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WHC PHYSICIAN GROUP LLC

General Practice·WASHINGTON, DC·NPI: 1700154226Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.9M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$93.9M

$93,892,528

Total Claims

1.1M

Beneficiaries

892K

1.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$10.6M
-32%
2019
$7.2M
+63%
2020
$11.7M
+38%
2021
$16.2M
-0%
2022
$16.1M
+14%
2023
$18.3M
-25%
2024
$13.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 45% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$42.3M

330K claims · 45.1%

Your Cost: $128.42/claim|Median: $85.65
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$21.6M

221K claims · 23.0%

Your Cost: $97.63/claim|Median: $69.51
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$5.4M

48K claims · 5.7%

Your Cost: $111.44/claim|Median: $101.24
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$4.3M

79K claims · 4.5%

Your Cost: $53.80/claim|Median: $42.48
1.3× median
99214Normal range

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

$3.8M

72K claims · 4.0%

Your Cost: $52.60/claim|Median: $53.41
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.0M

85K claims · 3.2%

Your Cost: $35.12/claim|Median: $23.99
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.6M

52K claims · 2.8%

Your Cost: $50.67/claim|Median: $35.30
1.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.0M

6,417 claims · 2.1%

Your Cost: $312.88/claim|Median: $293.45
1.1× median
99213Normal range

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

$1.8M

46K claims · 1.9%

Your Cost: $38.46/claim|Median: $37.81
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$1.4M

14K claims · 1.5%

Your Cost: $100.37/claim|Median: $67.32
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$1.3M

19K claims · 1.4%

Your Cost: $69.49/claim|Median: $74.09
0.9× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$638K

6,491 claims · 0.7%

Your Cost: $98.22/claim|Median: $103.70
0.9× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$559K

7,114 claims · 0.6%

Your Cost: $78.62/claim|Median: $62.48
1.3× median
99204Normal range

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

$527K

5,346 claims · 0.6%

Your Cost: $98.56/claim|Median: $84.03
1.2× median
90961Normal range

$231K

3,032 claims · 0.2%

Your Cost: $76.19/claim|Median: $47.22
1.6× median
99203Normal range

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

$226K

3,694 claims · 0.2%

Your Cost: $61.22/claim|Median: $57.85
1.1× median
99464Normal range

$188K

3,057 claims · 0.2%

Your Cost: $61.60/claim|Median: $59.94
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$176K

1,985 claims · 0.2%

Your Cost: $88.75/claim|Median: $98.15
0.9× median
93042Top 5%

$173K

12K claims · 0.2%

Your Cost: $13.97/claim|Median: $2.53
5.5× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$139K

1,594 claims · 0.1%

Your Cost: $87.15/claim|Median: $51.25
1.7× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$128K

5,294 claims · 0.1%

Your Cost: $24.18/claim|Median: $43.07
0.6× median
54150Normal range

$122K

1,613 claims · 0.1%

Your Cost: $75.77/claim|Median: $84.60
0.9× median
99282Normal range

Emergency dept visit, low complexity

$119K

3,975 claims · 0.1%

Your Cost: $29.84/claim|Median: $37.72
0.8× median
90935Normal range

Hemodialysis, one evaluation

$107K

3,497 claims · 0.1%

Your Cost: $30.74/claim|Median: $23.72
1.3× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$106K

1,180 claims · 0.1%

Your Cost: $90.14/claim|Median: $59.72
1.5× median
99220Normal range

$80K

928 claims · 0.1%

Your Cost: $86.08/claim|Median: $73.56
1.2× median
90960Normal range

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

$71K

974 claims · 0.1%

Your Cost: $72.50/claim|Median: $52.76
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$63K

2,736 claims · 0.1%

Your Cost: $23.15/claim|Median: $35.80
0.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$63K

1,122 claims · 0.1%

Your Cost: $55.94/claim|Median: $47.08
1.2× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$46K

1,644 claims · 0.0%

Your Cost: $28.15/claim|Median: $16.77
1.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$45K

2,331 claims · 0.0%

Your Cost: $19.51/claim|Median: $36.70
0.5× median
59409Normal range

Vaginal delivery only

$45K

60 claims · 0.0%

Your Cost: $744.80/claim|Median: $619.91
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$40K

3,146 claims · 0.0%

Your Cost: $12.84/claim|Median: $33.72
0.4× median
99292Normal range

$40K

971 claims · 0.0%

Your Cost: $41.56/claim|Median: $57.64
0.7× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$40K

2,800 claims · 0.0%

Your Cost: $14.22/claim|Median: $25.43
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$24K

1,275 claims · 0.0%

Your Cost: $19.09/claim|Median: $43.85
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$23K

158 claims · 0.0%

Your Cost: $147.77/claim|Median: $111.09
1.3× median
31575Normal range

$23K

659 claims · 0.0%

Your Cost: $35.35/claim|Median: $68.78
0.5× median
88312Normal range

$23K

1,124 claims · 0.0%

Your Cost: $20.69/claim|Median: $24.56
0.8× median
31500Normal range

$23K

579 claims · 0.0%

Your Cost: $40.03/claim|Median: $62.71
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$22K

791 claims · 0.0%

Your Cost: $28.24/claim|Median: $36.79
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$20K

218 claims · 0.0%

Your Cost: $90.69/claim|Median: $76.06
1.2× median
99225Top 25%

$19K

535 claims · 0.0%

Your Cost: $35.49/claim|Median: $20.96
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$17K

557 claims · 0.0%

Your Cost: $31.30/claim|Median: $25.06
1.2× median
45380Normal range

Colonoscopy with biopsy

$16K

177 claims · 0.0%

Your Cost: $88.60/claim|Median: $200.68
0.4× median
G2211Top 25%

$15K

1,634 claims · 0.0%

Your Cost: $9.46/claim|Median: $2.40
3.9× median
59025Normal range

Fetal non-stress test

$15K

603 claims · 0.0%

Your Cost: $25.13/claim|Median: $26.45
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$15K

325 claims · 0.0%

Your Cost: $45.03/claim|Median: $37.22
1.2× median
36246Normal range

$14K

156 claims · 0.0%

Your Cost: $89.57/claim|Median: $118.81
0.8× median
31579Normal range

$14K

159 claims · 0.0%

Your Cost: $85.04/claim|Median: $120.24
0.7× median

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