: $101.24
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$595K

8,558 claims · 1.8%

Your Cost: $69.58/claim|Median: $74.09
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$583K

22K claims · 1.7%

Your Cost: $27.12/claim|Median: $54.68
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$580K

12K claims · 1.7%

Your Cost: $47.79/claim|Median: $43.85
1.1× median
59426Normal range

Antepartum care only, high risk, additional visits

$578K

8,581 claims · 1.7%

Your Cost: $67.41/claim|Median: $122.30
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$507K

6,674 claims · 1.5%

Your Cost: $75.96/claim|Median: $75.18
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$488K

124K claims · 1.4%

Your Cost: $3.95/claim|Median: $5.60
0.7× median
99203Normal range

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

$434K

8,771 claims · 1.3%

Your Cost: $49.44/claim|Median: $57.85
0.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$412K

1,056 claims · 1.2%

Your Cost: $390.27/claim|Median: $470.36
0.8× median
87428Normal range

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

$383K

12K claims · 1.1%

Your Cost: $31.61/claim|Median: $39.63
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$342K

7,042 claims · 1.0%

Your Cost: $48.55/claim|Median: $51.25
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$323K

4,411 claims · 1.0%

Your Cost: $73.25/claim|Median: $151.68
0.5× median
90471Normal range

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

$227K

20K claims · 0.7%

Your Cost: $11.33/claim|Median: $9.80
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$193K

2,263 claims · 0.6%

Your Cost: $85.13/claim|Median: $111.09
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$178K

11K claims · 0.5%

Your Cost: $16.50/claim|Median: $11.79
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$146K

6,087 claims · 0.4%

Your Cost: $24.00/claim|Median: $25.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$140K

2,823 claims · 0.4%

Your Cost: $49.51/claim|Median: $72.71
0.7× median
90833Normal range

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

$136K

4,262 claims · 0.4%

Your Cost: $31.95/claim|Median: $38.83
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$132K

4,519 claims · 0.4%

Your Cost: $29.25/claim|Median: $29.03
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$123K

5,348 claims · 0.4%

Your Cost: $22.93/claim|Median: $24.49
0.9× median
45380Normal range

Colonoscopy with biopsy

$118K

1,016 claims · 0.3%

Your Cost: $116.17/claim|Median: $200.68
0.6× median
95004Normal range

Percutaneous allergy skin tests, each

$102K

689 claims · 0.3%

Your Cost: $147.78/claim|Median: $134.97
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$96K

39K claims · 0.3%

Your Cost: $2.49/claim|Median: $2.00
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$90K

8,288 claims · 0.3%

Your Cost: $10.88/claim|Median: $11.48
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$90K

7,321 claims · 0.3%

Your Cost: $12.26/claim|Median: $16.77
0.7× median
98941Top 25%

Chiropractic manipulative treatment, 3-4 spinal regions

$86K

3,446 claims · 0.3%

Your Cost: $24.90/claim|Median: $20.83
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$82K

742 claims · 0.2%

Your Cost: $110.11/claim|Median: $108.91
1.0× median
95886Normal range

$75K

1,928 claims · 0.2%

Your Cost: $38.93/claim|Median: $67.70
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$73K

937 claims · 0.2%

Your Cost: $78.34/claim|Median: $74.82
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$71K

3,131 claims · 0.2%

Your Cost: $22.56/claim|Median: $12.59
1.8× median
64483Normal range

$62K

657 claims · 0.2%

Your Cost: $93.73/claim|Median: $124.24
0.8× median
99221Normal range

Initial hospital care, straightforward/low

$61K

1,513 claims · 0.2%

Your Cost: $40.11/claim|Median: $39.96
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$60K

2,796 claims · 0.2%

Your Cost: $21.58/claim|Median: $20.04
1.1× median
99220Normal range

$58K

901 claims · 0.2%

Your Cost: $64.09/claim|Median: $73.56
0.9× median
31575Normal range

$51K

807 claims · 0.2%

Your Cost: $63.34/claim|Median: $68.78
0.9× median
99284Normal range

Emergency dept visit, high complexity

$48K

642 claims · 0.1%

Your Cost: $74.62/claim|Median: $69.51
1.1× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$46K

1,503 claims · 0.1%

Your Cost: $30.39/claim|Median: $36.13
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$38K

5,235 claims · 0.1%

Your Cost: $7.30/claim|Median: $14.00
0.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$36K

292 claims · 0.1%

Your Cost: $123.67/claim|Median: $255.17
0.5× median
95117Normal range

$32K

3,777 claims · 0.1%

Your Cost: $8.34/claim|Median: $8.34
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$30K

343 claims · 0.1%

Your Cost: $86.76/claim|Median: $233.73
0.4× median
93016Normal range

$25K

3,282 claims · 0.1%

Your Cost: $7.72/claim|Median: $12.24
0.6× median

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