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UNC PHYSICIANS NETWORK LLC

General Practice·MORRISVILLE, NC·NPI: 1558786830Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.8M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$46.8M

$46,819,902

Total Claims

2.6M

Beneficiaries

2.0M

1.3 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+44%
2019
$3.4M
-17%
2020
$2.8M
+65%
2021
$4.6M
+76%
2022
$8.1M
+41%
2023
$11.5M
+22%
2024
$14.0M

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 23% of total spending.

99213Normal range

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

$10.9M

265K claims · 23.4%

Your Cost: $41.32/claim|Median: $37.81
1.1× median
99214Normal range

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

$10.8M

196K claims · 23.1%

Your Cost: $55.02/claim|Median: $53.41
1.0× median
99199Normal range

Unlisted special service, procedure, or report

$7.3M

1.5M claims · 15.7%

Your Cost: $4.85/claim|Median: $5.39
0.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.8M

43K claims · 3.9%

Your Cost: $42.49/claim|Median: $17.85
2.4× median
99203Normal range

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

$1.1M

19K claims · 2.4%

Your Cost: $59.18/claim|Median: $57.85
1.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.1M

9,490 claims · 2.4%

Your Cost: $118.52/claim|Median: $100.62
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.1M

33K claims · 2.4%

Your Cost: $34.01/claim|Median: $23.99
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

13K claims · 2.4%

Your Cost: $86.13/claim|Median: $69.35
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

12K claims · 2.3%

Your Cost: $93.10/claim|Median: $75.18
1.2× median
99204Normal range

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

$941K

10K claims · 2.0%

Your Cost: $91.05/claim|Median: $84.03
1.1× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$545K

6,026 claims · 1.2%

Your Cost: $90.37/claim|Median: $74.82
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$516K

6,318 claims · 1.1%

Your Cost: $81.71/claim|Median: $108.91
0.8× median
87428Normal range

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

$427K

8,045 claims · 0.9%

Your Cost: $53.07/claim|Median: $39.63
1.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$421K

5,022 claims · 0.9%

Your Cost: $83.74/claim|Median: $82.43
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$366K

7,573 claims · 0.8%

Your Cost: $48.39/claim|Median: $35.30
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$333K

5,007 claims · 0.7%

Your Cost: $66.45/claim|Median: $74.09
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$315K

26K claims · 0.7%

Your Cost: $11.97/claim|Median: $11.48
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$299K

2,578 claims · 0.6%

Your Cost: $115.86/claim|Median: $121.58
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$294K

14K claims · 0.6%

Your Cost: $20.59/claim|Median: $29.03
0.7× median
87804Normal range

Influenza virus detection, rapid test

$285K

20K claims · 0.6%

Your Cost: $14.49/claim|Median: $12.59
1.2× median
90471Normal range

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

$270K

21K claims · 0.6%

Your Cost: $12.93/claim|Median: $9.80
1.3× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$270K

188 claims · 0.6%

Your Cost: $1,435.89/claim|Median: $1,482.45
1.0× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$253K

2,617 claims · 0.5%

Your Cost: $96.76/claim|Median: $80.15
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$253K

3,954 claims · 0.5%

Your Cost: $63.92/claim|Median: $54.68
1.2× median
87426Normal range

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

$248K

8,007 claims · 0.5%

Your Cost: $31.03/claim|Median: $30.04
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$224K

26K claims · 0.5%

Your Cost: $8.58/claim|Median: $9.10
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$167K

2,701 claims · 0.4%

Your Cost: $61.83/claim|Median: $58.55
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$155K

673 claims · 0.3%

Your Cost: $231.00/claim|Median: $233.73
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$147K

11K claims · 0.3%

Your Cost: $12.93/claim|Median: $9.56
1.4× median
76830Normal range

Ultrasound, transvaginal

$144K

1,846 claims · 0.3%

Your Cost: $77.94/claim|Median: $57.47
1.4× median
92567Normal range

$137K

12K claims · 0.3%

Your Cost: $11.16/claim|Median: $11.50
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$135K

6,202 claims · 0.3%

Your Cost: $21.78/claim|Median: $25.06
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$131K

2,508 claims · 0.3%

Your Cost: $52.32/claim|Median: $43.85
1.2× median
81025Normal range

Urine pregnancy test

$122K

20K claims · 0.3%

Your Cost: $5.99/claim|Median: $4.81
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$122K

2,735 claims · 0.3%

Your Cost: $44.46/claim|Median: $37.22
1.2× median
90472Top 10%

Immunization administration, each additional vaccine

$118K

3,878 claims · 0.3%

Your Cost: $30.48/claim|Median: $11.79
2.6× median
99284Normal range

Emergency dept visit, high complexity

$113K

1,292 claims · 0.2%

Your Cost: $87.64/claim|Median: $69.51
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$104K

1,111 claims · 0.2%

Your Cost: $93.89/claim|Median: $67.32
1.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$90K

1,447 claims · 0.2%

Your Cost: $62.21/claim|Median: $58.16
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$87K

3,333 claims · 0.2%

Your Cost: $26.16/claim|Median: $28.46
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$82K

1,342 claims · 0.2%

Your Cost: $60.95/claim|Median: $51.25
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$81K

753 claims · 0.2%

Your Cost: $107.60/claim|Median: $101.24
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$80K

1,036 claims · 0.2%

Your Cost: $77.02/claim|Median: $72.71
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$68K

17K claims · 0.1%

Your Cost: $3.91/claim|Median: $3.67
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$68K

753 claims · 0.1%

Your Cost: $90.71/claim|Median: $74.78
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$62K

1,263 claims · 0.1%

Your Cost: $48.91/claim|Median: $40.11
1.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$61K

8,075 claims · 0.1%

Your Cost: $7.50/claim|Median: $9.70
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$58K

974 claims · 0.1%

Your Cost: $59.35/claim|Median: $49.45
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$56K

919 claims · 0.1%

Your Cost: $61.29/claim|Median: $62.48
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$51K

20K claims · 0.1%

Your Cost: $2.51/claim|Median: $7.18
0.3× median

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