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VIRTUA MEDICAL GROUP, PA

Family Medicine·MARLTON, NJ·NPI: 1649226515Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.2M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$48.2M

$48,190,447

Total Claims

1.3M

Beneficiaries

1.1M

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+22%
2019
$3.2M
+10%
2020
$3.6M
+70%
2021
$6.0M
+13%
2022
$6.8M
+49%
2023
$10.1M
+56%
2024
$15.8M

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 29% of total spending.

99214Normal range

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

$13.8M

237K claims · 28.7%

Your Cost: $58.30/claim|Median: $53.41
1.1× median
99213Top 25%

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

$12.3M

219K claims · 25.6%

Your Cost: $56.28/claim|Median: $37.81
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$4.2M

191K claims · 8.7%

Your Cost: $21.93/claim|Median: $23.99
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.8M

49K claims · 3.7%

Your Cost: $36.44/claim|Median: $35.30
1.0× median
99204Normal range

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

$1.8M

17K claims · 3.7%

Your Cost: $105.06/claim|Median: $84.03
1.3× median
99203Top 25%

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

$1.4M

17K claims · 2.8%

Your Cost: $80.28/claim|Median: $57.85
1.4× median
S9083Normal range

Global fee, urgent care centers

$1.1M

10K claims · 2.2%

Your Cost: $103.97/claim|Median: $103.99
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$1.0M

20K claims · 2.1%

Your Cost: $50.89/claim|Median: $67.32
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$874K

168K claims · 1.8%

Your Cost: $5.21/claim|Median: $5.60
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$871K

23K claims · 1.8%

Your Cost: $37.71/claim|Median: $54.68
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$809K

21K claims · 1.7%

Your Cost: $38.03/claim|Median: $43.85
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$789K

18K claims · 1.6%

Your Cost: $44.26/claim|Median: $25.06
1.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$499K

12K claims · 1.0%

Your Cost: $42.17/claim|Median: $51.25
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$487K

4,928 claims · 1.0%

Your Cost: $98.78/claim|Median: $101.24
1.0× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$449K

31K claims · 0.9%

Your Cost: $14.25/claim|Median: $9.70
1.5× median
59025Normal range

Fetal non-stress test

$408K

17K claims · 0.8%

Your Cost: $24.11/claim|Median: $26.45
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$403K

20K claims · 0.8%

Your Cost: $20.46/claim|Median: $58.55
0.3× median
90960Normal range

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

$369K

5,304 claims · 0.8%

Your Cost: $69.53/claim|Median: $52.76
1.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$289K

7,005 claims · 0.6%

Your Cost: $41.29/claim|Median: $49.45
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$262K

2,719 claims · 0.5%

Your Cost: $96.41/claim|Median: $106.79
0.9× median
76815Normal range

Ultrasound, pregnant uterus, limited

$243K

12K claims · 0.5%

Your Cost: $20.10/claim|Median: $36.79
0.5× median
99309Normal range

Nursing facility care, subsequent, low complexity

$242K

9,904 claims · 0.5%

Your Cost: $24.41/claim|Median: $14.00
1.7× median
90471Normal range

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

$229K

18K claims · 0.5%

Your Cost: $13.02/claim|Median: $9.80
1.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$189K

2,074 claims · 0.4%

Your Cost: $91.21/claim|Median: $40.11
2.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$174K

4,786 claims · 0.4%

Your Cost: $36.30/claim|Median: $74.78
0.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$171K

857 claims · 0.4%

Your Cost: $199.70/claim|Median: $108.91
1.8× median
43239Normal range

Upper GI endoscopy with biopsy

$167K

1,136 claims · 0.3%

Your Cost: $146.96/claim|Median: $151.68
1.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$155K

3,545 claims · 0.3%

Your Cost: $43.86/claim|Median: $24.33
1.8× median
90935Normal range

Hemodialysis, one evaluation

$134K

6,225 claims · 0.3%

Your Cost: $21.53/claim|Median: $23.72
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$128K

2,442 claims · 0.3%

Your Cost: $52.61/claim|Median: $74.09
0.7× median
G0108Normal range

Diabetes self-management training, individual

$114K

2,657 claims · 0.2%

Your Cost: $42.99/claim|Median: $35.89
1.2× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$110K

364 claims · 0.2%

Your Cost: $302.27/claim|Median: $283.78
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$89K

2,046 claims · 0.2%

Your Cost: $43.47/claim|Median: $75.18
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$87K

1,913 claims · 0.2%

Your Cost: $45.25/claim|Median: $69.35
0.7× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$83K

1,294 claims · 0.2%

Your Cost: $63.84/claim|Median: $42.51
1.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$77K

3,255 claims · 0.2%

Your Cost: $23.68/claim|Median: $29.03
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$72K

4,128 claims · 0.1%

Your Cost: $17.46/claim|Median: $16.77
1.0× median
95806Normal range

$62K

756 claims · 0.1%

Your Cost: $82.49/claim|Median: $64.51
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$59K

7,586 claims · 0.1%

Your Cost: $7.82/claim|Median: $7.18
1.1× median
45380Normal range

Colonoscopy with biopsy

$57K

323 claims · 0.1%

Your Cost: $175.97/claim|Median: $200.68
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$55K

3,455 claims · 0.1%

Your Cost: $16.04/claim|Median: $11.79
1.4× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$53K

778 claims · 0.1%

Your Cost: $67.54/claim|Median: $12.70
5.3× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$52K

1,230 claims · 0.1%

Your Cost: $41.98/claim|Median: $70.87
0.6× median
99254Normal range

$48K

683 claims · 0.1%

Your Cost: $70.97/claim|Median: $81.43
0.9× median
76818Normal range

$48K

1,594 claims · 0.1%

Your Cost: $30.12/claim|Median: $68.15
0.4× median
J7323Top 25%

$47K

343 claims · 0.1%

Your Cost: $138.15/claim|Median: $101.00
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$46K

1,410 claims · 0.1%

Your Cost: $32.30/claim|Median: $47.65
0.7× median
59426Normal range

Antepartum care only, high risk, additional visits

$41K

980 claims · 0.1%

Your Cost: $41.61/claim|Median: $122.30
0.3× median
94729Normal range

$37K

1,587 claims · 0.1%

Your Cost: $23.26/claim|Median: $12.24
1.9× median
37607Normal range

$36K

137 claims · 0.1%

Your Cost: $266.05/claim|Median: $385.74
0.7× median