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PRIVIA MEDICAL GROUP ARIZONA, LLC

Family Medicine·PHOENIX, AZ·NPI: 1760441141Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.6M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$45.6M

$45,645,387

Total Claims

829K

Beneficiaries

752K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$6.5M
-4%
2019
$6.3M
+1%
2020
$6.4M
+3%
2021
$6.6M
+2%
2022
$6.7M
-9%
2023
$6.1M
+14%
2024
$7.0M

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 34% of total spending.

99214Normal range

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

$15.7M

261K claims · 34.4%

Your Cost: $60.19/claim|Median: $53.41
1.1× median
99213Normal range

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

$4.7M

106K claims · 10.2%

Your Cost: $43.74/claim|Median: $37.81
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$3.0M

26K claims · 6.6%

Your Cost: $115.68/claim|Median: $54.68
2.1× median
99204Normal range

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

$2.6M

30K claims · 5.7%

Your Cost: $88.74/claim|Median: $84.03
1.1× median
95715Top 5%

$2.2M

946 claims · 4.8%

Your Cost: $2,321.49/claim|Median: $615.45
3.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$1.9M

8,871 claims · 4.1%

Your Cost: $211.07/claim|Median: $106.14
2.0× median
95819Top 25%

Electroencephalogram with sleep recording

$1.3M

4,342 claims · 2.9%

Your Cost: $302.80/claim|Median: $62.75
4.8× median
95911Top 25%

$1.3M

7,367 claims · 2.8%

Your Cost: $174.87/claim|Median: $122.86
1.4× median
95886Top 25%

$1.2M

7,658 claims · 2.5%

Your Cost: $150.97/claim|Median: $67.70
2.2× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$848K

7,996 claims · 1.9%

Your Cost: $106.09/claim|Median: $64.30
1.6× median
99203Normal range

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

$751K

13K claims · 1.6%

Your Cost: $59.68/claim|Median: $57.85
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$749K

3,727 claims · 1.6%

Your Cost: $201.04/claim|Median: $151.68
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$709K

5,188 claims · 1.6%

Your Cost: $136.72/claim|Median: $121.58
1.1× median
J2785Normal range

$578K

5,220 claims · 1.3%

Your Cost: $110.82/claim|Median: $61.83
1.8× median
93015Normal range

$539K

13K claims · 1.2%

Your Cost: $43.01/claim|Median: $41.12
1.0× median
93229Top 5%

$460K

550 claims · 1.0%

Your Cost: $835.64/claim|Median: $364.01
2.3× median
45378Normal range

Colonoscopy, diagnostic

$432K

1,985 claims · 0.9%

Your Cost: $217.88/claim|Median: $225.49
1.0× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$381K

3,369 claims · 0.8%

Your Cost: $113.11/claim|Median: $43.07
2.6× median
95816Top 10%

$378K

1,246 claims · 0.8%

Your Cost: $303.27/claim|Median: $56.87
5.3× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$349K

3,247 claims · 0.8%

Your Cost: $107.44/claim|Median: $49.03
2.2× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$295K

1,511 claims · 0.6%

Your Cost: $195.11/claim|Median: $144.04
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$293K

3,493 claims · 0.6%

Your Cost: $83.99/claim|Median: $74.09
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$274K

897 claims · 0.6%

Your Cost: $305.32/claim|Median: $255.17
1.2× median
95004Top 25%

Percutaneous allergy skin tests, each

$273K

1,041 claims · 0.6%

Your Cost: $262.49/claim|Median: $134.97
1.9× median
93925Top 25%

$251K

1,944 claims · 0.6%

Your Cost: $129.25/claim|Median: $54.12
2.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$248K

22K claims · 0.5%

Your Cost: $11.17/claim|Median: $9.70
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$248K

6,119 claims · 0.5%

Your Cost: $40.59/claim|Median: $29.03
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$241K

4,638 claims · 0.5%

Your Cost: $51.94/claim|Median: $35.30
1.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$236K

2,607 claims · 0.5%

Your Cost: $90.40/claim|Median: $82.43
1.1× median
45380Normal range

Colonoscopy with biopsy

$219K

700 claims · 0.5%

Your Cost: $313.17/claim|Median: $200.68
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$206K

4,838 claims · 0.5%

Your Cost: $42.60/claim|Median: $23.99
1.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$185K

1,712 claims · 0.4%

Your Cost: $107.80/claim|Median: $111.09
1.0× median
96132Normal range

$177K

1,948 claims · 0.4%

Your Cost: $90.69/claim|Median: $70.53
1.3× median
64483Normal range

$135K

669 claims · 0.3%

Your Cost: $201.21/claim|Median: $124.24
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$123K

1,122 claims · 0.3%

Your Cost: $109.32/claim|Median: $67.32
1.6× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$116K

2,419 claims · 0.3%

Your Cost: $48.14/claim|Median: $22.44
2.1× median
93922Top 25%

$104K

2,165 claims · 0.2%

Your Cost: $47.94/claim|Median: $26.06
1.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$87K

904 claims · 0.2%

Your Cost: $96.51/claim|Median: $76.06
1.3× median
64635Normal range

$82K

393 claims · 0.2%

Your Cost: $207.92/claim|Median: $207.78
1.0× median
L3908Top 25%

$80K

1,535 claims · 0.2%

Your Cost: $52.35/claim|Median: $35.79
1.5× median
95700Normal range

$80K

388 claims · 0.2%

Your Cost: $205.57/claim|Median: $154.31
1.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$78K

1,271 claims · 0.2%

Your Cost: $61.09/claim|Median: $32.55
1.9× median
95724Top 25%

$73K

271 claims · 0.2%

Your Cost: $269.24/claim|Median: $222.23
1.2× median
64636Top 25%

$65K

387 claims · 0.1%

Your Cost: $167.84/claim|Median: $63.60
2.6× median
43249Top 25%

Upper GI endoscopy with balloon dilation of esophagus

$63K

122 claims · 0.1%

Your Cost: $512.66/claim|Median: $153.37
3.3× median
95117Normal range

$61K

7,686 claims · 0.1%

Your Cost: $7.97/claim|Median: $8.34
1.0× median
31231Normal range

Nasal endoscopy, diagnostic

$58K

410 claims · 0.1%

Your Cost: $140.53/claim|Median: $98.77
1.4× median
93227Normal range

$56K

3,176 claims · 0.1%

Your Cost: $17.60/claim|Median: $18.60
0.9× median
93225Normal range

$55K

3,169 claims · 0.1%

Your Cost: $17.21/claim|Median: $34.59
0.5× median
95951Top 10%

$55K

82 claims · 0.1%

Your Cost: $664.79/claim|Median: $183.28
3.6× median

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