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PIMA HEART PHYSICIANS, PC

Internal Medicine, Cardiovascular Disease·TUCSON, AZ·NPI: 1730137480Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.5M

$18,506,297

Total Claims

287K

Beneficiaries

260K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+8%
2019
$2.4M
-27%
2020
$1.7M
+92%
2021
$3.3M
+13%
2022
$3.7M
-21%
2023
$3.0M
-26%
2024
$2.2M

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 26% of total spending.

99214Normal range

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

$4.8M

109K claims · 26.2%

Your Cost: $44.54/claim|Median: $53.41
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$3.1M

29K claims · 16.8%

Your Cost: $107.29/claim|Median: $54.68
2.0× median
A9555Top 5%

$1.9M

2,230 claims · 10.4%

Your Cost: $866.72/claim|Median: $89.11
9.7× median
78492Top 10%

$1.4M

2,136 claims · 7.7%

Your Cost: $666.70/claim|Median: $54.47
12.2× median
93229Top 10%

$1.2M

1,619 claims · 6.7%

Your Cost: $764.86/claim|Median: $364.01
2.1× median
99204Normal range

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

$1.0M

12K claims · 5.5%

Your Cost: $84.04/claim|Median: $84.03
1.0× median
J2785Normal range

$950K

8,958 claims · 5.1%

Your Cost: $106.10/claim|Median: $61.83
1.7× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$796K

3,517 claims · 4.3%

Your Cost: $226.24/claim|Median: $106.14
2.1× median
93015Normal range

$546K

13K claims · 3.0%

Your Cost: $41.19/claim|Median: $41.12
1.0× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$508K

4,745 claims · 2.7%

Your Cost: $106.96/claim|Median: $43.07
2.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$497K

53K claims · 2.7%

Your Cost: $9.30/claim|Median: $9.70
1.0× median
A9502Normal range

$349K

3,422 claims · 1.9%

Your Cost: $102.07/claim|Median: $54.60
1.9× median
99457Top 25%

$192K

7,221 claims · 1.0%

Your Cost: $26.55/claim|Median: $6.05
4.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$167K

5,512 claims · 0.9%

Your Cost: $30.29/claim|Median: $23.99
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$153K

2,691 claims · 0.8%

Your Cost: $56.95/claim|Median: $74.09
0.8× median
99213Normal range

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

$131K

3,416 claims · 0.7%

Your Cost: $38.48/claim|Median: $37.81
1.0× median
99454Top 25%

$119K

4,151 claims · 0.6%

Your Cost: $28.61/claim|Median: $9.15
3.1× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$84K

1,838 claims · 0.5%

Your Cost: $45.92/claim|Median: $25.43
1.8× median
93297Normal range

$74K

6,275 claims · 0.4%

Your Cost: $11.75/claim|Median: $8.99
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$56K

1,252 claims · 0.3%

Your Cost: $44.94/claim|Median: $35.30
1.3× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$32K

353 claims · 0.2%

Your Cost: $89.42/claim|Median: $49.03
1.8× median
93228Top 25%

$31K

1,584 claims · 0.2%

Your Cost: $19.45/claim|Median: $14.08
1.4× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$29K

556 claims · 0.2%

Your Cost: $52.90/claim|Median: $67.14
0.8× median
93660Normal range

$26K

220 claims · 0.1%

Your Cost: $116.18/claim|Median: $96.78
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$21K

269 claims · 0.1%

Your Cost: $79.28/claim|Median: $111.09
0.7× median
93922Normal range

$21K

652 claims · 0.1%

Your Cost: $31.91/claim|Median: $26.06
1.2× median
99203Normal range

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

$21K

372 claims · 0.1%

Your Cost: $55.63/claim|Median: $57.85
1.0× median
G2066Normal range

$15K

1,352 claims · 0.1%

Your Cost: $11.42/claim|Median: $14.66
0.8× median
95923Top 25%

$14K

150 claims · 0.1%

Your Cost: $95.08/claim|Median: $44.24
2.1× median
36482Normal range

$13K

15 claims · 0.1%

Your Cost: $859.81/claim|Median: $560.60
1.5× median
95921Top 25%

$10K

163 claims · 0.1%

Your Cost: $62.62/claim|Median: $31.18
2.0× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$9K

964 claims · 0.1%

Your Cost: $9.74/claim|Median: $10.24
1.0× median
36475Normal range

$9K

14 claims · 0.1%

Your Cost: $661.19/claim|Median: $902.80
0.7× median
99255Top 25%

$8K

54 claims · 0.0%

Your Cost: $145.43/claim|Median: $90.45
1.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$8K

170 claims · 0.0%

Your Cost: $45.09/claim|Median: $51.25
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$6K

218 claims · 0.0%

Your Cost: $27.50/claim|Median: $25.06
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$6K

1,165 claims · 0.0%

Your Cost: $4.80/claim|Median: $5.60
0.9× median
93299Normal range

$5K

1,120 claims · 0.0%

Your Cost: $4.89/claim|Median: $19.91
0.2× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$4K

126 claims · 0.0%

Your Cost: $30.71/claim|Median: $13.30
2.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$3K

26 claims · 0.0%

Your Cost: $127.38/claim|Median: $121.58
1.0× median
93298Normal range

$3K

164 claims · 0.0%

Your Cost: $18.17/claim|Median: $14.28
1.3× median
93241Top 25%

$3K

12 claims · 0.0%

Your Cost: $220.02/claim|Median: $121.53
1.8× median
93925Normal range

$2K

33 claims · 0.0%

Your Cost: $73.14/claim|Median: $54.12
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$2K

28 claims · 0.0%

Your Cost: $78.86/claim|Median: $67.32
1.2× median
99152Normal range

$2K

188 claims · 0.0%

Your Cost: $8.60/claim|Median: $7.34
1.2× median
99254Top 25%

$2K

12 claims · 0.0%

Your Cost: $131.81/claim|Median: $81.43
1.6× median
93926Normal range

$2K

36 claims · 0.0%

Your Cost: $43.08/claim|Median: $26.21
1.6× median
93294Normal range

$2K

162 claims · 0.0%

Your Cost: $9.40/claim|Median: $9.45
1.0× median
90471Normal range

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

$1K

99 claims · 0.0%

Your Cost: $13.90/claim|Median: $9.80
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

29 claims · 0.0%

Your Cost: $45.33/claim|Median: $40.11
1.1× median

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