Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

MNGI DIGESTIVE HEALTH, P.A.

Internal Medicine, Gastroenterology·MINNEAPOLIS, MN·NPI: 1609804541Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$21.6M

$21,582,640

Total Claims

346K

Beneficiaries

285K

1.2 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+230%
2019
$4.8M
-7%
2020
$4.4M
+26%
2021
$5.6M
-38%
2022
$3.5M
-68%
2023
$1.1M
-30%
2024
$777K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J1745 (Injection, infliximab, excludes biosimilar, 10 mg)) accounts for 15% of total spending.

J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$3.2M

1,929 claims · 14.8%

Your Cost: $1,656.15/claim|Median: $1,587.53
1.0× median
99214Normal range

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

$1.7M

29K claims · 7.9%

Your Cost: $58.65/claim|Median: $53.41
1.1× median
00731Normal range

$1.6M

25K claims · 7.4%

Your Cost: $64.52/claim|Median: $64.75
1.0× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.6M

26K claims · 7.3%

Your Cost: $59.94/claim|Median: $35.80
1.7× median
00811Normal range

$1.5M

27K claims · 7.2%

Your Cost: $57.11/claim|Median: $56.15
1.0× median
Q5103Normal range

$1.3M

880 claims · 6.1%

Your Cost: $1,500.25/claim|Median: $1,075.28
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.3M

35K claims · 5.8%

Your Cost: $35.94/claim|Median: $23.99
1.5× median
43239Normal range

Upper GI endoscopy with biopsy

$1.2M

22K claims · 5.6%

Your Cost: $55.99/claim|Median: $151.68
0.4× median
99204Normal range

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

$1.1M

13K claims · 5.1%

Your Cost: $81.94/claim|Median: $84.03
1.0× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$987K

8,348 claims · 4.6%

Your Cost: $118.22/claim|Median: $255.17
0.5× median
99254Normal range

$781K

7,613 claims · 3.6%

Your Cost: $102.58/claim|Median: $81.43
1.3× median
45380Normal range

Colonoscopy with biopsy

$708K

9,056 claims · 3.3%

Your Cost: $78.23/claim|Median: $200.68
0.4× median
99213Normal range

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

$703K

19K claims · 3.3%

Your Cost: $37.94/claim|Median: $37.81
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$491K

9,746 claims · 2.3%

Your Cost: $50.41/claim|Median: $51.25
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$414K

4,418 claims · 1.9%

Your Cost: $93.66/claim|Median: $121.58
0.8× median
00813Normal range

$414K

4,803 claims · 1.9%

Your Cost: $86.15/claim|Median: $71.82
1.2× median
00812Normal range

$359K

5,264 claims · 1.7%

Your Cost: $68.29/claim|Median: $59.54
1.1× median
45378Normal range

Colonoscopy, diagnostic

$327K

3,462 claims · 1.5%

Your Cost: $94.54/claim|Median: $225.49
0.4× median
J3380Normal range

Injection, vedolizumab, one milligram

$241K

53 claims · 1.1%

Your Cost: $4,553.38/claim|Median: $4,027.41
1.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$217K

2,900 claims · 1.0%

Your Cost: $74.75/claim|Median: $75.28
1.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$170K

2,878 claims · 0.8%

Your Cost: $59.08/claim|Median: $32.55
1.8× median
T1013Top 25%

Sign language or oral interpretive services, per 15 minutes

$158K

2,850 claims · 0.7%

Your Cost: $55.55/claim|Median: $17.67
3.1× median
99203Normal range

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

$157K

2,613 claims · 0.7%

Your Cost: $60.07/claim|Median: $57.85
1.0× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$144K

2,713 claims · 0.7%

Your Cost: $52.94/claim|Median: $114.30
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$126K

3,189 claims · 0.6%

Your Cost: $39.43/claim|Median: $22.44
1.8× median
88342Top 25%

$78K

1,344 claims · 0.4%

Your Cost: $58.10/claim|Median: $23.66
2.5× median
36415Normal range

Collection of venous blood by venipuncture

$77K

30K claims · 0.4%

Your Cost: $2.59/claim|Median: $1.57
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$63K

690 claims · 0.3%

Your Cost: $91.15/claim|Median: $74.09
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$46K

2,319 claims · 0.2%

Your Cost: $19.91/claim|Median: $16.77
1.2× median
80053Normal range

Comprehensive metabolic panel

$41K

5,201 claims · 0.2%

Your Cost: $7.97/claim|Median: $7.24
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$41K

6,952 claims · 0.2%

Your Cost: $5.88/claim|Median: $4.71
1.2× median
80076Normal range

Hepatic function panel

$37K

6,249 claims · 0.2%

Your Cost: $5.89/claim|Median: $4.59
1.3× median
82784Normal range

Immunoglobulin IgA, IgD, IgG, IgM, each

$34K

4,484 claims · 0.2%

Your Cost: $7.66/claim|Median: $8.43
0.9× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$34K

602 claims · 0.2%

Your Cost: $56.88/claim|Median: $12.70
4.5× median
91065Normal range

$21K

532 claims · 0.1%

Your Cost: $39.65/claim|Median: $37.81
1.0× median
82306Normal range

Vitamin D, 25 hydroxy

$20K

1,004 claims · 0.1%

Your Cost: $19.49/claim|Median: $18.18
1.1× median
82105Normal range

$17K

1,364 claims · 0.1%

Your Cost: $12.63/claim|Median: $11.11
1.1× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$15K

546 claims · 0.1%

Your Cost: $28.01/claim|Median: $13.30
2.1× median
86140Normal range

$13K

3,448 claims · 0.1%

Your Cost: $3.86/claim|Median: $3.02
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$12K

487 claims · 0.1%

Your Cost: $24.76/claim|Median: $25.06
1.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$12K

255 claims · 0.1%

Your Cost: $47.06/claim|Median: $82.43
0.6× median
85027Normal range

Complete blood count (CBC), automated

$9K

1,905 claims · 0.0%

Your Cost: $4.88/claim|Median: $3.72
1.3× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$9K

167 claims · 0.0%

Your Cost: $51.58/claim|Median: $54.77
0.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$7K

124 claims · 0.0%

Your Cost: $58.98/claim|Median: $35.30
1.7× median
43264Normal range

$7K

38 claims · 0.0%

Your Cost: $191.39/claim|Median: $213.91
0.9× median
87340Normal range

Hepatitis B surface antigen detection

$7K

866 claims · 0.0%

Your Cost: $8.22/claim|Median: $5.52
1.5× median
83690Normal range

$7K

1,345 claims · 0.0%

Your Cost: $5.02/claim|Median: $3.35
1.5× median
87507Top 5%

$7K

14 claims · 0.0%

Your Cost: $475.09/claim|Median: $157.44
3.0× median
82728Normal range

Ferritin

$7K

597 claims · 0.0%

Your Cost: $10.96/claim|Median: $6.00
1.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$6K

260 claims · 0.0%

Your Cost: $24.19/claim|Median: $24.33
1.0× median