Total Paid
$37.9M
$37,879,601
Total Claims
793K
Beneficiaries
754K
1.1 claims/patient
Avg Cost/Claim
$48
Monthly Spending Trend
Yearly Spending
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 26% of total spending.
$9.8M
167K claims
$58.78
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$9.8M
167K claims · 25.9%
$6.6M
99K claims
$66.05
$42.48
Emergency dept visit, moderate complexity
$6.6M
99K claims · 17.3%
$4.1M
49K claims
$85.20
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$4.1M
49K claims · 10.9%
$3.6M
31K claims
$116.21
$69.51
Emergency dept visit, high complexity
$3.6M
31K claims · 9.4%
$1.6M
25K claims
$63.02
$75.18
Preventive medicine, established patient, age 1-4
$1.6M
25K claims · 4.2%
$1.3M
21K claims
$59.84
$69.35
Preventive medicine, established patient, infant (under 1)
$1.3M
21K claims · 3.3%
$1.1M
26K claims
$42.59
$37.72
Emergency dept visit, low complexity
$1.1M
26K claims · 2.9%
$1.1M
19K claims
$57.71
$74.82
Preventive medicine, established patient, age 5-11
$1.1M
19K claims · 2.8%
CT head/brain without contrast
$857K
23K claims · 2.3%
$850K
27K claims
$31.19
$25.06
Office/outpatient visit, low complexity
$850K
27K claims · 2.2%
$768K
12K claims
$62.90
$80.15
Preventive medicine, established patient, age 12-17
$768K
12K claims · 2.0%
$651K
8,744 claims
$74.44
$57.85
Office/outpatient visit, new patient, low-mod complexity
$651K
8,744 claims · 1.7%
$575K
6,973 claims
$82.51
$76.06
Preventive medicine, established patient, age 40-64
$575K
6,973 claims · 1.5%
$557K
3,233 claims
$172.43
$85.65
Emergency dept visit, high/urgent complexity
$557K
3,233 claims · 1.5%
Chest X-ray, single view
$501K
62K claims · 1.3%
$483K
5,788 claims
$83.44
$65.76
CT abdomen and pelvis with contrast
$483K
5,788 claims · 1.3%
$464K
13K claims
$35.93
$39.33
Screening mammography, bilateral, including CAD
$464K
13K claims · 1.2%
$375K
5,073 claims
$73.85
$72.71
Preventive medicine, established patient, age 18-39
$375K
5,073 claims · 1.0%
Chest X-ray, 2 views
$366K
35K claims · 1.0%
$292K
6,227 claims
$46.86
$40.11
Office/outpatient visit, new patient, low complexity
$292K
6,227 claims · 0.8%
$161K
5,827 claims
$27.64
$21.41
Screening digital breast tomosynthesis, bilateral
$161K
5,827 claims · 0.4%
MRI brain without contrast
$138K
2,236 claims · 0.4%
$138K
1,162 claims
$118.95
$84.03
Office/outpatient visit, new patient, mod-high complexity
$138K
1,162 claims · 0.4%
Ultrasound, pelvic, complete
$119K
4,031 claims · 0.3%
$115K
1,290 claims
$89.32
$39.96
Initial hospital care, straightforward/low
$115K
1,290 claims · 0.3%
$112K
2,436 claims
$45.87
$32.30
CT cervical spine without contrast
$112K
2,436 claims · 0.3%
Ultrasound, transvaginal
$104K
3,123 claims · 0.3%
$102K
1,451 claims
$70.33
$73.46
Preventive visit, new patient, infant (<1 yr)
$102K
1,451 claims · 0.3%
Ultrasound, abdominal, limited
$79K
2,821 claims · 0.2%
$66K
867 claims
$75.81
$60.19
CT abdomen and pelvis without contrast
$66K
867 claims · 0.2%
$57K
648 claims
$88.55
$76.22
Preventive visit, new patient, 18-39 yr
$57K
648 claims · 0.2%
$50K
1,266 claims · 0.1%
$49K
639 claims
$76.00
$37.22
Hospital discharge day management, 30 minutes or less
$49K
639 claims · 0.1%
$46K
4,755 claims · 0.1%
$45K
5,166 claims · 0.1%
$45K
728 claims
$61.57
$23.99
Subsequent hospital care, per day, moderate complexity
$45K
728 claims · 0.1%
$39K
1,165 claims · 0.1%
Ultrasound, abdominal, complete
$39K
1,026 claims · 0.1%
$33K
1,015 claims
$32.85
$37.35
Ultrasound, retroperitoneal, complete
$33K
1,015 claims · 0.1%
$31K
937 claims · 0.1%
$30K
3,320 claims
$9.01
$13.55
X-ray of ankle, complete, minimum three views
$30K
3,320 claims · 0.1%
$29K
3,445 claims
$8.45
$12.06
X-ray, foot, complete, minimum 3 views
$29K
3,445 claims · 0.1%
$25K
285 claims
$86.63
$62.48
Initial hospital or birthing center care, newborn, per day
$25K
285 claims · 0.1%
$24K
2,656 claims · 0.1%
$22K
292 claims
$74.88
$81.92
Preventive visit, new patient, late childhood (5-11 yr)
$22K
292 claims · 0.1%
$21K
184 claims
$115.31
$74.09
Office/outpatient visit, high complexity
$21K
184 claims · 0.1%
$20K
2,119 claims
$9.29
$12.64
X-ray of wrist, complete, minimum three views
$20K
2,119 claims · 0.1%
$19K
655 claims · 0.0%
$19K
178 claims
$105.09
$87.82
Preventive visit, new patient, 40-64 yr
$19K
178 claims · 0.0%
$17K
240 claims · 0.0%