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VANCE FAMILY MEDICINE, PA

Clinic/Center, Rural Health·HENDERSON, NC·NPI: 1619938479Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$21.4M

$21,432,136

Total Claims

817K

Beneficiaries

533K

1.5 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+6%
2019
$2.0M
+8%
2020
$2.2M
+79%
2021
$3.9M
+5%
2022
$4.1M
-11%
2023
$3.7M
+1%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 76% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$16.2M

228K claims · 75.6%

Your Cost: $71.06/claim|Median: $121.16
0.6× median
99199Normal range

Unlisted special service, procedure, or report

$2.1M

386K claims · 9.8%

Your Cost: $5.44/claim|Median: $5.39
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$591K

8,468 claims · 2.8%

Your Cost: $69.85/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$490K

6,551 claims · 2.3%

Your Cost: $74.79/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$390K

5,261 claims · 1.8%

Your Cost: $74.11/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$376K

5,140 claims · 1.8%

Your Cost: $73.17/claim|Median: $80.15
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$322K

8,298 claims · 1.5%

Your Cost: $38.86/claim|Median: $17.85
2.2× median
90471Normal range

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

$135K

12K claims · 0.6%

Your Cost: $11.04/claim|Median: $9.80
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$95K

8,207 claims · 0.4%

Your Cost: $11.52/claim|Median: $11.79
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$58K

7,560 claims · 0.3%

Your Cost: $7.68/claim|Median: $9.10
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$56K

1,091 claims · 0.3%

Your Cost: $51.54/claim|Median: $72.71
0.7× median
99401Normal range

$54K

3,990 claims · 0.3%

Your Cost: $13.64/claim|Median: $16.53
0.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$45K

1,369 claims · 0.2%

Your Cost: $32.94/claim|Median: $33.72
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$42K

1,405 claims · 0.2%

Your Cost: $29.97/claim|Median: $36.70
0.8× median
99051Normal range

$38K

3,063 claims · 0.2%

Your Cost: $12.35/claim|Median: $7.89
1.6× median
87210Normal range

$31K

8,698 claims · 0.1%

Your Cost: $3.57/claim|Median: $3.65
1.0× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$28K

664 claims · 0.1%

Your Cost: $42.00/claim|Median: $25.93
1.6× median
99213Normal range

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

$27K

1,038 claims · 0.1%

Your Cost: $25.59/claim|Median: $37.81
0.7× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$26K

552 claims · 0.1%

Your Cost: $47.97/claim|Median: $33.85
1.4× median
90651Normal range

HPV vaccine, 9-valent

$26K

3,632 claims · 0.1%

Your Cost: $7.14/claim|Median: $8.93
0.8× median
0071ANormal range

$23K

571 claims · 0.1%

Your Cost: $39.48/claim|Median: $38.71
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$22K

389 claims · 0.1%

Your Cost: $55.80/claim|Median: $73.46
0.8× median
0072ATop 25%

$20K

416 claims · 0.1%

Your Cost: $49.04/claim|Median: $39.57
1.2× median
90474Normal range

$18K

1,860 claims · 0.1%

Your Cost: $9.89/claim|Median: $8.42
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$17K

324 claims · 0.1%

Your Cost: $53.25/claim|Median: $37.22
1.4× median
90734Normal range

$17K

3,740 claims · 0.1%

Your Cost: $4.42/claim|Median: $6.40
0.7× median
69210Normal range

$14K

625 claims · 0.1%

Your Cost: $22.97/claim|Median: $21.74
1.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$14K

20 claims · 0.1%

Your Cost: $675.33/claim|Median: $786.43
0.9× median
0064ANormal range

$12K

318 claims · 0.1%

Your Cost: $37.36/claim|Median: $34.17
1.1× median
82120Top 25%

$11K

2,589 claims · 0.1%

Your Cost: $4.26/claim|Median: $3.61
1.2× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$10K

136 claims · 0.0%

Your Cost: $75.18/claim|Median: $83.63
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$9K

1,615 claims · 0.0%

Your Cost: $5.41/claim|Median: $9.56
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$8K

155 claims · 0.0%

Your Cost: $50.06/claim|Median: $62.48
0.8× median
99214Normal range

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

$7K

438 claims · 0.0%

Your Cost: $15.47/claim|Median: $53.41
0.3× median
90620Normal range

$7K

1,585 claims · 0.0%

Your Cost: $4.20/claim|Median: $6.49
0.6× median
S0280Normal range

Medical home program, comprehensive care management

$7K

156 claims · 0.0%

Your Cost: $41.99/claim|Median: $48.38
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$6K

633 claims · 0.0%

Your Cost: $10.13/claim|Median: $9.70
1.0× median
87400Normal range

$6K

1,802 claims · 0.0%

Your Cost: $3.44/claim|Median: $8.40
0.4× median
0053ATop 10%

$5K

105 claims · 0.0%

Your Cost: $51.57/claim|Median: $37.33
1.4× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$5K

120 claims · 0.0%

Your Cost: $41.89/claim|Median: $36.49
1.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$5K

62 claims · 0.0%

Your Cost: $77.86/claim|Median: $81.92
1.0× median
90480Normal range

$4K

180 claims · 0.0%

Your Cost: $24.83/claim|Median: $25.29
1.0× median
0124ANormal range

$4K

174 claims · 0.0%

Your Cost: $25.12/claim|Median: $34.32
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$4K

182 claims · 0.0%

Your Cost: $20.89/claim|Median: $35.30
0.6× median
90715Normal range

Tdap vaccine

$3K

2,232 claims · 0.0%

Your Cost: $1.44/claim|Median: $10.32
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

5,676 claims · 0.0%

Your Cost: $0.56/claim|Median: $7.18
0.1× median
0134ANormal range

$3K

113 claims · 0.0%

Your Cost: $26.46/claim|Median: $33.54
0.8× median
99173Normal range

$3K

12K claims · 0.0%

Your Cost: $0.23/claim|Median: $2.16
0.1× median
90677Normal range

$2K

660 claims · 0.0%

Your Cost: $3.59/claim|Median: $12.96
0.3× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

6,102 claims · 0.0%

Your Cost: $0.35/claim|Median: $6.61
0.1× median

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