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STATE UNIVERSITY OF IOWA

Family Medicine·IOWA CITY, IA·NPI: 1477554814Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $103.5M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$103.5M

$103,470,239

Total Claims

2.0M

Beneficiaries

1.5M

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$10.2M
+10%
2019
$11.3M
+111%
2020
$23.8M
-3%
2021
$23.0M
-46%
2022
$12.4M
+2%
2023
$12.6M
-19%
2024
$10.2M

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 16% of total spending.

99214Normal range

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

$16.4M

299K claims · 15.8%

Your Cost: $54.76/claim|Median: $53.41
1.0× median
99213Normal range

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

$7.7M

205K claims · 7.5%

Your Cost: $37.65/claim|Median: $37.81
1.0× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$6.8M

100K claims · 6.6%

Your Cost: $67.77/claim|Median: $266.41
0.3× median
99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$5.8M

14K claims · 5.6%

Your Cost: $420.23/claim|Median: $307.98
1.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.6M

30K claims · 4.4%

Your Cost: $150.02/claim|Median: $85.65
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$4.5M

58K claims · 4.4%

Your Cost: $77.82/claim|Median: $74.09
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4.2M

92K claims · 4.1%

Your Cost: $45.99/claim|Median: $23.99
1.9× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$3.3M

8,751 claims · 3.2%

Your Cost: $373.79/claim|Median: $293.45
1.3× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$3.1M

25K claims · 3.0%

Your Cost: $126.91/claim|Median: $98.15
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.2M

36K claims · 2.2%

Your Cost: $62.02/claim|Median: $35.30
1.8× median
95720Top 1%

$2.0M

3,920 claims · 2.0%

Your Cost: $519.94/claim|Median: $120.95
4.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.0M

28K claims · 1.9%

Your Cost: $71.38/claim|Median: $54.68
1.3× median
99204Top 25%

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

$1.8M

16K claims · 1.7%

Your Cost: $112.53/claim|Median: $84.03
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.8M

36K claims · 1.7%

Your Cost: $49.63/claim|Median: $35.80
1.4× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$1.5M

12K claims · 1.4%

Your Cost: $124.00/claim|Median: $103.70
1.2× median
70553Normal range

MRI brain without contrast, then with contrast

$1.4M

13K claims · 1.4%

Your Cost: $111.28/claim|Median: $133.68
0.8× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$1.3M

33K claims · 1.3%

Your Cost: $40.57/claim|Median: $3.67
11.1× median
74177Normal range

CT abdomen and pelvis with contrast

$1.3M

17K claims · 1.3%

Your Cost: $78.89/claim|Median: $65.76
1.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

19K claims · 1.2%

Your Cost: $64.74/claim|Median: $42.48
1.5× median
99291Top 25%

Critical care, first 30-74 minutes

$1.2M

8,453 claims · 1.2%

Your Cost: $143.68/claim|Median: $101.24
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$1.2M

12K claims · 1.1%

Your Cost: $94.47/claim|Median: $69.51
1.4× median
71045Top 25%

Chest X-ray, single view

$1.1M

133K claims · 1.1%

Your Cost: $8.53/claim|Median: $4.93
1.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.1M

11K claims · 1.1%

Your Cost: $101.05/claim|Median: $106.79
0.9× median
99490Top 5%

Chronic care management services, 20 minutes per month

$959K

11K claims · 0.9%

Your Cost: $88.31/claim|Median: $6.31
14.0× median
93010Top 25%

Electrocardiogram, interpretation and report only

$950K

117K claims · 0.9%

Your Cost: $8.11/claim|Median: $5.60
1.4× median
99203Normal range

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

$815K

13K claims · 0.8%

Your Cost: $63.24/claim|Median: $57.85
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$796K

9,901 claims · 0.8%

Your Cost: $80.36/claim|Median: $112.83
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$782K

5,842 claims · 0.8%

Your Cost: $133.83/claim|Median: $111.09
1.2× median
70450Normal range

CT head/brain without contrast

$706K

19K claims · 0.7%

Your Cost: $36.72/claim|Median: $45.53
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$701K

8,646 claims · 0.7%

Your Cost: $81.11/claim|Median: $69.35
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$632K

18K claims · 0.6%

Your Cost: $34.55/claim|Median: $58.55
0.6× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$623K

3,837 claims · 0.6%

Your Cost: $162.47/claim|Median: $58.82
2.8× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$583K

15K claims · 0.6%

Your Cost: $40.23/claim|Median: $28.46
1.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$561K

21K claims · 0.5%

Your Cost: $27.05/claim|Median: $12.93
2.1× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$502K

7,634 claims · 0.5%

Your Cost: $65.75/claim|Median: $37.22
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$501K

5,665 claims · 0.5%

Your Cost: $88.51/claim|Median: $75.18
1.2× median
96112Normal range

Developmental test administration

$491K

4,031 claims · 0.5%

Your Cost: $121.70/claim|Median: $102.95
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$479K

6,677 claims · 0.5%

Your Cost: $71.74/claim|Median: $63.65
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$444K

9,448 claims · 0.4%

Your Cost: $47.01/claim|Median: $47.08
1.0× median
76770Normal range

Ultrasound, retroperitoneal, complete

$425K

11K claims · 0.4%

Your Cost: $38.25/claim|Median: $37.35
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$401K

8,767 claims · 0.4%

Your Cost: $45.73/claim|Median: $39.70
1.2× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$400K

4,274 claims · 0.4%

Your Cost: $93.54/claim|Median: $59.38
1.6× median
70551Normal range

MRI brain without contrast

$379K

5,470 claims · 0.4%

Your Cost: $69.34/claim|Median: $85.39
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$365K

12K claims · 0.4%

Your Cost: $29.36/claim|Median: $23.81
1.2× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$353K

12K claims · 0.3%

Your Cost: $30.16/claim|Median: $16.77
1.8× median
71046Normal range

Chest X-ray, 2 views

$348K

36K claims · 0.3%

Your Cost: $9.74/claim|Median: $8.92
1.1× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$346K

3,739 claims · 0.3%

Your Cost: $92.47/claim|Median: $65.64
1.4× median
76830Normal range

Ultrasound, transvaginal

$335K

8,794 claims · 0.3%

Your Cost: $38.15/claim|Median: $57.47
0.7× median
95951Normal range

$293K

3,557 claims · 0.3%

Your Cost: $82.39/claim|Median: $183.28
0.4× median
59025Normal range

Fetal non-stress test

$280K

10K claims · 0.3%

Your Cost: $27.73/claim|Median: $26.45
1.0× median

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