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UCSF MEDICAL GROUP BUSINESS SERVICES

Internal Medicine·SAN FRANCISCO, CA·NPI: 1477624104Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.2M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$47.2M

$47,231,451

Total Claims

599K

Beneficiaries

551K

1.1 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+70%
2019
$4.8M
+4%
2020
$5.0M
+42%
2021
$7.1M
+9%
2022
$7.8M
+21%
2023
$9.4M
+10%
2024
$10.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 19% of total spending.

99215Top 25%

Office/outpatient visit, high complexity

$9.2M

72K claims · 19.4%

Your Cost: $127.29/claim|Median: $74.09
1.7× median
99214Top 25%

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

$8.0M

84K claims · 17.0%

Your Cost: $95.40/claim|Median: $53.41
1.8× median
99204Top 10%

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

$4.1M

28K claims · 8.6%

Your Cost: $145.02/claim|Median: $84.03
1.7× median
99284Normal range

Emergency dept visit, high complexity

$3.5M

39K claims · 7.5%

Your Cost: $90.00/claim|Median: $69.51
1.3× median
99203Top 10%

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

$2.1M

20K claims · 4.5%

Your Cost: $105.90/claim|Median: $57.85
1.8× median
99213Top 25%

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

$2.1M

34K claims · 4.5%

Your Cost: $62.79/claim|Median: $37.81
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.1M

13K claims · 4.4%

Your Cost: $156.59/claim|Median: $85.65
1.8× median
99283Normal range

Emergency dept visit, moderate complexity

$1.7M

36K claims · 3.6%

Your Cost: $46.41/claim|Median: $42.48
1.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$1.1M

5,910 claims · 2.4%

Your Cost: $189.14/claim|Median: $111.09
1.7× median
Z4306Normal range

$1.0M

20K claims · 2.2%

Your Cost: $49.57/claim|Median: $49.73
1.0× median
67028Top 5%

Intravitreal injection of a pharmacologic agent

$700K

2,589 claims · 1.5%

Your Cost: $270.31/claim|Median: $58.82
4.6× median
70551Normal range

MRI brain without contrast

$691K

5,747 claims · 1.5%

Your Cost: $120.15/claim|Median: $85.39
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$604K

8,940 claims · 1.3%

Your Cost: $67.59/claim|Median: $35.30
1.9× median
95720Top 10%

$458K

1,752 claims · 1.0%

Your Cost: $261.57/claim|Median: $120.95
2.2× median
Z4305Normal range

$451K

4,585 claims · 1.0%

Your Cost: $98.38/claim|Median: $99.36
1.0× median
93325Top 25%

$450K

8,586 claims · 1.0%

Your Cost: $52.43/claim|Median: $14.61
3.6× median
93303Normal range

Echocardiography, transthoracic, limited

$430K

3,097 claims · 0.9%

Your Cost: $138.93/claim|Median: $112.83
1.2× median
76825Top 25%

$395K

1,601 claims · 0.8%

Your Cost: $247.02/claim|Median: $103.74
2.4× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$349K

5,885 claims · 0.7%

Your Cost: $59.27/claim|Median: $23.99
2.5× median
95951Normal range

$347K

1,242 claims · 0.7%

Your Cost: $279.70/claim|Median: $183.28
1.5× median
T1014Normal range

$319K

42K claims · 0.7%

Your Cost: $7.52/claim|Median: $12.88
0.6× median
95718Top 10%

$309K

1,763 claims · 0.7%

Your Cost: $175.37/claim|Median: $78.85
2.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$307K

4,644 claims · 0.7%

Your Cost: $66.19/claim|Median: $40.11
1.7× median
71045Top 25%

Chest X-ray, single view

$277K

20K claims · 0.6%

Your Cost: $14.16/claim|Median: $4.93
2.9× median
78815Normal range

PET imaging for limited area

$275K

628 claims · 0.6%

Your Cost: $437.72/claim|Median: $325.10
1.3× median
76770Normal range

Ultrasound, retroperitoneal, complete

$253K

5,352 claims · 0.5%

Your Cost: $47.19/claim|Median: $37.35
1.3× median
76700Normal range

Ultrasound, abdominal, complete

$225K

3,944 claims · 0.5%

Your Cost: $56.93/claim|Median: $50.69
1.1× median
31579Top 25%

$221K

1,097 claims · 0.5%

Your Cost: $201.70/claim|Median: $120.24
1.7× median
71046Top 25%

Chest X-ray, 2 views

$198K

9,615 claims · 0.4%

Your Cost: $20.58/claim|Median: $8.92
2.3× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$192K

5,092 claims · 0.4%

Your Cost: $37.65/claim|Median: $9.70
3.9× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$185K

699 claims · 0.4%

Your Cost: $264.15/claim|Median: $106.79
2.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$183K

456 claims · 0.4%

Your Cost: $401.81/claim|Median: $331.68
1.2× median
95819Normal range

Electroencephalogram with sleep recording

$179K

3,254 claims · 0.4%

Your Cost: $55.00/claim|Median: $62.75
0.9× median
93320Top 25%

$173K

3,100 claims · 0.4%

Your Cost: $55.74/claim|Median: $28.68
1.9× median
97810Normal range

$168K

6,670 claims · 0.4%

Your Cost: $25.19/claim|Median: $23.92
1.1× median
97811Normal range

$164K

6,429 claims · 0.3%

Your Cost: $25.55/claim|Median: $19.71
1.3× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$159K

2,308 claims · 0.3%

Your Cost: $69.03/claim|Median: $47.08
1.5× median
74018Normal range

$158K

9,839 claims · 0.3%

Your Cost: $16.03/claim|Median: $7.00
2.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$150K

1,144 claims · 0.3%

Your Cost: $131.16/claim|Median: $67.32
1.9× median
99417Normal range

$148K

2,981 claims · 0.3%

Your Cost: $49.60/claim|Median: $34.90
1.4× median
92134Top 25%

$146K

5,925 claims · 0.3%

Your Cost: $24.58/claim|Median: $15.46
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$145K

982 claims · 0.3%

Your Cost: $147.20/claim|Median: $133.68
1.1× median
76705Normal range

Ultrasound, abdominal, limited

$118K

3,372 claims · 0.2%

Your Cost: $34.99/claim|Median: $23.81
1.5× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$112K

705 claims · 0.2%

Your Cost: $159.38/claim|Median: $58.55
2.7× median
76827Top 25%

$111K

1,586 claims · 0.2%

Your Cost: $69.85/claim|Median: $39.58
1.8× median
93304Normal range

$101K

909 claims · 0.2%

Your Cost: $110.70/claim|Median: $54.29
2.0× median
Z4303Normal range

$94K

3,165 claims · 0.2%

Your Cost: $29.71/claim|Median: $29.71
1.0× median
99221Top 25%

Initial hospital care, straightforward/low

$90K

1,428 claims · 0.2%

Your Cost: $63.01/claim|Median: $39.96
1.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$85K

297 claims · 0.2%

Your Cost: $287.52/claim|Median: $151.68
1.9× median
99291Top 10%

Critical care, first 30-74 minutes

$83K

304 claims · 0.2%

Your Cost: $272.29/claim|Median: $101.24
2.7× median

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