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UNIVERSITY MEDICAL SERVICE ASSOCIATION INC

General Practice·TAMPA, FL·NPI: 1538360425Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.4M is at the 25th percentile among 6 General Practice providers.

Active Billing Period:2018-02→2024-12(76 months)

Total Paid

$29.4M

$29,387,888

Total Claims

768K

Beneficiaries

560K

1.4 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$8K
+59486%
2019
$4.9M
+20%
2020
$5.9M
+6%
2021
$6.2M
-20%
2022
$5.0M
+6%
2023
$5.3M
-58%
2024
$2.2M

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 13% of total spending.

99214Normal range

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

$3.8M

58K claims · 13.1%

Your Cost: $66.36/claim|Median: $53.41
1.2× median
T1017Normal range

Targeted case management, per 15 min

$3.6M

192K claims · 12.1%

Your Cost: $18.53/claim|Median: $69.56
0.3× median
99472Normal range

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

$2.8M

7,718 claims · 9.6%

Your Cost: $365.31/claim|Median: $307.98
1.2× median
H1000Normal range

Prenatal care, at-risk assessment

$2.0M

33K claims · 6.7%

Your Cost: $59.44/claim|Median: $50.36
1.2× median
99213Normal range

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

$1.8M

41K claims · 6.0%

Your Cost: $42.41/claim|Median: $37.81
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

20K claims · 4.3%

Your Cost: $63.19/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

15K claims · 3.6%

Your Cost: $72.03/claim|Median: $75.18
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$1.0M

3,045 claims · 3.5%

Your Cost: $342.12/claim|Median: $293.45
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$996K

11K claims · 3.4%

Your Cost: $86.87/claim|Median: $106.79
0.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$948K

8,842 claims · 3.2%

Your Cost: $107.22/claim|Median: $103.70
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$864K

7,906 claims · 2.9%

Your Cost: $109.29/claim|Median: $98.15
1.1× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$835K

11K claims · 2.8%

Your Cost: $78.90/claim|Median: $35.30
2.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$757K

14K claims · 2.6%

Your Cost: $54.93/claim|Median: $23.99
2.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$727K

18K claims · 2.5%

Your Cost: $41.49/claim|Median: $58.55
0.7× median
99215Top 25%

Office/outpatient visit, high complexity

$668K

6,143 claims · 2.3%

Your Cost: $108.69/claim|Median: $74.09
1.5× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$562K

7,503 claims · 1.9%

Your Cost: $74.92/claim|Median: $119.08
0.6× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$431K

3,686 claims · 1.5%

Your Cost: $116.84/claim|Median: $51.25
2.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$409K

5,213 claims · 1.4%

Your Cost: $78.48/claim|Median: $54.68
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$385K

20K claims · 1.3%

Your Cost: $19.10/claim|Median: $17.85
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$370K

8,294 claims · 1.3%

Your Cost: $44.59/claim|Median: $37.22
1.2× median
99204Top 25%

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

$363K

3,224 claims · 1.2%

Your Cost: $112.73/claim|Median: $84.03
1.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$333K

12K claims · 1.1%

Your Cost: $27.67/claim|Median: $49.45
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$286K

4,028 claims · 1.0%

Your Cost: $71.07/claim|Median: $74.82
0.9× median
H1001Top 25%

$285K

2,423 claims · 1.0%

Your Cost: $117.42/claim|Median: $60.48
1.9× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$257K

3,045 claims · 0.9%

Your Cost: $84.29/claim|Median: $43.85
1.9× median
99221Top 10%

Initial hospital care, straightforward/low

$236K

2,789 claims · 0.8%

Your Cost: $84.51/claim|Median: $39.96
2.1× median
99223Top 5%

Initial hospital care, per day, high complexity

$150K

882 claims · 0.5%

Your Cost: $169.96/claim|Median: $67.32
2.5× median
99291Top 25%

Critical care, first 30-74 minutes

$137K

758 claims · 0.5%

Your Cost: $180.88/claim|Median: $101.24
1.8× median
T1027Normal range

Family training and counseling, per 15 minutes

$121K

2,805 claims · 0.4%

Your Cost: $43.13/claim|Median: $53.00
0.8× median
0502FNormal range

$106K

33K claims · 0.4%

Your Cost: $3.23/claim|Median: $44.10
0.1× median
31231Top 10%

Nasal endoscopy, diagnostic

$100K

461 claims · 0.3%

Your Cost: $216.06/claim|Median: $98.77
2.2× median
59430Normal range

$94K

1,915 claims · 0.3%

Your Cost: $49.04/claim|Median: $80.32
0.6× median
99254Normal range

$91K

931 claims · 0.3%

Your Cost: $98.21/claim|Median: $81.43
1.2× median
99217Top 10%

$82K

1,399 claims · 0.3%

Your Cost: $58.57/claim|Median: $31.89
1.8× median
99220Top 5%

$79K

506 claims · 0.3%

Your Cost: $157.06/claim|Median: $73.56
2.1× median
99219Top 10%

$75K

670 claims · 0.3%

Your Cost: $112.43/claim|Median: $63.35
1.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$71K

139 claims · 0.2%

Your Cost: $509.32/claim|Median: $470.36
1.1× median
99188Normal range

$69K

6,791 claims · 0.2%

Your Cost: $10.12/claim|Median: $12.80
0.8× median
54150Normal range

$60K

612 claims · 0.2%

Your Cost: $97.25/claim|Median: $84.60
1.1× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$56K

633 claims · 0.2%

Your Cost: $89.21/claim|Median: $47.08
1.9× median
90837Normal range

Psychotherapy, 60 minutes

$55K

729 claims · 0.2%

Your Cost: $75.67/claim|Median: $85.66
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$54K

317 claims · 0.2%

Your Cost: $171.20/claim|Median: $111.09
1.5× median
99203Top 25%

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

$49K

564 claims · 0.2%

Your Cost: $86.72/claim|Median: $57.85
1.5× median
59410Top 25%

$49K

47 claims · 0.2%

Your Cost: $1,038.36/claim|Median: $781.64
1.3× median
99245Normal range

Office consultation, high complexity

$44K

265 claims · 0.1%

Your Cost: $165.91/claim|Median: $143.30
1.2× median
99255Top 5%

$43K

215 claims · 0.1%

Your Cost: $201.53/claim|Median: $90.45
2.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$41K

639 claims · 0.1%

Your Cost: $64.22/claim|Median: $74.78
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$40K

310 claims · 0.1%

Your Cost: $127.70/claim|Median: $121.58
1.1× median
76830Normal range

Ultrasound, transvaginal

$39K

591 claims · 0.1%

Your Cost: $65.30/claim|Median: $57.47
1.1× median
59025Normal range

Fetal non-stress test

$37K

2,355 claims · 0.1%

Your Cost: $15.52/claim|Median: $26.45
0.6× median

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