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ARTHRITIS AND RHEUMATISM CENTER INC., A MEDICAL CORPORATION

Internal Medicine, Rheumatology·MANTECA, CA·NPI: 1477914232Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$26.7M

$26,707,361

Total Claims

29K

Beneficiaries

26K

1.1 claims/patient

Avg Cost/Claim

$926

Monthly Spending Trend

Yearly Spending

2018
$411K
+786%
2019
$3.6M
+23%
2020
$4.5M
+16%
2021
$5.2M
-5%
2022
$5.0M
-3%
2023
$4.8M
-33%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (J0717) accounts for 61% of total spending.

J0717Top 1%

$16.2M

4,356 claims · 60.6%

Your Cost: $3,717.03/claim|Median: $1,144.80
3.2× median
J0129Top 10%

Injection, abatacept, ten milligrams intravenous

$9.0M

2,818 claims · 33.8%

Your Cost: $3,204.66/claim|Median: $1,286.08
2.5× median
Q5103Top 10%

$601K

204 claims · 2.3%

Your Cost: $2,945.99/claim|Median: $1,075.28
2.7× median
99214Normal range

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

$204K

5,939 claims · 0.8%

Your Cost: $34.36/claim|Median: $53.41
0.6× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$200K

3,824 claims · 0.8%

Your Cost: $52.42/claim|Median: $54.77
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$137K

4,138 claims · 0.5%

Your Cost: $33.03/claim|Median: $9.56
3.5× median
Q5104Top 25%

$112K

50 claims · 0.4%

Your Cost: $2,241.20/claim|Median: $1,412.69
1.6× median
99204Normal range

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

$105K

1,623 claims · 0.4%

Your Cost: $64.90/claim|Median: $84.03
0.8× median
99213Normal range

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

$79K

3,560 claims · 0.3%

Your Cost: $22.28/claim|Median: $37.81
0.6× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$20K

1,062 claims · 0.1%

Your Cost: $18.83/claim|Median: $40.12
0.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$9K

470 claims · 0.0%

Your Cost: $19.09/claim|Median: $75.28
0.3× median
99203Normal range

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

$6K

118 claims · 0.0%

Your Cost: $53.68/claim|Median: $57.85
0.9× median
96401Normal range

$6K

418 claims · 0.0%

Your Cost: $13.82/claim|Median: $40.24
0.3× median
J3301Top 5%

Injection, triamcinolone acetonide, per ten milligrams

$4K

226 claims · 0.0%

Your Cost: $18.53/claim|Median: $2.91
6.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$1K

45 claims · 0.0%

Your Cost: $25.52/claim|Median: $29.03
0.9× median

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