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Gerald Francis Congdon

Family Medicine·Pawleys Island, SC·NPI: 1568446326SharePrint ReportML Risk: 82%

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $104K is at the below 25th percentile among 19 Family Medicine providers.

Total Paid

$104K

$103,645

Total Claims

2,744

Beneficiaries

1,459

1.9 claims/patient

Avg Cost/Claim

$38

🔍 Analysis

Provider Overview

Gerald Francis Congdon is a Family Medicine provider based in Pawleys Island, SC. From the 2018–2024 period, this provider received $104K in Medicaid payments across 3K claims serving 1K beneficiaries.

77% growthsince first billing year

Yearly Spending

2019
$85K
-77%
2020
$19K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 75% of total spending.

99214Normal range

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

$78K

1,035 claims · 75.0%

Your Cost: $75.07/claim|Median: $53.41
1.4× median
80305Normal range

$10K

1,084 claims · 9.9%

Your Cost: $9.49/claim|Median: $7.44
1.3× median
90853Normal range

Group psychotherapy

$10K

524 claims · 9.8%

Your Cost: $19.36/claim|Median: $25.02
0.8× median
99213Normal range

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

$2K

43 claims · 2.2%

Your Cost: $52.97/claim|Median: $37.81
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$2K

18 claims · 1.8%

Your Cost: $105.70/claim|Median: $74.09
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$1K

40 claims · 1.3%

Your Cost: $33.34/claim|Median: $25.06
1.3× median