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TOPCARE MEDICAL GROUP INC

Specialist·DALLAS, TX·NPI: 1730337163Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.6M

$42,627,670

Total Claims

2.4M

Beneficiaries

2.0M

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$431K
-7%
2019
$399K
+560%
2020
$2.6M
+324%
2021
$11.2M
-8%
2022
$10.3M
-4%
2023
$9.9M
-20%
2024
$7.9M

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 29% of total spending.

99214Normal range

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

$12.3M

373K claims · 28.8%

Your Cost: $32.99/claim|Median: $53.41
0.6× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$6.3M

214K claims · 14.7%

Your Cost: $29.40/claim|Median: $30.04
1.0× median
99213Normal range

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

$5.4M

227K claims · 12.7%

Your Cost: $23.96/claim|Median: $37.81
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3.4M

58K claims · 8.1%

Your Cost: $59.95/claim|Median: $80.15
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3.1M

55K claims · 7.4%

Your Cost: $56.56/claim|Median: $74.82
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2.1M

294K claims · 5.0%

Your Cost: $7.24/claim|Median: $17.85
0.4× median
87400Normal range

$1.5M

205K claims · 3.6%

Your Cost: $7.42/claim|Median: $8.40
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

28K claims · 3.5%

Your Cost: $52.45/claim|Median: $75.18
0.7× median
87804Normal range

Influenza virus detection, rapid test

$1.3M

108K claims · 3.0%

Your Cost: $11.62/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1.0M

114K claims · 2.5%

Your Cost: $9.21/claim|Median: $11.48
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$756K

14K claims · 1.8%

Your Cost: $52.87/claim|Median: $72.71
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$517K

8,588 claims · 1.2%

Your Cost: $60.23/claim|Median: $69.35
0.9× median
99429Normal range

$392K

17K claims · 0.9%

Your Cost: $23.07/claim|Median: $28.58
0.8× median
99203Normal range

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

$281K

8,641 claims · 0.7%

Your Cost: $32.53/claim|Median: $57.85
0.6× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$242K

5,498 claims · 0.6%

Your Cost: $44.04/claim|Median: $34.62
1.3× median
99204Normal range

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

$216K

3,398 claims · 0.5%

Your Cost: $63.59/claim|Median: $84.03
0.8× median
99000Top 25%

$168K

26K claims · 0.4%

Your Cost: $6.55/claim|Median: $2.30
2.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$163K

2,099 claims · 0.4%

Your Cost: $77.55/claim|Median: $73.46
1.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$161K

1,977 claims · 0.4%

Your Cost: $81.24/claim|Median: $83.63
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$160K

29K claims · 0.4%

Your Cost: $5.55/claim|Median: $9.10
0.6× median
80053Normal range

Comprehensive metabolic panel

$157K

26K claims · 0.4%

Your Cost: $6.15/claim|Median: $7.24
0.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$140K

50K claims · 0.3%

Your Cost: $2.80/claim|Median: $6.93
0.4× median
80061Normal range

Lipid panel

$132K

20K claims · 0.3%

Your Cost: $6.62/claim|Median: $8.41
0.8× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$125K

1,515 claims · 0.3%

Your Cost: $82.18/claim|Median: $81.92
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$119K

5,789 claims · 0.3%

Your Cost: $20.47/claim|Median: $25.06
0.8× median
87807Normal range

$94K

14K claims · 0.2%

Your Cost: $6.95/claim|Median: $10.06
0.7× median
96160Normal range

Patient-focused health risk assessment

$88K

73K claims · 0.2%

Your Cost: $1.20/claim|Median: $2.10
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$83K

15K claims · 0.2%

Your Cost: $5.41/claim|Median: $5.50
1.0× median
99091Normal range

$81K

722 claims · 0.2%

Your Cost: $111.74/claim|Median: $22.29
5.0× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$65K

771 claims · 0.2%

Your Cost: $84.74/claim|Median: $79.89
1.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$64K

1,154 claims · 0.2%

Your Cost: $55.70/claim|Median: $76.22
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$44K

5,848 claims · 0.1%

Your Cost: $7.49/claim|Median: $9.56
0.8× median
90471Normal range

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

$34K

3,894 claims · 0.1%

Your Cost: $8.68/claim|Median: $9.80
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$34K

62K claims · 0.1%

Your Cost: $0.54/claim|Median: $7.18
0.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$31K

3,507 claims · 0.1%

Your Cost: $8.96/claim|Median: $9.87
0.9× median
81003Normal range

Urinalysis, automated without microscopy

$25K

19K claims · 0.1%

Your Cost: $1.34/claim|Median: $1.48
0.9× median
0071ANormal range

$25K

787 claims · 0.1%

Your Cost: $32.24/claim|Median: $38.71
0.8× median
0072ANormal range

$16K

485 claims · 0.0%

Your Cost: $33.43/claim|Median: $39.57
0.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$15K

439 claims · 0.0%

Your Cost: $34.27/claim|Median: $33.72
1.0× median
83013Normal range

$12K

342 claims · 0.0%

Your Cost: $34.05/claim|Median: $46.17
0.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$11K

481 claims · 0.0%

Your Cost: $23.37/claim|Median: $30.53
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$11K

187 claims · 0.0%

Your Cost: $58.00/claim|Median: $76.06
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$10K

282 claims · 0.0%

Your Cost: $37.09/claim|Median: $36.70
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$9K

1,763 claims · 0.0%

Your Cost: $5.31/claim|Median: $4.71
1.1× median
85027Normal range

Complete blood count (CBC), automated

$9K

2,655 claims · 0.0%

Your Cost: $3.37/claim|Median: $3.72
0.9× median
97169Normal range

$8K

1,004 claims · 0.0%

Your Cost: $8.19/claim|Median: $22.00
0.4× median
G8510Normal range

$8K

1,651 claims · 0.0%

Your Cost: $4.84/claim|Median: $1.96
2.5× median
82306Normal range

Vitamin D, 25 hydroxy

$7K

542 claims · 0.0%

Your Cost: $13.11/claim|Median: $18.18
0.7× median
82044Normal range

$6K

1,657 claims · 0.0%

Your Cost: $3.91/claim|Median: $2.74
1.4× median
82570Normal range

$5K

1,659 claims · 0.0%

Your Cost: $3.27/claim|Median: $3.18
1.0× median

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