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STEWARD MEDICAL GROUP, INC

Specialist·WATERTOWN, MA·NPI: 1629398219Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.1M

$50,083,260

Total Claims

1.9M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+14%
2019
$7.0M
+20%
2020
$8.4M
+8%
2021
$9.0M
-2%
2022
$8.9M
-24%
2023
$6.7M
-40%
2024
$4.0M

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 30% of total spending.

99214Normal range

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

$15.0M

344K claims · 29.9%

Your Cost: $43.54/claim|Median: $53.41
0.8× median
99213Normal range

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

$6.7M

202K claims · 13.4%

Your Cost: $33.23/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$5.2M

190K claims · 10.3%

Your Cost: $27.20/claim|Median: $23.99
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$3.5M

45K claims · 6.9%

Your Cost: $77.65/claim|Median: $67.32
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.1M

82K claims · 6.2%

Your Cost: $37.87/claim|Median: $35.30
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.6M

38K claims · 3.3%

Your Cost: $42.60/claim|Median: $43.85
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$976K

12K claims · 1.9%

Your Cost: $83.01/claim|Median: $101.24
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$886K

27K claims · 1.8%

Your Cost: $32.61/claim|Median: $54.68
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$851K

15K claims · 1.7%

Your Cost: $54.95/claim|Median: $51.25
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$744K

13K claims · 1.5%

Your Cost: $58.74/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$730K

12K claims · 1.5%

Your Cost: $58.83/claim|Median: $69.35
0.8× median
99204Normal range

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

$642K

8,382 claims · 1.3%

Your Cost: $76.60/claim|Median: $84.03
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$630K

40K claims · 1.3%

Your Cost: $15.81/claim|Median: $16.77
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$617K

8,760 claims · 1.2%

Your Cost: $70.41/claim|Median: $74.09
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$496K

12K claims · 1.0%

Your Cost: $40.79/claim|Median: $58.55
0.7× median
99203Normal range

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

$485K

8,420 claims · 1.0%

Your Cost: $57.56/claim|Median: $57.85
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$400K

7,742 claims · 0.8%

Your Cost: $51.68/claim|Median: $74.82
0.7× median
76830Normal range

Ultrasound, transvaginal

$397K

8,169 claims · 0.8%

Your Cost: $48.61/claim|Median: $57.47
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$378K

37K claims · 0.8%

Your Cost: $10.25/claim|Median: $9.10
1.1× median
76856Normal range

Ultrasound, pelvic, complete

$359K

8,233 claims · 0.7%

Your Cost: $43.57/claim|Median: $47.58
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$351K

11K claims · 0.7%

Your Cost: $32.81/claim|Median: $49.45
0.7× median
S0302Normal range

$337K

36K claims · 0.7%

Your Cost: $9.47/claim|Median: $9.05
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$294K

20K claims · 0.6%

Your Cost: $14.87/claim|Median: $14.00
1.1× median
92586Top 25%

$278K

3,898 claims · 0.6%

Your Cost: $71.30/claim|Median: $51.18
1.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$251K

4,732 claims · 0.5%

Your Cost: $53.00/claim|Median: $58.16
0.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$239K

6,508 claims · 0.5%

Your Cost: $36.78/claim|Median: $47.65
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$198K

2,603 claims · 0.4%

Your Cost: $75.95/claim|Median: $106.79
0.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$196K

4,982 claims · 0.4%

Your Cost: $39.43/claim|Median: $24.33
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$196K

11K claims · 0.4%

Your Cost: $17.82/claim|Median: $25.06
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$189K

25K claims · 0.4%

Your Cost: $7.43/claim|Median: $9.70
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$187K

3,132 claims · 0.4%

Your Cost: $59.79/claim|Median: $80.15
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$173K

2,236 claims · 0.3%

Your Cost: $77.41/claim|Median: $76.06
1.0× median
31231Normal range

Nasal endoscopy, diagnostic

$169K

2,332 claims · 0.3%

Your Cost: $72.38/claim|Median: $98.77
0.7× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$156K

3,789 claims · 0.3%

Your Cost: $41.17/claim|Median: $111.02
0.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$155K

6,808 claims · 0.3%

Your Cost: $22.79/claim|Median: $36.13
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$143K

1,686 claims · 0.3%

Your Cost: $85.02/claim|Median: $72.71
1.2× median
99308Normal range

Nursing facility care, subsequent, straightforward

$128K

11K claims · 0.3%

Your Cost: $11.51/claim|Median: $9.79
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$115K

1,742 claims · 0.2%

Your Cost: $65.84/claim|Median: $151.68
0.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$110K

3,507 claims · 0.2%

Your Cost: $31.50/claim|Median: $37.22
0.8× median
92650Normal range

$105K

4,579 claims · 0.2%

Your Cost: $23.03/claim|Median: $31.90
0.7× median
99443Normal range

Telephone E/M by physician, 21-30 min

$96K

11K claims · 0.2%

Your Cost: $9.15/claim|Median: $32.55
0.3× median
96365Normal range

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

$92K

2,560 claims · 0.2%

Your Cost: $35.96/claim|Median: $54.77
0.7× median
99220Normal range

$92K

1,289 claims · 0.2%

Your Cost: $71.39/claim|Median: $73.56
1.0× median
90471Top 25%

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

$85K

5,151 claims · 0.2%

Your Cost: $16.56/claim|Median: $9.80
1.7× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$85K

1,683 claims · 0.2%

Your Cost: $50.56/claim|Median: $70.87
0.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$84K

1,690 claims · 0.2%

Your Cost: $49.83/claim|Median: $75.28
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$84K

4,181 claims · 0.2%

Your Cost: $20.02/claim|Median: $29.03
0.7× median
93307Normal range

$82K

2,881 claims · 0.2%

Your Cost: $28.39/claim|Median: $31.30
0.9× median
99292Normal range

$77K

1,762 claims · 0.2%

Your Cost: $43.73/claim|Median: $57.64
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$67K

24K claims · 0.1%

Your Cost: $2.82/claim|Median: $5.60
0.5× median

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