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PROHEALTH PHYSICIANS PC

Family Medicine·FARMINGTON, CT·NPI: 1720194053Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.5M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$80.5M

$80,486,205

Total Claims

1.8M

Beneficiaries

1.6M

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$11.0M
+8%
2019
$11.8M
-24%
2020
$9.0M
+38%
2021
$12.5M
+3%
2022
$12.8M
+2%
2023
$13.1M
-22%
2024
$10.2M

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 42% of total spending.

99214Normal range

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

$34.1M

463K claims · 42.4%

Your Cost: $73.71/claim|Median: $53.41
1.4× median
99213Top 25%

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

$19.9M

320K claims · 24.7%

Your Cost: $62.08/claim|Median: $37.81
1.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$5.3M

138K claims · 6.6%

Your Cost: $38.31/claim|Median: $17.85
2.1× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$4.3M

37K claims · 5.3%

Your Cost: $114.43/claim|Median: $75.18
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$3.6M

32K claims · 4.5%

Your Cost: $112.08/claim|Median: $74.82
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.8M

25K claims · 3.5%

Your Cost: $110.04/claim|Median: $69.35
1.6× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$1.8M

15K claims · 2.2%

Your Cost: $119.78/claim|Median: $80.15
1.5× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$1.2M

68K claims · 1.5%

Your Cost: $18.05/claim|Median: $3.67
4.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.1M

26K claims · 1.4%

Your Cost: $42.50/claim|Median: $39.70
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$902K

13K claims · 1.1%

Your Cost: $67.49/claim|Median: $63.08
1.1× median
90471Top 25%

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

$561K

32K claims · 0.7%

Your Cost: $17.33/claim|Median: $9.80
1.8× median
80061Normal range

Lipid panel

$352K

41K claims · 0.4%

Your Cost: $8.54/claim|Median: $8.41
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$339K

18K claims · 0.4%

Your Cost: $18.58/claim|Median: $9.10
2.0× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$301K

13K claims · 0.4%

Your Cost: $22.53/claim|Median: $15.76
1.4× median
80053Normal range

Comprehensive metabolic panel

$287K

41K claims · 0.4%

Your Cost: $7.08/claim|Median: $7.24
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$225K

936 claims · 0.3%

Your Cost: $240.33/claim|Median: $233.73
1.0× median
31231Normal range

Nasal endoscopy, diagnostic

$212K

3,030 claims · 0.3%

Your Cost: $69.85/claim|Median: $98.77
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$190K

2,888 claims · 0.2%

Your Cost: $65.78/claim|Median: $65.64
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$171K

1,813 claims · 0.2%

Your Cost: $94.52/claim|Median: $74.09
1.3× median
95806Normal range

$162K

1,816 claims · 0.2%

Your Cost: $89.34/claim|Median: $64.51
1.4× median
99177Top 10%

$155K

8,723 claims · 0.2%

Your Cost: $17.76/claim|Median: $3.74
4.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$153K

13K claims · 0.2%

Your Cost: $11.72/claim|Median: $9.87
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$150K

3,854 claims · 0.2%

Your Cost: $38.83/claim|Median: $25.06
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$139K

26K claims · 0.2%

Your Cost: $5.31/claim|Median: $4.71
1.1× median
36416Top 25%

$135K

45K claims · 0.2%

Your Cost: $3.00/claim|Median: $1.31
2.3× median
82306Normal range

Vitamin D, 25 hydroxy

$118K

5,988 claims · 0.1%

Your Cost: $19.75/claim|Median: $18.18
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$112K

1,365 claims · 0.1%

Your Cost: $82.30/claim|Median: $82.43
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$108K

51K claims · 0.1%

Your Cost: $2.10/claim|Median: $1.57
1.3× median
99173Top 25%

$87K

13K claims · 0.1%

Your Cost: $6.54/claim|Median: $2.16
3.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$82K

14K claims · 0.1%

Your Cost: $5.90/claim|Median: $5.50
1.1× median
92558Top 25%

$75K

3,416 claims · 0.1%

Your Cost: $21.88/claim|Median: $6.67
3.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$59K

6,372 claims · 0.1%

Your Cost: $9.26/claim|Median: $11.48
0.8× median
83655Normal range

$59K

5,626 claims · 0.1%

Your Cost: $10.43/claim|Median: $10.49
1.0× median
90674Normal range

$57K

14K claims · 0.1%

Your Cost: $4.17/claim|Median: $15.16
0.3× median
87804Normal range

Influenza virus detection, rapid test

$57K

4,108 claims · 0.1%

Your Cost: $13.88/claim|Median: $12.59
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$56K

2,018 claims · 0.1%

Your Cost: $27.94/claim|Median: $28.46
1.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$56K

2,747 claims · 0.1%

Your Cost: $20.33/claim|Median: $9.79
2.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$53K

668 claims · 0.1%

Your Cost: $79.17/claim|Median: $76.06
1.0× median
99203Normal range

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

$51K

1,715 claims · 0.1%

Your Cost: $29.52/claim|Median: $57.85
0.5× median
92551Normal range

Screening audiometry, pure tone, air only

$47K

8,324 claims · 0.1%

Your Cost: $5.63/claim|Median: $6.61
0.9× median
96161Top 5%

$47K

2,305 claims · 0.1%

Your Cost: $20.20/claim|Median: $2.49
8.1× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$46K

2,325 claims · 0.1%

Your Cost: $19.63/claim|Median: $27.28
0.7× median
31575Normal range

$40K

926 claims · 0.0%

Your Cost: $43.12/claim|Median: $68.78
0.6× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$38K

1,545 claims · 0.0%

Your Cost: $24.87/claim|Median: $14.00
1.8× median
92583Normal range

$37K

1,870 claims · 0.0%

Your Cost: $19.75/claim|Median: $27.53
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$36K

328 claims · 0.0%

Your Cost: $108.34/claim|Median: $121.58
0.9× median
99204Normal range

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

$34K

545 claims · 0.0%

Your Cost: $61.89/claim|Median: $84.03
0.7× median
0071ANormal range

$33K

1,009 claims · 0.0%

Your Cost: $32.98/claim|Median: $38.71
0.9× median
0072ANormal range

$33K

983 claims · 0.0%

Your Cost: $33.33/claim|Median: $39.57
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$32K

69K claims · 0.0%

Your Cost: $0.47/claim|Median: $7.18
0.1× median

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