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ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

Internal Medicine·GLENDALE, WI·NPI: 1609881077Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.5M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$44.5M

$44,466,535

Total Claims

1.5M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$7.2M
-6%
2019
$6.8M
-20%
2020
$5.4M
+24%
2021
$6.7M
-1%
2022
$6.6M
-4%
2023
$6.3M
-12%
2024
$5.6M

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 39% of total spending.

99214Normal range

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

$17.2M

470K claims · 38.7%

Your Cost: $36.57/claim|Median: $53.41
0.7× median
99213Normal range

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

$6.0M

232K claims · 13.5%

Your Cost: $25.81/claim|Median: $37.81
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$2.5M

63K claims · 5.5%

Your Cost: $38.84/claim|Median: $63.65
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

26K claims · 3.4%

Your Cost: $56.76/claim|Median: $69.35
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.3M

90K claims · 3.0%

Your Cost: $14.58/claim|Median: $23.99
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

23K claims · 2.9%

Your Cost: $57.23/claim|Median: $75.18
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.0M

13K claims · 2.3%

Your Cost: $78.09/claim|Median: $106.79
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$940K

16K claims · 2.1%

Your Cost: $58.70/claim|Median: $74.82
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$933K

18K claims · 2.1%

Your Cost: $50.97/claim|Median: $74.09
0.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$803K

1,488 claims · 1.8%

Your Cost: $539.90/claim|Median: $470.36
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$764K

22K claims · 1.7%

Your Cost: $34.54/claim|Median: $49.45
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$708K

24K claims · 1.6%

Your Cost: $29.55/claim|Median: $58.55
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$685K

14K claims · 1.5%

Your Cost: $49.59/claim|Median: $43.85
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$648K

13K claims · 1.5%

Your Cost: $49.96/claim|Median: $67.32
0.7× median
99203Normal range

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

$568K

11K claims · 1.3%

Your Cost: $49.38/claim|Median: $57.85
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$483K

14K claims · 1.1%

Your Cost: $33.54/claim|Median: $54.68
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$457K

73K claims · 1.0%

Your Cost: $6.28/claim|Median: $5.60
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$434K

7,185 claims · 1.0%

Your Cost: $60.41/claim|Median: $80.15
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$408K

8,806 claims · 0.9%

Your Cost: $46.29/claim|Median: $72.71
0.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$397K

17K claims · 0.9%

Your Cost: $23.44/claim|Median: $35.30
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$290K

4,120 claims · 0.7%

Your Cost: $70.27/claim|Median: $108.91
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$265K

1,687 claims · 0.6%

Your Cost: $156.91/claim|Median: $151.68
1.0× median
90960Normal range

End-stage renal disease services, per month, age 20+

$240K

3,711 claims · 0.5%

Your Cost: $64.64/claim|Median: $52.76
1.2× median
99204Normal range

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

$238K

4,096 claims · 0.5%

Your Cost: $58.03/claim|Median: $84.03
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$223K

28K claims · 0.5%

Your Cost: $8.00/claim|Median: $7.18
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$217K

4,572 claims · 0.5%

Your Cost: $47.53/claim|Median: $101.24
0.5× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$199K

154 claims · 0.4%

Your Cost: $1,290.20/claim|Median: $1,482.45
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$187K

9,846 claims · 0.4%

Your Cost: $18.99/claim|Median: $25.06
0.8× median
90670Top 25%

$170K

13K claims · 0.4%

Your Cost: $13.50/claim|Median: $5.94
2.3× median
3008FTop 10%

$167K

19K claims · 0.4%

Your Cost: $8.59/claim|Median: $0.06
143.2× median
59025Normal range

Fetal non-stress test

$155K

7,137 claims · 0.3%

Your Cost: $21.78/claim|Median: $26.45
0.8× median
76820Normal range

$139K

6,315 claims · 0.3%

Your Cost: $21.96/claim|Median: $31.79
0.7× median
99254Normal range

$131K

2,402 claims · 0.3%

Your Cost: $54.55/claim|Median: $81.43
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$118K

2,473 claims · 0.3%

Your Cost: $47.64/claim|Median: $74.78
0.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$109K

3,182 claims · 0.2%

Your Cost: $34.13/claim|Median: $29.03
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$107K

1,496 claims · 0.2%

Your Cost: $71.86/claim|Median: $121.58
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$106K

4,436 claims · 0.2%

Your Cost: $23.83/claim|Median: $76.06
0.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$98K

2,700 claims · 0.2%

Your Cost: $36.17/claim|Median: $51.25
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$79K

3,243 claims · 0.2%

Your Cost: $24.50/claim|Median: $24.49
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$76K

1,218 claims · 0.2%

Your Cost: $62.18/claim|Median: $85.66
0.7× median
90636Normal range

$74K

803 claims · 0.2%

Your Cost: $91.94/claim|Median: $72.28
1.3× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$71K

996 claims · 0.2%

Your Cost: $70.95/claim|Median: $41.92
1.7× median
76942Normal range

$68K

2,420 claims · 0.2%

Your Cost: $28.29/claim|Median: $24.73
1.1× median
64615Normal range

$67K

1,042 claims · 0.1%

Your Cost: $63.85/claim|Median: $82.82
0.8× median
96110Top 25%

Developmental screening, per standardized instrument

$65K

4,077 claims · 0.1%

Your Cost: $16.06/claim|Median: $9.10
1.8× median
90651Normal range

HPV vaccine, 9-valent

$64K

3,298 claims · 0.1%

Your Cost: $19.37/claim|Median: $8.93
2.2× median
90647Normal range

$59K

9,090 claims · 0.1%

Your Cost: $6.45/claim|Median: $4.31
1.5× median
90723Normal range

DTaP-HepB-IPV vaccine

$55K

9,327 claims · 0.1%

Your Cost: $5.86/claim|Median: $5.78
1.0× median
45380Normal range

Colonoscopy with biopsy

$52K

219 claims · 0.1%

Your Cost: $238.22/claim|Median: $200.68
1.2× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$51K

1,760 claims · 0.1%

Your Cost: $29.25/claim|Median: $38.83
0.8× median

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$262.2M

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$234.1M

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$186.9M

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$182.0M

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