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HEARTLAND REGIONAL MEDICAL CENTER

General Practice·SAINT JOSEPH, MO·NPI: 1538200357Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.4M is at the 25th percentile among 6 General Practice providers.

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

Total Paid

$20.4M

$20,434,496

Total Claims

422K

Beneficiaries

332K

1.3 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+3%
2019
$1.1M
-28%
2020
$822K
+96%
2021
$1.6M
+184%
2022
$4.6M
+33%
2023
$6.1M
-16%
2024
$5.1M

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 25% of total spending.

99214Normal range

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

$5.2M

91K claims · 25.3%

Your Cost: $56.85/claim|Median: $53.41
1.1× median
99213Normal range

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

$4.4M

84K claims · 21.6%

Your Cost: $52.36/claim|Median: $37.81
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.9M

61K claims · 9.3%

Your Cost: $30.77/claim|Median: $23.99
1.3× median
X4003Normal range

$1.5M

25K claims · 7.3%

Your Cost: $59.99/claim|Median: $74.03
0.8× median
99284Normal range

Emergency dept visit, high complexity

$1.3M

16K claims · 6.2%

Your Cost: $79.34/claim|Median: $69.51
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

13K claims · 6.2%

Your Cost: $95.84/claim|Median: $85.65
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$604K

13K claims · 3.0%

Your Cost: $48.28/claim|Median: $42.48
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$497K

6,359 claims · 2.4%

Your Cost: $78.11/claim|Median: $67.32
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$359K

3,807 claims · 1.8%

Your Cost: $94.38/claim|Median: $108.91
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$349K

7,517 claims · 1.7%

Your Cost: $46.41/claim|Median: $35.30
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$338K

6,499 claims · 1.7%

Your Cost: $52.03/claim|Median: $43.85
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$248K

3,365 claims · 1.2%

Your Cost: $73.77/claim|Median: $69.35
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$188K

5,498 claims · 0.9%

Your Cost: $34.18/claim|Median: $54.68
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$178K

2,326 claims · 0.9%

Your Cost: $76.73/claim|Median: $75.18
1.0× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$168K

1,075 claims · 0.8%

Your Cost: $156.35/claim|Median: $121.58
1.3× median
99204Normal range

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

$153K

1,610 claims · 0.8%

Your Cost: $95.32/claim|Median: $84.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$147K

1,394 claims · 0.7%

Your Cost: $105.65/claim|Median: $74.09
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$142K

4,499 claims · 0.7%

Your Cost: $31.65/claim|Median: $35.80
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$130K

2,916 claims · 0.6%

Your Cost: $44.46/claim|Median: $63.65
0.7× median
99203Normal range

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

$108K

1,919 claims · 0.5%

Your Cost: $56.46/claim|Median: $57.85
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$92K

4,528 claims · 0.5%

Your Cost: $20.42/claim|Median: $16.77
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$81K

3,465 claims · 0.4%

Your Cost: $23.35/claim|Median: $25.06
0.9× median
99255Normal range

$74K

651 claims · 0.4%

Your Cost: $114.22/claim|Median: $90.45
1.3× median
81003Top 1%

Urinalysis, automated without microscopy

$70K

1,122 claims · 0.3%

Your Cost: $62.35/claim|Median: $1.48
42.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$66K

17K claims · 0.3%

Your Cost: $3.98/claim|Median: $5.60
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$66K

431 claims · 0.3%

Your Cost: $152.76/claim|Median: $151.68
1.0× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$58K

2,285 claims · 0.3%

Your Cost: $25.34/claim|Median: $14.00
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$48K

611 claims · 0.2%

Your Cost: $78.96/claim|Median: $74.82
1.1× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$45K

602 claims · 0.2%

Your Cost: $74.07/claim|Median: $11.48
6.5× median
90870Normal range

$41K

542 claims · 0.2%

Your Cost: $75.75/claim|Median: $68.07
1.1× median
92551Top 5%

Screening audiometry, pure tone, air only

$38K

1,267 claims · 0.2%

Your Cost: $29.86/claim|Median: $6.61
4.5× median
92567Top 10%

$37K

1,238 claims · 0.2%

Your Cost: $29.96/claim|Median: $11.50
2.6× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$35K

1,833 claims · 0.2%

Your Cost: $19.29/claim|Median: $9.79
2.0× median
59025Normal range

Fetal non-stress test

$33K

1,702 claims · 0.2%

Your Cost: $19.66/claim|Median: $26.45
0.7× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$32K

1,786 claims · 0.2%

Your Cost: $18.15/claim|Median: $20.83
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$31K

271 claims · 0.2%

Your Cost: $114.98/claim|Median: $101.24
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$29K

629 claims · 0.1%

Your Cost: $45.74/claim|Median: $51.25
0.9× median
90723Top 25%

DTaP-HepB-IPV vaccine

$21K

1,032 claims · 0.1%

Your Cost: $20.71/claim|Median: $5.78
3.6× median
87081Top 5%

Culture screening for pathogenic organisms

$20K

246 claims · 0.1%

Your Cost: $79.97/claim|Median: $5.09
15.7× median
11721Normal range

$19K

4,087 claims · 0.1%

Your Cost: $4.75/claim|Median: $8.56
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$19K

673 claims · 0.1%

Your Cost: $28.79/claim|Median: $58.55
0.5× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$19K

193 claims · 0.1%

Your Cost: $100.10/claim|Median: $28.46
3.5× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$18K

112 claims · 0.1%

Your Cost: $162.56/claim|Median: $65.64
2.5× median
98943Normal range

$17K

1,227 claims · 0.1%

Your Cost: $14.18/claim|Median: $14.25
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$17K

2,637 claims · 0.1%

Your Cost: $6.57/claim|Median: $7.18
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$17K

202 claims · 0.1%

Your Cost: $85.46/claim|Median: $80.15
1.1× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$16K

283 claims · 0.1%

Your Cost: $55.15/claim|Median: $59.38
0.9× median
99282Normal range

Emergency dept visit, low complexity

$14K

447 claims · 0.1%

Your Cost: $30.62/claim|Median: $37.72
0.8× median
88312Normal range

$12K

625 claims · 0.1%

Your Cost: $19.89/claim|Median: $24.56
0.8× median
00170Normal range

Anesthesia for intraoral procedures

$12K

195 claims · 0.1%

Your Cost: $62.70/claim|Median: $132.89
0.5× median

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$600.9M

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$493.6M

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