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MERCY HEALTH PHYSICIANS-NORTH LLC

Family Medicine·TOLEDO, OH·NPI: 1609000769Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.1M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$42.1M

$42,085,618

Total Claims

2.8M

Beneficiaries

2.4M

1.2 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$9.2M
+3%
2019
$9.5M
-16%
2020
$8.0M
+6%
2021
$8.4M
-68%
2022
$2.7M
-13%
2023
$2.4M
-17%
2024
$2.0M

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 28% of total spending.

99214Normal range

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

$11.9M

235K claims · 28.2%

Your Cost: $50.44/claim|Median: $53.41
0.9× median
99213Normal range

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

$10.5M

294K claims · 25.1%

Your Cost: $35.82/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.2M

163K claims · 7.6%

Your Cost: $19.68/claim|Median: $23.99
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$1.3M

23K claims · 3.1%

Your Cost: $57.84/claim|Median: $67.32
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.1M

41K claims · 2.7%

Your Cost: $27.94/claim|Median: $35.30
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$948K

18K claims · 2.3%

Your Cost: $53.42/claim|Median: $101.24
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$640K

43K claims · 1.5%

Your Cost: $15.00/claim|Median: $17.85
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$639K

12K claims · 1.5%

Your Cost: $53.12/claim|Median: $75.18
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$610K

20K claims · 1.5%

Your Cost: $30.74/claim|Median: $43.85
0.7× median
99203Normal range

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

$596K

13K claims · 1.4%

Your Cost: $47.32/claim|Median: $57.85
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$561K

8,785 claims · 1.3%

Your Cost: $63.86/claim|Median: $74.09
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$560K

12K claims · 1.3%

Your Cost: $46.92/claim|Median: $69.35
0.7× median
99204Normal range

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

$514K

7,173 claims · 1.2%

Your Cost: $71.64/claim|Median: $84.03
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$440K

12K claims · 1.0%

Your Cost: $37.86/claim|Median: $51.25
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$366K

5,972 claims · 0.9%

Your Cost: $61.27/claim|Median: $108.91
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$347K

56K claims · 0.8%

Your Cost: $6.23/claim|Median: $5.60
1.1× median
99254Normal range

$340K

5,116 claims · 0.8%

Your Cost: $66.55/claim|Median: $81.43
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$296K

4,475 claims · 0.7%

Your Cost: $66.17/claim|Median: $121.58
0.5× median
99479Normal range

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

$292K

3,371 claims · 0.7%

Your Cost: $86.68/claim|Median: $103.70
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$280K

3,092 claims · 0.7%

Your Cost: $90.56/claim|Median: $151.68
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$254K

5,073 claims · 0.6%

Your Cost: $50.05/claim|Median: $74.82
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$242K

6,964 claims · 0.6%

Your Cost: $34.71/claim|Median: $54.68
0.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$230K

3,640 claims · 0.5%

Your Cost: $63.09/claim|Median: $106.79
0.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$223K

6,768 claims · 0.5%

Your Cost: $32.99/claim|Median: $47.65
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$198K

5,663 claims · 0.5%

Your Cost: $34.93/claim|Median: $40.11
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$188K

5,938 claims · 0.4%

Your Cost: $31.61/claim|Median: $25.06
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$180K

4,777 claims · 0.4%

Your Cost: $37.73/claim|Median: $58.55
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$177K

7,341 claims · 0.4%

Your Cost: $24.16/claim|Median: $49.45
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$176K

2,410 claims · 0.4%

Your Cost: $72.86/claim|Median: $62.48
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$164K

2,732 claims · 0.4%

Your Cost: $59.94/claim|Median: $72.71
0.8× median
11721Top 25%

$161K

11K claims · 0.4%

Your Cost: $15.01/claim|Median: $8.56
1.8× median
76820Normal range

$143K

7,440 claims · 0.3%

Your Cost: $19.27/claim|Median: $31.79
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$142K

2,528 claims · 0.3%

Your Cost: $56.02/claim|Median: $80.15
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$136K

10K claims · 0.3%

Your Cost: $13.51/claim|Median: $16.77
0.8× median
76818Normal range

$134K

3,075 claims · 0.3%

Your Cost: $43.59/claim|Median: $68.15
0.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$126K

3,004 claims · 0.3%

Your Cost: $41.82/claim|Median: $74.78
0.6× median
95720Normal range

$125K

1,056 claims · 0.3%

Your Cost: $118.07/claim|Median: $120.95
1.0× median
99422Normal range

Online digital E/M, 11-20 min

$120K

5,703 claims · 0.3%

Your Cost: $21.05/claim|Median: $17.90
1.2× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$119K

1,357 claims · 0.3%

Your Cost: $87.76/claim|Median: $41.92
2.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$111K

4,259 claims · 0.3%

Your Cost: $26.12/claim|Median: $37.22
0.7× median
59409Normal range

Vaginal delivery only

$109K

180 claims · 0.3%

Your Cost: $605.61/claim|Median: $619.91
1.0× median
76821Normal range

$104K

4,093 claims · 0.2%

Your Cost: $25.34/claim|Median: $46.75
0.5× median
17110Normal range

Destruction of benign lesions, up to fourteen

$101K

2,320 claims · 0.2%

Your Cost: $43.72/claim|Median: $59.25
0.7× median
99245Normal range

Office consultation, high complexity

$101K

1,160 claims · 0.2%

Your Cost: $86.89/claim|Median: $143.30
0.6× median
76825Normal range

$93K

1,422 claims · 0.2%

Your Cost: $65.21/claim|Median: $103.74
0.6× median
93303Normal range

Echocardiography, transthoracic, limited

$86K

1,619 claims · 0.2%

Your Cost: $53.04/claim|Median: $112.83
0.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$78K

2,061 claims · 0.2%

Your Cost: $37.63/claim|Median: $82.43
0.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$74K

1,835 claims · 0.2%

Your Cost: $40.52/claim|Median: $29.03
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$72K

1,238 claims · 0.2%

Your Cost: $58.25/claim|Median: $233.73
0.2× median
90471Normal range

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

$70K

4,766 claims · 0.2%

Your Cost: $14.66/claim|Median: $9.80
1.5× median

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