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BHS PHYSICIANS NETWORK, INC

Family Medicine·SAN ANTONIO, TX·NPI: 1598958431Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $32.1M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$32.1M

$32,113,658

Total Claims

1.8M

Beneficiaries

1.4M

1.3 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$141K
+69%
2019
$238K
+406%
2020
$1.2M
+497%
2021
$7.2M
+12%
2022
$8.1M
+4%
2023
$8.4M
-17%
2024
$6.9M

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 21% of total spending.

99214Normal range

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

$6.8M

168K claims · 21.0%

Your Cost: $40.09/claim|Median: $53.41
0.8× median
99213Normal range

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

$6.4M

208K claims · 20.1%

Your Cost: $31.06/claim|Median: $37.81
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.6M

32K claims · 4.8%

Your Cost: $49.36/claim|Median: $58.55
0.8× median
99204Normal range

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

$1.3M

16K claims · 4.0%

Your Cost: $79.47/claim|Median: $84.03
0.9× median
59409Normal range

Vaginal delivery only

$994K

1,823 claims · 3.1%

Your Cost: $544.99/claim|Median: $619.91
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$927K

12K claims · 2.9%

Your Cost: $79.65/claim|Median: $74.09
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$722K

9,277 claims · 2.2%

Your Cost: $77.79/claim|Median: $101.24
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$658K

21K claims · 2.0%

Your Cost: $31.82/claim|Median: $49.45
0.6× median
99203Normal range

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

$640K

13K claims · 2.0%

Your Cost: $50.17/claim|Median: $57.85
0.9× median
59514Normal range

Cesarean delivery only

$620K

1,001 claims · 1.9%

Your Cost: $618.98/claim|Median: $452.80
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$595K

19K claims · 1.9%

Your Cost: $31.99/claim|Median: $35.30
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$593K

6,434 claims · 1.8%

Your Cost: $92.10/claim|Median: $74.78
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$459K

6,126 claims · 1.4%

Your Cost: $74.96/claim|Median: $106.79
0.7× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$455K

2,182 claims · 1.4%

Your Cost: $208.65/claim|Median: $283.78
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$447K

5,738 claims · 1.4%

Your Cost: $77.83/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$418K

5,156 claims · 1.3%

Your Cost: $81.07/claim|Median: $75.18
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$405K

3,020 claims · 1.3%

Your Cost: $134.01/claim|Median: $121.58
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$369K

18K claims · 1.1%

Your Cost: $20.51/claim|Median: $25.06
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$340K

8,979 claims · 1.1%

Your Cost: $37.88/claim|Median: $54.68
0.7× median
99245Top 25%

Office consultation, high complexity

$339K

1,847 claims · 1.1%

Your Cost: $183.77/claim|Median: $143.30
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$310K

3,042 claims · 1.0%

Your Cost: $101.81/claim|Median: $151.68
0.7× median
76820Normal range

$305K

16K claims · 1.0%

Your Cost: $19.01/claim|Median: $31.79
0.6× median
76830Top 25%

Ultrasound, transvaginal

$294K

3,419 claims · 0.9%

Your Cost: $85.90/claim|Median: $57.47
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$271K

3,143 claims · 0.8%

Your Cost: $86.15/claim|Median: $74.82
1.2× median
59430Normal range

$269K

3,051 claims · 0.8%

Your Cost: $88.18/claim|Median: $80.32
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$264K

3,471 claims · 0.8%

Your Cost: $75.94/claim|Median: $58.16
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$245K

4,020 claims · 0.8%

Your Cost: $61.03/claim|Median: $72.71
0.8× median
94010Normal range

$240K

10K claims · 0.7%

Your Cost: $23.27/claim|Median: $18.11
1.3× median
59025Normal range

Fetal non-stress test

$232K

7,003 claims · 0.7%

Your Cost: $33.12/claim|Median: $26.45
1.3× median
76818Normal range

$182K

2,723 claims · 0.6%

Your Cost: $67.00/claim|Median: $68.15
1.0× median
76825Normal range

$180K

3,199 claims · 0.6%

Your Cost: $56.42/claim|Median: $103.74
0.5× median
81002Top 25%

Urinalysis, non-automated without microscopy

$172K

65K claims · 0.5%

Your Cost: $2.64/claim|Median: $2.00
1.3× median
81025Normal range

Urine pregnancy test

$154K

25K claims · 0.5%

Your Cost: $6.05/claim|Median: $4.81
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$147K

1,395 claims · 0.5%

Your Cost: $105.39/claim|Median: $111.09
0.9× median
90471Normal range

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

$141K

12K claims · 0.4%

Your Cost: $11.47/claim|Median: $9.80
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$136K

2,328 claims · 0.4%

Your Cost: $58.58/claim|Median: $67.32
0.9× median
97110Top 5%

Therapeutic exercises, each 15 min

$132K

1,436 claims · 0.4%

Your Cost: $91.68/claim|Median: $24.49
3.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$130K

3,454 claims · 0.4%

Your Cost: $37.58/claim|Median: $47.65
0.8× median
99000Top 25%

$129K

13K claims · 0.4%

Your Cost: $9.60/claim|Median: $2.30
4.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$128K

5,240 claims · 0.4%

Your Cost: $24.39/claim|Median: $23.99
1.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$121K

1,701 claims · 0.4%

Your Cost: $71.41/claim|Median: $82.43
0.9× median
81003Normal range

Urinalysis, automated without microscopy

$121K

71K claims · 0.4%

Your Cost: $1.70/claim|Median: $1.48
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$118K

4,545 claims · 0.4%

Your Cost: $25.97/claim|Median: $36.79
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$118K

12K claims · 0.4%

Your Cost: $9.65/claim|Median: $11.79
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$111K

1,229 claims · 0.3%

Your Cost: $90.57/claim|Median: $80.15
1.1× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$109K

530 claims · 0.3%

Your Cost: $206.59/claim|Median: $331.68
0.6× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$85K

2,790 claims · 0.3%

Your Cost: $30.56/claim|Median: $12.64
2.4× median
76856Normal range

Ultrasound, pelvic, complete

$82K

1,164 claims · 0.3%

Your Cost: $70.64/claim|Median: $47.58
1.5× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$79K

3,579 claims · 0.2%

Your Cost: $22.18/claim|Median: $12.06
1.8× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$79K

1,043 claims · 0.2%

Your Cost: $75.81/claim|Median: $70.87
1.1× median

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