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CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

General Practice·IBAPAH, UT·NPI: 1750510277Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.3M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$41.3M

$41,304,062

Total Claims

113K

Beneficiaries

92K

1.2 claims/patient

Avg Cost/Claim

$364

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-34%
2019
$2.5M
+64%
2020
$4.1M
+54%
2021
$6.3M
+18%
2022
$7.4M
+14%
2023
$8.5M
+5%
2024
$8.9M

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 35% of total spending.

99213Top 1%

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

$14.6M

31K claims · 35.5%

Your Cost: $468.76/claim|Median: $37.81
12.4× median
99214Top 1%

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

$11.6M

23K claims · 28.1%

Your Cost: $500.86/claim|Median: $53.41
9.4× median
90837Top 1%

Psychotherapy, 60 minutes

$3.6M

8,065 claims · 8.7%

Your Cost: $445.73/claim|Median: $85.66
5.2× median
99215Top 1%

Office/outpatient visit, high complexity

$1.4M

3,516 claims · 3.5%

Your Cost: $410.76/claim|Median: $74.09
5.5× median
90834Top 1%

Psychotherapy, 45 minutes

$1.1M

2,586 claims · 2.7%

Your Cost: $431.28/claim|Median: $63.65
6.8× median
99203Top 1%

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

$727K

1,505 claims · 1.8%

Your Cost: $483.05/claim|Median: $57.85
8.4× median
90832Top 1%

Psychotherapy, 30 minutes

$655K

1,472 claims · 1.6%

Your Cost: $445.24/claim|Median: $41.28
10.8× median
90853Top 1%

Group psychotherapy

$639K

2,255 claims · 1.5%

Your Cost: $283.21/claim|Median: $25.02
11.3× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$606K

1,068 claims · 1.5%

Your Cost: $567.13/claim|Median: $47.08
12.0× median
90471Top 1%

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

$499K

5,297 claims · 1.2%

Your Cost: $94.26/claim|Median: $9.80
9.6× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$486K

807 claims · 1.2%

Your Cost: $601.72/claim|Median: $75.18
8.0× median
97803Top 1%

Medical nutrition therapy, reassessment, group, thirty minutes

$471K

844 claims · 1.1%

Your Cost: $558.00/claim|Median: $24.33
22.9× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$446K

798 claims · 1.1%

Your Cost: $558.32/claim|Median: $69.35
8.1× median
99204Top 1%

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

$407K

702 claims · 1.0%

Your Cost: $579.95/claim|Median: $84.03
6.9× median
99212Top 1%

Office/outpatient visit, low complexity

$384K

856 claims · 0.9%

Your Cost: $448.93/claim|Median: $25.06
17.9× median
97110Top 5%

Therapeutic exercises, each 15 min

$347K

3,172 claims · 0.8%

Your Cost: $109.33/claim|Median: $24.49
4.5× median
97802Top 1%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$345K

668 claims · 0.8%

Your Cost: $517.07/claim|Median: $12.70
40.7× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$259K

1,752 claims · 0.6%

Your Cost: $148.06/claim|Median: $9.56
15.5× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$209K

324 claims · 0.5%

Your Cost: $645.99/claim|Median: $74.82
8.6× median
V2020Top 1%

Frames, purchases

$198K

807 claims · 0.5%

Your Cost: $245.74/claim|Median: $19.33
12.7× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$153K

323 claims · 0.4%

Your Cost: $472.77/claim|Median: $25.93
18.2× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$139K

296 claims · 0.3%

Your Cost: $470.11/claim|Median: $33.85
13.9× median
90472Top 1%

Immunization administration, each additional vaccine

$127K

1,758 claims · 0.3%

Your Cost: $72.37/claim|Median: $11.79
6.1× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$116K

309 claims · 0.3%

Your Cost: $375.77/claim|Median: $40.11
9.4× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$113K

171 claims · 0.3%

Your Cost: $660.30/claim|Median: $80.15
8.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$87K

2,391 claims · 0.2%

Your Cost: $36.46/claim|Median: $21.91
1.7× median
0124ATop 1%

$87K

163 claims · 0.2%

Your Cost: $531.61/claim|Median: $34.32
15.5× median
J3420Top 1%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$85K

996 claims · 0.2%

Your Cost: $85.04/claim|Median: $1.04
81.8× median
90688Top 1%

$81K

529 claims · 0.2%

Your Cost: $154.06/claim|Median: $9.00
17.1× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$75K

172 claims · 0.2%

Your Cost: $437.92/claim|Median: $36.70
11.9× median
0013ATop 1%

$74K

140 claims · 0.2%

Your Cost: $526.96/claim|Median: $35.38
14.9× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$73K

177 claims · 0.2%

Your Cost: $414.69/claim|Median: $33.72
12.3× median
90791Top 1%

Psychiatric diagnostic evaluation

$73K

124 claims · 0.2%

Your Cost: $588.67/claim|Median: $99.21
5.9× median
92340Top 1%

Fitting of spectacles, except for aphakia

$63K

305 claims · 0.2%

Your Cost: $206.84/claim|Median: $19.46
10.6× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$62K

1,229 claims · 0.2%

Your Cost: $50.79/claim|Median: $16.79
3.0× median
91320Top 1%

$62K

226 claims · 0.1%

Your Cost: $272.69/claim|Median: $72.65
3.8× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$47K

471 claims · 0.1%

Your Cost: $100.08/claim|Median: $37.56
2.7× median
97162Top 1%

PT evaluation, moderate complexity

$45K

150 claims · 0.1%

Your Cost: $299.67/claim|Median: $46.10
6.5× median
86580Top 1%

Tuberculosis (TB) skin test

$43K

97 claims · 0.1%

Your Cost: $445.05/claim|Median: $4.46
99.8× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$43K

63 claims · 0.1%

Your Cost: $675.06/claim|Median: $59.72
11.3× median
90658Top 1%

$42K

268 claims · 0.1%

Your Cost: $158.29/claim|Median: $8.96
17.7× median
99484Top 5%

$42K

71 claims · 0.1%

Your Cost: $590.02/claim|Median: $7.13
82.8× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$40K

426 claims · 0.1%

Your Cost: $94.52/claim|Median: $35.43
2.7× median
H0031Top 5%

Mental health assessment by non-physician

$37K

92 claims · 0.1%

Your Cost: $404.03/claim|Median: $96.18
4.2× median
80305Top 1%

$35K

460 claims · 0.1%

Your Cost: $75.19/claim|Median: $7.44
10.1× median
90651Top 10%

HPV vaccine, 9-valent

$21K

287 claims · 0.0%

Your Cost: $71.92/claim|Median: $8.93
8.1× median
D0330Top 1%

Panoramic radiographic image

$20K

52 claims · 0.0%

Your Cost: $377.73/claim|Median: $37.36
10.1× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$19K

95 claims · 0.0%

Your Cost: $203.12/claim|Median: $20.04
10.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$19K

238 claims · 0.0%

Your Cost: $78.94/claim|Median: $121.16
0.7× median
99347Top 5%

$18K

77 claims · 0.0%

Your Cost: $239.97/claim|Median: $11.74
20.4× median

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