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BAPTIST HEALTH MEDICAL GROUP INC

Clinic/Center, Urgent Care·LOUISVILLE, KY·NPI: 1508269200Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.6M

$26,583,657

Total Claims

887K

Beneficiaries

716K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+21%
2019
$3.0M
-19%
2020
$2.4M
+61%
2021
$3.9M
+41%
2022
$5.5M
-4%
2023
$5.3M
-25%
2024
$4.0M

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 37% of total spending.

99213Normal range

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

$9.8M

300K claims · 36.7%

Your Cost: $32.53/claim|Median: $37.81
0.9× median
99214Normal range

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

$4.2M

83K claims · 15.6%

Your Cost: $49.97/claim|Median: $53.41
0.9× median
99203Normal range

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

$2.4M

43K claims · 9.0%

Your Cost: $56.03/claim|Median: $57.85
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$1.7M

69K claims · 6.3%

Your Cost: $24.36/claim|Median: $12.59
1.9× median
97110Normal range

Therapeutic exercises, each 15 min

$1.5M

70K claims · 5.7%

Your Cost: $21.73/claim|Median: $24.49
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1.3M

95K claims · 4.9%

Your Cost: $13.66/claim|Median: $11.48
1.2× median
92507Normal range

Speech/hearing/language treatment

$1.1M

32K claims · 4.0%

Your Cost: $33.89/claim|Median: $49.45
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

34K claims · 4.0%

Your Cost: $31.11/claim|Median: $33.11
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$986K

41K claims · 3.7%

Your Cost: $23.77/claim|Median: $30.04
0.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$844K

29K claims · 3.2%

Your Cost: $29.02/claim|Median: $39.63
0.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$503K

29K claims · 1.9%

Your Cost: $17.40/claim|Median: $16.79
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$352K

18K claims · 1.3%

Your Cost: $20.08/claim|Median: $20.04
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$141K

3,841 claims · 0.5%

Your Cost: $36.76/claim|Median: $40.11
0.9× median
99204Normal range

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

$135K

1,659 claims · 0.5%

Your Cost: $81.57/claim|Median: $84.03
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$134K

5,742 claims · 0.5%

Your Cost: $23.26/claim|Median: $25.06
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$128K

9,793 claims · 0.5%

Your Cost: $13.08/claim|Median: $9.56
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$79K

1,232 claims · 0.3%

Your Cost: $63.98/claim|Median: $65.64
1.0× median
97162Normal range

PT evaluation, moderate complexity

$48K

1,159 claims · 0.2%

Your Cost: $41.25/claim|Median: $46.10
0.9× median
87807Top 25%

$41K

3,430 claims · 0.2%

Your Cost: $11.82/claim|Median: $10.06
1.2× median
92609Normal range

$35K

625 claims · 0.1%

Your Cost: $55.79/claim|Median: $59.78
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$31K

1,228 claims · 0.1%

Your Cost: $25.11/claim|Median: $28.46
0.9× median
99284Normal range

Emergency dept visit, high complexity

$31K

510 claims · 0.1%

Your Cost: $60.12/claim|Median: $69.51
0.9× median
97535Normal range

Self-care/home management training, per 15 minutes

$20K

1,236 claims · 0.1%

Your Cost: $16.02/claim|Median: $18.18
0.9× median
71046Normal range

Chest X-ray, 2 views

$16K

1,393 claims · 0.1%

Your Cost: $11.71/claim|Median: $8.92
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$15K

394 claims · 0.1%

Your Cost: $37.55/claim|Median: $42.48
0.9× median
81025Normal range

Urine pregnancy test

$13K

2,143 claims · 0.1%

Your Cost: $6.28/claim|Median: $4.81
1.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$13K

109 claims · 0.1%

Your Cost: $123.53/claim|Median: $97.61
1.3× median
97014Normal range

Electrical stimulation, unattended

$13K

1,985 claims · 0.1%

Your Cost: $6.78/claim|Median: $8.83
0.8× median
97161Normal range

Physical therapy evaluation, low complexity

$12K

294 claims · 0.0%

Your Cost: $42.04/claim|Median: $47.89
0.9× median
97533Normal range

$12K

434 claims · 0.0%

Your Cost: $27.97/claim|Median: $48.71
0.6× median
97113Normal range

$9K

188 claims · 0.0%

Your Cost: $46.56/claim|Median: $51.02
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$6K

714 claims · 0.0%

Your Cost: $8.67/claim|Median: $9.80
0.9× median
J3301Top 10%

Injection, triamcinolone acetonide, per ten milligrams

$5K

588 claims · 0.0%

Your Cost: $8.42/claim|Median: $2.91
2.9× median
92523Normal range

Evaluation of speech sound production with language comprehension

$4K

44 claims · 0.0%

Your Cost: $93.58/claim|Median: $110.87
0.8× median
99422Normal range

Online digital E/M, 11-20 min

$4K

262 claims · 0.0%

Your Cost: $15.38/claim|Median: $17.90
0.9× median
97116Normal range

Gait training

$3K

233 claims · 0.0%

Your Cost: $14.89/claim|Median: $12.48
1.2× median
J1040Normal range

$3K

348 claims · 0.0%

Your Cost: $9.66/claim|Median: $6.87
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

354 claims · 0.0%

Your Cost: $9.22/claim|Median: $12.93
0.7× median
J0561Normal range

$2K

20 claims · 0.0%

Your Cost: $121.37/claim|Median: $96.49
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$2K

71 claims · 0.0%

Your Cost: $24.70/claim|Median: $27.38
0.9× median
97035Normal range

Ultrasound therapy

$1K

224 claims · 0.0%

Your Cost: $5.72/claim|Median: $7.31
0.8× median
J1100Top 25%

$1K

939 claims · 0.0%

Your Cost: $1.35/claim|Median: $0.52
2.6× median
J0696Top 25%

$1K

152 claims · 0.0%

Your Cost: $7.20/claim|Median: $1.34
5.4× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$1K

161 claims · 0.0%

Your Cost: $6.57/claim|Median: $10.88
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$903

138 claims · 0.0%

Your Cost: $6.54/claim|Median: $11.79
0.6× median
87400Normal range

$735

84 claims · 0.0%

Your Cost: $8.75/claim|Median: $8.40
1.0× median
97166Normal range

OT evaluation, moderate complexity

$712

13 claims · 0.0%

Your Cost: $54.79/claim|Median: $48.74
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$673

1,294 claims · 0.0%

Your Cost: $0.52/claim|Median: $1.48
0.4× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$573

73 claims · 0.0%

Your Cost: $7.85/claim|Median: $12.06
0.7× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$540

234 claims · 0.0%

Your Cost: $2.31/claim|Median: $0.91
2.5× median

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