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ESKENAZI MEDICAL GROUP INC

Family Medicine, Adult Medicine·INDIANAPOLIS, IN·NPI: 1730451063Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.9M

$18,915,135

Total Claims

354K

Beneficiaries

235K

1.5 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+15%
2019
$2.9M
-33%
2020
$1.9M
+36%
2021
$2.7M
+27%
2022
$3.4M
+14%
2023
$3.8M
-57%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 18% of total spending.

99232Top 25%

Subsequent hospital care, per day, moderate complexity

$3.4M

81K claims · 18.2%

Your Cost: $42.45/claim|Median: $23.99
1.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.3M

19K claims · 11.9%

Your Cost: $120.60/claim|Median: $67.32
1.8× median
99213Normal range

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

$2.1M

48K claims · 11.3%

Your Cost: $44.96/claim|Median: $37.81
1.2× median
99214Normal range

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

$2.1M

32K claims · 10.9%

Your Cost: $64.36/claim|Median: $53.41
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.9M

28K claims · 10.2%

Your Cost: $67.91/claim|Median: $35.30
1.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.2M

15K claims · 6.3%

Your Cost: $77.86/claim|Median: $62.48
1.2× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.1M

17K claims · 6.1%

Your Cost: $66.56/claim|Median: $43.85
1.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.1M

19K claims · 5.8%

Your Cost: $58.55/claim|Median: $37.22
1.6× median
99462Normal range

$423K

12K claims · 2.2%

Your Cost: $34.35/claim|Median: $27.49
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$361K

4,258 claims · 1.9%

Your Cost: $84.66/claim|Median: $51.25
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$347K

4,601 claims · 1.8%

Your Cost: $75.39/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$316K

3,828 claims · 1.7%

Your Cost: $82.62/claim|Median: $75.18
1.1× median
99220Normal range

$282K

3,569 claims · 1.5%

Your Cost: $78.89/claim|Median: $73.56
1.1× median
99217Normal range

$260K

6,646 claims · 1.4%

Your Cost: $39.18/claim|Median: $31.89
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$247K

2,119 claims · 1.3%

Your Cost: $116.75/claim|Median: $85.66
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$168K

1,936 claims · 0.9%

Your Cost: $86.57/claim|Median: $74.82
1.2× median
99219Normal range

$162K

2,325 claims · 0.9%

Your Cost: $69.82/claim|Median: $63.35
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$135K

5,945 claims · 0.7%

Your Cost: $22.78/claim|Median: $16.77
1.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$84K

2,522 claims · 0.4%

Your Cost: $33.33/claim|Median: $29.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$69K

1,141 claims · 0.4%

Your Cost: $60.64/claim|Median: $74.09
0.8× median
99203Normal range

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

$67K

1,490 claims · 0.4%

Your Cost: $44.64/claim|Median: $57.85
0.8× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$55K

695 claims · 0.3%

Your Cost: $78.82/claim|Median: $59.72
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$53K

598 claims · 0.3%

Your Cost: $87.86/claim|Median: $80.15
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$51K

2,803 claims · 0.3%

Your Cost: $18.18/claim|Median: $25.06
0.7× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$49K

2,680 claims · 0.3%

Your Cost: $18.46/claim|Median: $27.28
0.7× median
59025Normal range

Fetal non-stress test

$45K

1,612 claims · 0.2%

Your Cost: $27.99/claim|Median: $26.45
1.1× median
92567Normal range

$40K

6,574 claims · 0.2%

Your Cost: $6.14/claim|Median: $11.50
0.5× median
99204Normal range

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

$39K

722 claims · 0.2%

Your Cost: $54.36/claim|Median: $84.03
0.6× median
99283Normal range

Emergency dept visit, moderate complexity

$36K

1,006 claims · 0.2%

Your Cost: $35.83/claim|Median: $42.48
0.8× median
92587Normal range

$34K

2,593 claims · 0.2%

Your Cost: $13.07/claim|Median: $19.24
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$30K

616 claims · 0.2%

Your Cost: $49.03/claim|Median: $41.28
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$28K

616 claims · 0.1%

Your Cost: $45.58/claim|Median: $63.63
0.7× median
99221Top 25%

Initial hospital care, straightforward/low

$23K

335 claims · 0.1%

Your Cost: $67.87/claim|Median: $39.96
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$19K

318 claims · 0.1%

Your Cost: $61.16/claim|Median: $99.21
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$16K

501 claims · 0.1%

Your Cost: $31.29/claim|Median: $40.11
0.8× median
99381Normal range

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

$15K

249 claims · 0.1%

Your Cost: $61.16/claim|Median: $73.46
0.8× median
D0330Normal range

Panoramic radiographic image

$13K

620 claims · 0.1%

Your Cost: $20.87/claim|Median: $37.36
0.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$13K

240 claims · 0.1%

Your Cost: $53.28/claim|Median: $47.08
1.1× median
92555Normal range

$13K

1,107 claims · 0.1%

Your Cost: $11.53/claim|Median: $14.17
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$11K

439 claims · 0.1%

Your Cost: $26.16/claim|Median: $71.00
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$11K

910 claims · 0.1%

Your Cost: $11.66/claim|Median: $32.07
0.4× median
92015Normal range

Determination of refractive state

$10K

912 claims · 0.1%

Your Cost: $10.88/claim|Median: $10.36
1.1× median
99218Normal range

$9K

178 claims · 0.0%

Your Cost: $51.26/claim|Median: $51.50
1.0× median
99282Normal range

Emergency dept visit, low complexity

$9K

235 claims · 0.0%

Your Cost: $38.62/claim|Median: $37.72
1.0× median
D1120Normal range

Prophylaxis, adult

$8K

670 claims · 0.0%

Your Cost: $12.20/claim|Median: $33.86
0.4× median
D1110Normal range

Prophylaxis, adult cleaning

$8K

537 claims · 0.0%

Your Cost: $14.62/claim|Median: $43.38
0.3× median
92553Normal range

$8K

561 claims · 0.0%

Your Cost: $13.71/claim|Median: $20.30
0.7× median
20552Normal range

$7K

362 claims · 0.0%

Your Cost: $19.21/claim|Median: $23.11
0.8× median
D1206Normal range

Topical application of fluoride varnish

$6K

716 claims · 0.0%

Your Cost: $8.48/claim|Median: $18.12
0.5× median
99284Top 25%

Emergency dept visit, high complexity

$6K

47 claims · 0.0%

Your Cost: $125.79/claim|Median: $69.51
1.8× median

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