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UNIVERSITY PRIMARY CARE PRACTICES INC

Internal Medicine·SHAKER HEIGHTS, OH·NPI: 1720220098Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $78.6M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$78.6M

$78,613,247

Total Claims

4.0M

Beneficiaries

3.5M

1.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$11.6M
+8%
2019
$12.4M
-14%
2020
$10.7M
+20%
2021
$12.9M
-4%
2022
$12.5M
-19%
2023
$10.0M
-16%
2024
$8.4M

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 36% of total spending.

99214Normal range

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

$28.2M

545K claims · 35.9%

Your Cost: $51.78/claim|Median: $53.41
1.0× median
99213Normal range

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

$22.2M

567K claims · 28.2%

Your Cost: $39.17/claim|Median: $37.81
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$6.0M

293K claims · 7.7%

Your Cost: $20.54/claim|Median: $17.85
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.9M

50K claims · 3.6%

Your Cost: $57.01/claim|Median: $75.18
0.8× median
99203Normal range

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

$2.6M

53K claims · 3.3%

Your Cost: $47.92/claim|Median: $57.85
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.1M

37K claims · 2.7%

Your Cost: $56.90/claim|Median: $74.82
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.0M

39K claims · 2.5%

Your Cost: $50.48/claim|Median: $69.35
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.2M

20K claims · 1.6%

Your Cost: $63.13/claim|Median: $80.15
0.8× median
99204Normal range

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

$1.2M

18K claims · 1.6%

Your Cost: $67.33/claim|Median: $84.03
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$732K

43K claims · 0.9%

Your Cost: $17.05/claim|Median: $23.99
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$712K

21K claims · 0.9%

Your Cost: $34.50/claim|Median: $54.68
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$613K

11K claims · 0.8%

Your Cost: $53.97/claim|Median: $74.09
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$491K

17K claims · 0.6%

Your Cost: $29.44/claim|Median: $25.06
1.2× median
99308Normal range

Nursing facility care, subsequent, straightforward

$441K

44K claims · 0.6%

Your Cost: $10.02/claim|Median: $9.79
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$370K

64K claims · 0.5%

Your Cost: $5.78/claim|Median: $5.60
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$350K

25K claims · 0.4%

Your Cost: $13.83/claim|Median: $14.00
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$331K

29K claims · 0.4%

Your Cost: $11.49/claim|Median: $11.48
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$314K

52K claims · 0.4%

Your Cost: $6.05/claim|Median: $6.61
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$193K

4,499 claims · 0.2%

Your Cost: $42.80/claim|Median: $101.24
0.4× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$189K

11K claims · 0.2%

Your Cost: $16.69/claim|Median: $20.83
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$184K

6,745 claims · 0.2%

Your Cost: $27.29/claim|Median: $35.30
0.8× median
L4361Normal range

$161K

1,377 claims · 0.2%

Your Cost: $117.00/claim|Median: $161.24
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$159K

3,219 claims · 0.2%

Your Cost: $49.38/claim|Median: $67.32
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$151K

4,380 claims · 0.2%

Your Cost: $34.43/claim|Median: $35.80
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$149K

5,041 claims · 0.2%

Your Cost: $29.61/claim|Median: $29.03
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$148K

13K claims · 0.2%

Your Cost: $11.05/claim|Median: $9.70
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$147K

2,039 claims · 0.2%

Your Cost: $72.00/claim|Median: $121.58
0.6× median
87804Normal range

Influenza virus detection, rapid test

$146K

12K claims · 0.2%

Your Cost: $12.45/claim|Median: $12.59
1.0× median
95004Normal range

Percutaneous allergy skin tests, each

$144K

1,513 claims · 0.2%

Your Cost: $95.34/claim|Median: $134.97
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$136K

2,226 claims · 0.2%

Your Cost: $60.98/claim|Median: $72.71
0.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$125K

187 claims · 0.2%

Your Cost: $667.79/claim|Median: $470.36
1.4× median
90471Top 25%

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

$121K

7,408 claims · 0.2%

Your Cost: $16.27/claim|Median: $9.80
1.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$117K

28K claims · 0.1%

Your Cost: $4.10/claim|Median: $3.67
1.1× median
97810Normal range

$98K

4,620 claims · 0.1%

Your Cost: $21.21/claim|Median: $23.92
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$92K

3,325 claims · 0.1%

Your Cost: $27.67/claim|Median: $43.85
0.6× median
00170Normal range

Anesthesia for intraoral procedures

$89K

1,104 claims · 0.1%

Your Cost: $81.01/claim|Median: $132.89
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$89K

2,604 claims · 0.1%

Your Cost: $34.14/claim|Median: $51.25
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$88K

9,170 claims · 0.1%

Your Cost: $9.61/claim|Median: $16.77
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$78K

55K claims · 0.1%

Your Cost: $1.43/claim|Median: $7.18
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$78K

852 claims · 0.1%

Your Cost: $91.68/claim|Median: $111.09
0.8× median
99173Normal range

$75K

32K claims · 0.1%

Your Cost: $2.37/claim|Median: $2.16
1.1× median
80305Normal range

$73K

8,865 claims · 0.1%

Your Cost: $8.19/claim|Median: $7.44
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$70K

3,300 claims · 0.1%

Your Cost: $21.17/claim|Median: $37.22
0.6× median
99177Top 25%

$67K

8,004 claims · 0.1%

Your Cost: $8.39/claim|Median: $3.74
2.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$67K

5,176 claims · 0.1%

Your Cost: $12.95/claim|Median: $14.36
0.9× median
97811Normal range

$67K

4,514 claims · 0.1%

Your Cost: $14.75/claim|Median: $19.71
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$66K

1,216 claims · 0.1%

Your Cost: $54.09/claim|Median: $63.65
0.8× median
99188Normal range

$64K

3,477 claims · 0.1%

Your Cost: $18.54/claim|Median: $12.80
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$62K

691 claims · 0.1%

Your Cost: $89.05/claim|Median: $151.68
0.6× median
76830Normal range

Ultrasound, transvaginal

$59K

902 claims · 0.1%

Your Cost: $65.21/claim|Median: $57.47
1.1× median

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$556.6M

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