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LAKELAND MEDICAL PRACTICES

Internal Medicine·SAINT JOSEPH, MI·NPI: 1538397120Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.9M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$20.9M

$20,861,099

Total Claims

423K

Beneficiaries

356K

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+2%
2019
$2.5M
-1%
2020
$2.5M
+33%
2021
$3.4M
+2%
2022
$3.4M
+2%
2023
$3.5M
-16%
2024
$3.0M

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 22% of total spending.

99214Normal range

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

$4.5M

67K claims · 21.7%

Your Cost: $67.92/claim|Median: $53.41
1.3× median
99213Normal range

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

$3.3M

67K claims · 15.6%

Your Cost: $48.40/claim|Median: $37.81
1.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.4M

33K claims · 6.5%

Your Cost: $41.57/claim|Median: $23.99
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.0M

14K claims · 5.0%

Your Cost: $76.60/claim|Median: $85.66
0.9× median
99204Normal range

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

$853K

9,288 claims · 4.1%

Your Cost: $91.81/claim|Median: $84.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$782K

8,753 claims · 3.7%

Your Cost: $89.32/claim|Median: $74.09
1.2× median
99203Normal range

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

$718K

12K claims · 3.4%

Your Cost: $60.63/claim|Median: $57.85
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$710K

5,798 claims · 3.4%

Your Cost: $122.48/claim|Median: $101.24
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$640K

5,968 claims · 3.1%

Your Cost: $107.18/claim|Median: $67.32
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$574K

9,806 claims · 2.8%

Your Cost: $58.54/claim|Median: $35.30
1.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$521K

6,957 claims · 2.5%

Your Cost: $74.84/claim|Median: $51.25
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$439K

10K claims · 2.1%

Your Cost: $42.46/claim|Median: $37.22
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$347K

5,698 claims · 1.7%

Your Cost: $60.97/claim|Median: $43.85
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$333K

3,000 claims · 1.6%

Your Cost: $110.86/claim|Median: $111.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$306K

12K claims · 1.5%

Your Cost: $26.48/claim|Median: $25.06
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$297K

3,186 claims · 1.4%

Your Cost: $93.12/claim|Median: $76.06
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$227K

2,706 claims · 1.1%

Your Cost: $83.98/claim|Median: $72.71
1.2× median
99220Top 25%

$193K

1,975 claims · 0.9%

Your Cost: $97.96/claim|Median: $73.56
1.3× median
99219Normal range

$171K

2,351 claims · 0.8%

Your Cost: $72.75/claim|Median: $63.35
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$168K

3,118 claims · 0.8%

Your Cost: $53.86/claim|Median: $62.48
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$166K

1,800 claims · 0.8%

Your Cost: $92.46/claim|Median: $121.58
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$156K

3,862 claims · 0.7%

Your Cost: $40.37/claim|Median: $40.11
1.0× median
99254Normal range

$143K

1,659 claims · 0.7%

Your Cost: $85.91/claim|Median: $81.43
1.1× median
99217Normal range

$132K

3,705 claims · 0.6%

Your Cost: $35.73/claim|Median: $31.89
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$127K

1,707 claims · 0.6%

Your Cost: $74.42/claim|Median: $75.18
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$126K

1,253 claims · 0.6%

Your Cost: $100.17/claim|Median: $99.21
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$124K

1,682 claims · 0.6%

Your Cost: $73.72/claim|Median: $74.82
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$116K

5,083 claims · 0.6%

Your Cost: $22.87/claim|Median: $16.77
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$113K

1,706 claims · 0.5%

Your Cost: $66.47/claim|Median: $69.35
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$112K

1,371 claims · 0.5%

Your Cost: $81.47/claim|Median: $80.15
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$88K

2,716 claims · 0.4%

Your Cost: $32.43/claim|Median: $29.03
1.1× median
47562Normal range

$85K

242 claims · 0.4%

Your Cost: $352.38/claim|Median: $731.87
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$83K

1,221 claims · 0.4%

Your Cost: $68.38/claim|Median: $233.73
0.3× median
99462Normal range

$80K

3,380 claims · 0.4%

Your Cost: $23.61/claim|Median: $27.49
0.9× median
69436Normal range

Tympanostomy, general anesthesia

$78K

633 claims · 0.4%

Your Cost: $122.99/claim|Median: $205.50
0.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$70K

2,006 claims · 0.3%

Your Cost: $34.75/claim|Median: $36.13
1.0× median
59409Normal range

Vaginal delivery only

$69K

97 claims · 0.3%

Your Cost: $714.77/claim|Median: $619.91
1.2× median
99243Normal range

Office or other outpatient consultation, low complexity

$66K

998 claims · 0.3%

Your Cost: $66.20/claim|Median: $82.43
0.8× median
54150Normal range

$59K

1,049 claims · 0.3%

Your Cost: $56.09/claim|Median: $84.60
0.7× median
45380Normal range

Colonoscopy with biopsy

$58K

626 claims · 0.3%

Your Cost: $93.28/claim|Median: $200.68
0.5× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$57K

934 claims · 0.3%

Your Cost: $61.07/claim|Median: $35.80
1.7× median
90471Normal range

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

$56K

5,485 claims · 0.3%

Your Cost: $10.26/claim|Median: $9.80
1.0× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$49K

293 claims · 0.2%

Your Cost: $166.94/claim|Median: $331.68
0.5× median
31575Normal range

$49K

730 claims · 0.2%

Your Cost: $66.97/claim|Median: $68.78
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$46K

2,736 claims · 0.2%

Your Cost: $16.95/claim|Median: $11.79
1.4× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$46K

880 claims · 0.2%

Your Cost: $52.28/claim|Median: $14.00
3.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$42K

9,025 claims · 0.2%

Your Cost: $4.70/claim|Median: $5.60
0.8× median
17110Normal range

Destruction of benign lesions, up to fourteen

$32K

519 claims · 0.2%

Your Cost: $61.53/claim|Median: $59.25
1.0× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$32K

1,534 claims · 0.2%

Your Cost: $20.81/claim|Median: $27.28
0.8× median
95886Normal range

$32K

505 claims · 0.2%

Your Cost: $62.52/claim|Median: $67.70
0.9× median

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$217.7M

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$178.8M

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