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BAPTIST HEALTH MEDICAL GROUP INC

Nurse Practitioner·LEXINGTON, KY·NPI: 1518360296Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$54.0M

$54,036,410

Total Claims

1.7M

Beneficiaries

1.4M

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$6.6M
-8%
2019
$6.0M
-1%
2020
$6.0M
+36%
2021
$8.1M
+5%
2022
$8.5M
+18%
2023
$10.1M
-14%
2024
$8.7M

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 29% of total spending.

99214Normal range

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

$15.5M

381K claims · 28.7%

Your Cost: $40.67/claim|Median: $53.41
0.8× median
99213Normal range

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

$7.4M

254K claims · 13.8%

Your Cost: $29.27/claim|Median: $37.81
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.2M

128K claims · 5.9%

Your Cost: $24.78/claim|Median: $23.99
1.0× median
99204Normal range

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

$2.2M

31K claims · 4.1%

Your Cost: $72.54/claim|Median: $84.03
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

41K claims · 3.3%

Your Cost: $43.32/claim|Median: $54.68
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$1.7M

22K claims · 3.2%

Your Cost: $79.84/claim|Median: $67.32
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$1.0M

11K claims · 1.9%

Your Cost: $96.81/claim|Median: $101.24
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$1.0M

15K claims · 1.9%

Your Cost: $69.07/claim|Median: $85.66
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$879K

9,104 claims · 1.6%

Your Cost: $96.52/claim|Median: $151.68
0.6× median
99203Normal range

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

$864K

17K claims · 1.6%

Your Cost: $50.71/claim|Median: $57.85
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$761K

25K claims · 1.4%

Your Cost: $29.95/claim|Median: $35.30
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$754K

10K claims · 1.4%

Your Cost: $73.85/claim|Median: $108.91
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$643K

14K claims · 1.2%

Your Cost: $46.28/claim|Median: $43.85
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$606K

11K claims · 1.1%

Your Cost: $57.54/claim|Median: $65.76
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$591K

94K claims · 1.1%

Your Cost: $6.30/claim|Median: $5.60
1.1× median
74176Normal range

CT abdomen and pelvis without contrast

$588K

12K claims · 1.1%

Your Cost: $49.73/claim|Median: $60.19
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$509K

8,842 claims · 0.9%

Your Cost: $57.56/claim|Median: $106.79
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$488K

9,999 claims · 0.9%

Your Cost: $48.77/claim|Median: $63.65
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$465K

14K claims · 0.9%

Your Cost: $34.35/claim|Median: $58.55
0.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$463K

2,274 claims · 0.9%

Your Cost: $203.51/claim|Median: $255.17
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$452K

19K claims · 0.8%

Your Cost: $23.92/claim|Median: $39.33
0.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$440K

37K claims · 0.8%

Your Cost: $11.81/claim|Median: $9.70
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$431K

1,618 claims · 0.8%

Your Cost: $266.62/claim|Median: $293.45
0.9× median
43775Normal range

$428K

646 claims · 0.8%

Your Cost: $662.75/claim|Median: $619.12
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$393K

5,000 claims · 0.7%

Your Cost: $78.50/claim|Median: $99.21
0.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$367K

10K claims · 0.7%

Your Cost: $36.53/claim|Median: $106.14
0.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$366K

8,700 claims · 0.7%

Your Cost: $42.11/claim|Median: $37.22
1.1× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$363K

19K claims · 0.7%

Your Cost: $19.34/claim|Median: $21.41
0.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$331K

681 claims · 0.6%

Your Cost: $486.78/claim|Median: $470.36
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$321K

13K claims · 0.6%

Your Cost: $24.85/claim|Median: $25.06
1.0× median
70450Normal range

CT head/brain without contrast

$315K

14K claims · 0.6%

Your Cost: $23.32/claim|Median: $45.53
0.5× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$305K

7,078 claims · 0.6%

Your Cost: $43.11/claim|Median: $17.85
2.4× median
45380Normal range

Colonoscopy with biopsy

$286K

2,375 claims · 0.5%

Your Cost: $120.50/claim|Median: $200.68
0.6× median
59025Normal range

Fetal non-stress test

$267K

11K claims · 0.5%

Your Cost: $23.26/claim|Median: $26.45
0.9× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$254K

7,790 claims · 0.5%

Your Cost: $32.61/claim|Median: $29.03
1.1× median
76830Normal range

Ultrasound, transvaginal

$253K

4,113 claims · 0.5%

Your Cost: $61.43/claim|Median: $57.47
1.1× median
71045Normal range

Chest X-ray, single view

$204K

47K claims · 0.4%

Your Cost: $4.35/claim|Median: $4.93
0.9× median
93018Top 25%

$202K

15K claims · 0.4%

Your Cost: $13.37/claim|Median: $8.92
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$186K

1,780 claims · 0.3%

Your Cost: $104.67/claim|Median: $121.58
0.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$184K

3,229 claims · 0.3%

Your Cost: $57.00/claim|Median: $47.65
1.2× median
93458Normal range

Left heart catheterization with imaging

$182K

1,118 claims · 0.3%

Your Cost: $163.04/claim|Median: $183.33
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$181K

7,752 claims · 0.3%

Your Cost: $23.36/claim|Median: $49.45
0.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$177K

2,308 claims · 0.3%

Your Cost: $76.64/claim|Median: $82.43
0.9× median
71250Normal range

CT scan of chest without contrast

$166K

5,905 claims · 0.3%

Your Cost: $28.05/claim|Median: $39.11
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$163K

3,401 claims · 0.3%

Your Cost: $48.01/claim|Median: $74.09
0.6× median
76705Normal range

Ultrasound, abdominal, limited

$154K

7,344 claims · 0.3%

Your Cost: $20.96/claim|Median: $23.81
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$152K

4,536 claims · 0.3%

Your Cost: $33.58/claim|Median: $41.28
0.8× median
77066Normal range

$143K

4,694 claims · 0.3%

Your Cost: $30.37/claim|Median: $43.94
0.7× median
76642Normal range

$142K

5,776 claims · 0.3%

Your Cost: $24.56/claim|Median: $32.06
0.8× median
76700Normal range

Ultrasound, abdominal, complete

$129K

4,519 claims · 0.2%

Your Cost: $28.47/claim|Median: $50.69
0.6× median

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