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ST. JOSEPH'S HEALTHCARE, INC.

Internal Medicine·PATERSON, NJ·NPI: 1497791297Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.8M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$31.8M

$31,772,177

Total Claims

708K

Beneficiaries

536K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$6.3M
-3%
2019
$6.1M
-9%
2020
$5.6M
+6%
2021
$5.9M
+5%
2022
$6.2M
-86%
2023
$861K
+12%
2024
$965K

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 16% of total spending.

99213Top 25%

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

$5.2M

93K claims · 16.5%

Your Cost: $56.38/claim|Median: $37.81
1.5× median
99214Top 25%

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

$4.6M

56K claims · 14.5%

Your Cost: $82.66/claim|Median: $53.41
1.5× median
99291Normal range

Critical care, first 30-74 minutes

$3.3M

28K claims · 10.4%

Your Cost: $118.22/claim|Median: $101.24
1.2× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.8M

26K claims · 5.6%

Your Cost: $67.60/claim|Median: $35.80
1.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.4M

42K claims · 4.3%

Your Cost: $32.46/claim|Median: $23.99
1.4× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$891K

5,052 claims · 2.8%

Your Cost: $176.34/claim|Median: $108.91
1.6× median
99204Top 25%

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

$760K

6,706 claims · 2.4%

Your Cost: $113.26/claim|Median: $84.03
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$733K

19K claims · 2.3%

Your Cost: $38.28/claim|Median: $35.30
1.1× median
99203Top 25%

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

$656K

7,963 claims · 2.1%

Your Cost: $82.34/claim|Median: $57.85
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$593K

4,766 claims · 1.9%

Your Cost: $124.50/claim|Median: $74.09
1.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$521K

11K claims · 1.6%

Your Cost: $48.45/claim|Median: $58.55
0.8× median
88342Normal range

$503K

13K claims · 1.6%

Your Cost: $37.60/claim|Median: $23.66
1.6× median
76818Normal range

$487K

8,458 claims · 1.5%

Your Cost: $57.61/claim|Median: $68.15
0.8× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$484K

12K claims · 1.5%

Your Cost: $39.18/claim|Median: $47.65
0.8× median
59514Normal range

Cesarean delivery only

$482K

748 claims · 1.5%

Your Cost: $643.75/claim|Median: $452.80
1.4× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$480K

5,977 claims · 1.5%

Your Cost: $80.30/claim|Median: $59.38
1.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$445K

4,707 claims · 1.4%

Your Cost: $94.54/claim|Median: $106.79
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$428K

10K claims · 1.3%

Your Cost: $42.29/claim|Median: $74.78
0.6× median
59409Normal range

Vaginal delivery only

$416K

801 claims · 1.3%

Your Cost: $519.12/claim|Median: $619.91
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$389K

5,403 claims · 1.2%

Your Cost: $71.93/claim|Median: $67.32
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$387K

5,423 claims · 1.2%

Your Cost: $71.38/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$365K

4,420 claims · 1.1%

Your Cost: $82.65/claim|Median: $75.18
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$364K

2,444 claims · 1.1%

Your Cost: $148.92/claim|Median: $111.09
1.3× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$360K

2,296 claims · 1.1%

Your Cost: $156.86/claim|Median: $121.58
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$336K

13K claims · 1.1%

Your Cost: $25.94/claim|Median: $25.06
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$323K

15K claims · 1.0%

Your Cost: $20.99/claim|Median: $16.77
1.3× median
99472Normal range

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

$320K

884 claims · 1.0%

Your Cost: $362.40/claim|Median: $307.98
1.2× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$218K

3,849 claims · 0.7%

Your Cost: $56.51/claim|Median: $24.33
2.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$217K

5,920 claims · 0.7%

Your Cost: $36.70/claim|Median: $49.45
0.7× median
88313Normal range

$213K

12K claims · 0.7%

Your Cost: $17.98/claim|Median: $18.95
0.9× median
10060Normal range

Incision and drainage of abscess, simple

$213K

1,965 claims · 0.7%

Your Cost: $108.20/claim|Median: $75.72
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$207K

2,480 claims · 0.7%

Your Cost: $83.48/claim|Median: $74.82
1.1× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$180K

1,844 claims · 0.6%

Your Cost: $97.45/claim|Median: $59.25
1.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$162K

6,172 claims · 0.5%

Your Cost: $26.26/claim|Median: $36.79
0.7× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$143K

1,794 claims · 0.4%

Your Cost: $79.60/claim|Median: $144.30
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$141K

5,094 claims · 0.4%

Your Cost: $27.68/claim|Median: $85.66
0.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$138K

1,949 claims · 0.4%

Your Cost: $70.72/claim|Median: $51.25
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$136K

3,296 claims · 0.4%

Your Cost: $41.36/claim|Median: $37.22
1.1× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$119K

2,047 claims · 0.4%

Your Cost: $58.31/claim|Median: $70.87
0.8× median
99245Top 25%

Office consultation, high complexity

$118K

581 claims · 0.4%

Your Cost: $202.94/claim|Median: $143.30
1.4× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$113K

1,039 claims · 0.4%

Your Cost: $108.75/claim|Median: $72.71
1.5× median
76820Normal range

$90K

3,794 claims · 0.3%

Your Cost: $23.82/claim|Median: $31.79
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$89K

753 claims · 0.3%

Your Cost: $118.55/claim|Median: $233.73
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$86K

1,674 claims · 0.3%

Your Cost: $51.15/claim|Median: $43.85
1.2× median
94010Normal range

$85K

4,055 claims · 0.3%

Your Cost: $20.91/claim|Median: $18.11
1.2× median
99243Top 25%

Office or other outpatient consultation, low complexity

$84K

817 claims · 0.3%

Your Cost: $102.92/claim|Median: $82.43
1.2× median
99292Normal range

$83K

2,380 claims · 0.3%

Your Cost: $35.05/claim|Median: $57.64
0.6× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$83K

1,981 claims · 0.3%

Your Cost: $41.70/claim|Median: $144.04
0.3× median
88304Normal range

$82K

5,619 claims · 0.3%

Your Cost: $14.55/claim|Median: $12.88
1.1× median
99471Normal range

$81K

111 claims · 0.3%

Your Cost: $730.37/claim|Median: $680.99
1.1× median

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