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RELIANT MEDICAL GROUP, INC

Family Medicine·WORCESTER, MA·NPI: 1720017528Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $102.0M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$102.0M

$101,964,848

Total Claims

1.8M

Beneficiaries

1.6M

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$12.9M
+1%
2019
$13.0M
+5%
2020
$13.6M
+37%
2021
$18.7M
+16%
2022
$21.6M
-38%
2023
$13.4M
-35%
2024
$8.7M

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 25% of total spending.

99214Top 25%

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

$25.6M

263K claims · 25.1%

Your Cost: $97.45/claim|Median: $53.41
1.8× median
99213Top 25%

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

$17.5M

263K claims · 17.1%

Your Cost: $66.34/claim|Median: $37.81
1.8× median
87636Top 1%

Respiratory virus detection, 6-11 targets, nucleic acid

$3.8M

17K claims · 3.7%

Your Cost: $218.75/claim|Median: $97.61
2.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.3M

75K claims · 3.2%

Your Cost: $43.66/claim|Median: $24.49
1.8× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$3.2M

30K claims · 3.1%

Your Cost: $107.56/claim|Median: $75.18
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$3.0M

75K claims · 2.9%

Your Cost: $40.21/claim|Median: $17.85
2.3× median
99203Top 10%

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

$2.7M

23K claims · 2.7%

Your Cost: $115.64/claim|Median: $57.85
2.0× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$2.4M

23K claims · 2.4%

Your Cost: $106.60/claim|Median: $74.82
1.4× median
77067Top 5%

Screening mammography, bilateral, including CAD

$2.4M

15K claims · 2.3%

Your Cost: $153.15/claim|Median: $39.33
3.9× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$2.1M

51K claims · 2.1%

Your Cost: $42.02/claim|Median: $16.79
2.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.1M

21K claims · 2.1%

Your Cost: $101.96/claim|Median: $69.35
1.5× median
92507Top 10%

Speech/hearing/language treatment

$2.0M

19K claims · 2.0%

Your Cost: $103.23/claim|Median: $49.45
2.1× median
96110Top 25%

Developmental screening, per standardized instrument

$1.9M

119K claims · 1.9%

Your Cost: $15.95/claim|Median: $9.10
1.8× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$1.8M

34K claims · 1.7%

Your Cost: $52.01/claim|Median: $6.93
7.5× median
99204Top 5%

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

$1.6M

9,857 claims · 1.6%

Your Cost: $166.39/claim|Median: $84.03
2.0× median
97530Top 25%

Therapeutic activities, each 15 min

$1.5M

18K claims · 1.5%

Your Cost: $81.57/claim|Median: $33.11
2.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.2M

18K claims · 1.2%

Your Cost: $63.58/claim|Median: $47.08
1.4× median
71046Top 10%

Chest X-ray, 2 views

$1.1M

30K claims · 1.1%

Your Cost: $36.37/claim|Median: $8.92
4.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.0M

7,903 claims · 1.0%

Your Cost: $131.75/claim|Median: $54.68
2.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.0M

8,856 claims · 1.0%

Your Cost: $113.42/claim|Median: $80.15
1.4× median
76830Top 5%

Ultrasound, transvaginal

$884K

5,447 claims · 0.9%

Your Cost: $162.26/claim|Median: $57.47
2.8× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$773K

15K claims · 0.8%

Your Cost: $53.15/claim|Median: $21.41
2.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$725K

12K claims · 0.7%

Your Cost: $59.17/claim|Median: $59.72
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$715K

17K claims · 0.7%

Your Cost: $43.23/claim|Median: $41.28
1.0× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$710K

853 claims · 0.7%

Your Cost: $832.67/claim|Median: $470.36
1.8× median
76856Top 10%

Ultrasound, pelvic, complete

$675K

4,845 claims · 0.7%

Your Cost: $139.27/claim|Median: $47.58
2.9× median
G2023Top 5%

Specimen collection for COVID-19 testing

$655K

19K claims · 0.6%

Your Cost: $34.98/claim|Median: $17.15
2.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$582K

1,860 claims · 0.6%

Your Cost: $312.82/claim|Median: $65.76
4.8× median
G0008Top 10%

$507K

23K claims · 0.5%

Your Cost: $21.60/claim|Median: $2.54
8.5× median
71250Top 10%

CT scan of chest without contrast

$506K

3,184 claims · 0.5%

Your Cost: $158.98/claim|Median: $39.11
4.1× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$464K

18K claims · 0.5%

Your Cost: $25.56/claim|Median: $11.48
2.2× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$399K

2,813 claims · 0.4%

Your Cost: $141.85/claim|Median: $58.55
2.4× median
99212Top 25%

Office/outpatient visit, low complexity

$375K

7,634 claims · 0.4%

Your Cost: $49.19/claim|Median: $25.06
2.0× median
92015Normal range

Determination of refractive state

$371K

31K claims · 0.4%

Your Cost: $11.91/claim|Median: $10.36
1.2× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$363K

23K claims · 0.4%

Your Cost: $15.76/claim|Median: $9.70
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$331K

4,355 claims · 0.3%

Your Cost: $75.96/claim|Median: $40.11
1.9× median
76536Top 10%

$328K

2,840 claims · 0.3%

Your Cost: $115.39/claim|Median: $44.06
2.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$309K

5,110 claims · 0.3%

Your Cost: $60.55/claim|Median: $35.30
1.7× median
96365Normal range

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

$305K

4,396 claims · 0.3%

Your Cost: $69.41/claim|Median: $54.77
1.3× median
97161Top 10%

Physical therapy evaluation, low complexity

$304K

3,018 claims · 0.3%

Your Cost: $100.59/claim|Median: $47.89
2.1× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$303K

7,688 claims · 0.3%

Your Cost: $39.39/claim|Median: $12.06
3.3× median
99215Normal range

Office/outpatient visit, high complexity

$293K

3,002 claims · 0.3%

Your Cost: $97.56/claim|Median: $74.09
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$279K

2,335 claims · 0.3%

Your Cost: $119.58/claim|Median: $99.21
1.2× median
G0108Top 25%

Diabetes self-management training, individual

$276K

3,961 claims · 0.3%

Your Cost: $69.59/claim|Median: $35.89
1.9× median
43239Normal range

Upper GI endoscopy with biopsy

$260K

2,036 claims · 0.3%

Your Cost: $127.52/claim|Median: $151.68
0.8× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$257K

1,442 claims · 0.3%

Your Cost: $178.14/claim|Median: $111.02
1.6× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$231K

3,255 claims · 0.2%

Your Cost: $70.97/claim|Median: $24.33
2.9× median
76642Top 10%

$228K

2,115 claims · 0.2%

Your Cost: $108.03/claim|Median: $32.06
3.4× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$223K

7,666 claims · 0.2%

Your Cost: $29.04/claim|Median: $14.00
2.1× median
76705Top 10%

Ultrasound, abdominal, limited

$218K

2,120 claims · 0.2%

Your Cost: $102.89/claim|Median: $23.81
4.3× median

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