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UNIVERSITY PHYSICIANS & SURGEONS, INC

Internal Medicine·HUNTINGTON, WV·NPI: 1730183286Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $58.4M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$58.4M

$58,388,268

Total Claims

1.3M

Beneficiaries

1.1M

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$6.8M
-39%
2019
$4.2M
+58%
2020
$6.6M
+12%
2021
$7.4M
+64%
2022
$12.1M
+1%
2023
$12.3M
-26%
2024
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 23% of total spending.

99213Normal range

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

$13.4M

284K claims · 23.0%

Your Cost: $47.25/claim|Median: $37.81
1.2× median
99214Normal range

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

$9.8M

152K claims · 16.8%

Your Cost: $64.74/claim|Median: $53.41
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4.0M

95K claims · 6.8%

Your Cost: $41.90/claim|Median: $23.99
1.7× median
99204Normal range

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

$2.1M

21K claims · 3.5%

Your Cost: $97.21/claim|Median: $84.03
1.2× median
99203Normal range

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

$1.6M

25K claims · 2.7%

Your Cost: $64.10/claim|Median: $57.85
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.4M

14K claims · 2.4%

Your Cost: $102.05/claim|Median: $67.32
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.1M

18K claims · 1.9%

Your Cost: $63.04/claim|Median: $35.30
1.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.1M

28K claims · 1.8%

Your Cost: $38.08/claim|Median: $35.80
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

14K claims · 1.7%

Your Cost: $71.07/claim|Median: $75.18
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$970K

13K claims · 1.7%

Your Cost: $76.52/claim|Median: $51.25
1.5× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$931K

3,779 claims · 1.6%

Your Cost: $246.30/claim|Median: $293.45
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$825K

8,446 claims · 1.4%

Your Cost: $97.64/claim|Median: $109.42
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$814K

13K claims · 1.4%

Your Cost: $63.82/claim|Median: $69.35
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$668K

5,759 claims · 1.1%

Your Cost: $115.93/claim|Median: $100.62
1.2× median
90471Normal range

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

$595K

42K claims · 1.0%

Your Cost: $14.28/claim|Median: $9.80
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$594K

21K claims · 1.0%

Your Cost: $28.59/claim|Median: $25.06
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$589K

8,040 claims · 1.0%

Your Cost: $73.28/claim|Median: $74.82
1.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$589K

9,641 claims · 1.0%

Your Cost: $61.05/claim|Median: $59.38
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$569K

9,121 claims · 1.0%

Your Cost: $62.36/claim|Median: $63.65
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$527K

5,119 claims · 0.9%

Your Cost: $102.91/claim|Median: $74.09
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$515K

7,375 claims · 0.9%

Your Cost: $69.76/claim|Median: $71.00
1.0× median
99479Normal range

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

$479K

5,155 claims · 0.8%

Your Cost: $92.83/claim|Median: $103.70
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$459K

8,450 claims · 0.8%

Your Cost: $54.28/claim|Median: $57.39
0.9× median
90472Top 25%

Immunization administration, each additional vaccine

$431K

20K claims · 0.7%

Your Cost: $21.13/claim|Median: $11.79
1.8× median
59409Normal range

Vaginal delivery only

$412K

593 claims · 0.7%

Your Cost: $695.36/claim|Median: $619.91
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$412K

7,085 claims · 0.7%

Your Cost: $58.14/claim|Median: $120.85
0.5× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$387K

16K claims · 0.7%

Your Cost: $24.42/claim|Median: $16.77
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$381K

8,089 claims · 0.7%

Your Cost: $47.06/claim|Median: $37.22
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$356K

3,325 claims · 0.6%

Your Cost: $106.99/claim|Median: $108.91
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$351K

29K claims · 0.6%

Your Cost: $12.17/claim|Median: $14.00
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$336K

9,962 claims · 0.6%

Your Cost: $33.76/claim|Median: $58.55
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$324K

8,949 claims · 0.6%

Your Cost: $36.24/claim|Median: $54.68
0.7× median
99291Top 25%

Critical care, first 30-74 minutes

$320K

2,302 claims · 0.5%

Your Cost: $139.12/claim|Median: $101.24
1.4× median
99468Normal range

$307K

503 claims · 0.5%

Your Cost: $610.44/claim|Median: $679.18
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$299K

3,737 claims · 0.5%

Your Cost: $80.09/claim|Median: $80.15
1.0× median
D3220Normal range

Therapeutic pulpotomy

$285K

5,019 claims · 0.5%

Your Cost: $56.71/claim|Median: $81.27
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$281K

5,775 claims · 0.5%

Your Cost: $48.74/claim|Median: $54.60
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$266K

2,157 claims · 0.5%

Your Cost: $123.24/claim|Median: $111.09
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$260K

8,860 claims · 0.4%

Your Cost: $29.39/claim|Median: $27.07
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$252K

3,383 claims · 0.4%

Your Cost: $74.44/claim|Median: $151.68
0.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$232K

2,422 claims · 0.4%

Your Cost: $95.66/claim|Median: $98.15
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$221K

5,781 claims · 0.4%

Your Cost: $38.17/claim|Median: $29.03
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$182K

4,368 claims · 0.3%

Your Cost: $41.65/claim|Median: $40.11
1.0× median
64615Normal range

$173K

2,430 claims · 0.3%

Your Cost: $71.04/claim|Median: $82.82
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$172K

2,245 claims · 0.3%

Your Cost: $76.63/claim|Median: $72.71
1.1× median
95886Normal range

$152K

3,004 claims · 0.3%

Your Cost: $50.69/claim|Median: $67.70
0.7× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$150K

582 claims · 0.3%

Your Cost: $258.58/claim|Median: $307.98
0.8× median
93458Normal range

Left heart catheterization with imaging

$139K

757 claims · 0.2%

Your Cost: $183.81/claim|Median: $183.33
1.0× median
D1120Normal range

Prophylaxis, adult

$118K

5,382 claims · 0.2%

Your Cost: $22.02/claim|Median: $33.86
0.7× median
D0330Top 25%

Panoramic radiographic image

$118K

2,342 claims · 0.2%

Your Cost: $50.21/claim|Median: $37.36
1.3× median

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