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UMASS MEMORIAL MEDICAL GROUP INC

Internal Medicine·WORCESTER, MA·NPI: 1760445373Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.4M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$98.4M

$98,435,282

Total Claims

2.6M

Beneficiaries

2.3M

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$12.2M
+14%
2019
$14.0M
-11%
2020
$12.5M
+34%
2021
$16.8M
+12%
2022
$18.8M
-29%
2023
$13.4M
-20%
2024
$10.7M

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 17% of total spending.

99214Normal range

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

$17.0M

356K claims · 17.3%

Your Cost: $47.77/claim|Median: $53.41
0.9× median
99284Normal range

Emergency dept visit, high complexity

$13.5M

189K claims · 13.7%

Your Cost: $71.66/claim|Median: $69.51
1.0× median
99213Normal range

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

$10.6M

292K claims · 10.7%

Your Cost: $36.09/claim|Median: $37.81
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$6.7M

82K claims · 6.8%

Your Cost: $80.99/claim|Median: $85.65
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$5.8M

151K claims · 5.9%

Your Cost: $38.20/claim|Median: $35.30
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.6M

106K claims · 2.7%

Your Cost: $24.82/claim|Median: $23.99
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$2.4M

29K claims · 2.4%

Your Cost: $83.20/claim|Median: $101.24
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.4M

8,493 claims · 2.4%

Your Cost: $278.29/claim|Median: $293.45
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$1.9M

31K claims · 2.0%

Your Cost: $62.49/claim|Median: $74.09
0.8× median
99203Normal range

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

$1.7M

33K claims · 1.7%

Your Cost: $51.25/claim|Median: $57.85
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$1.6M

37K claims · 1.6%

Your Cost: $42.10/claim|Median: $42.48
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

20K claims · 1.5%

Your Cost: $74.02/claim|Median: $63.65
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$1.5M

34K claims · 1.5%

Your Cost: $44.34/claim|Median: $65.76
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$1.5M

18K claims · 1.5%

Your Cost: $81.70/claim|Median: $67.32
1.2× median
99204Normal range

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

$1.4M

18K claims · 1.4%

Your Cost: $79.07/claim|Median: $84.03
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.2M

38K claims · 1.3%

Your Cost: $32.17/claim|Median: $35.80
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.1M

21K claims · 1.1%

Your Cost: $53.78/claim|Median: $47.08
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.0M

23K claims · 1.0%

Your Cost: $44.10/claim|Median: $43.85
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$901K

232K claims · 0.9%

Your Cost: $3.88/claim|Median: $5.60
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$874K

31K claims · 0.9%

Your Cost: $28.34/claim|Median: $54.68
0.5× median
99479Normal range

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

$715K

7,988 claims · 0.7%

Your Cost: $89.51/claim|Median: $103.70
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$656K

10K claims · 0.7%

Your Cost: $65.36/claim|Median: $59.72
1.1× median
99282Normal range

Emergency dept visit, low complexity

$541K

19K claims · 0.5%

Your Cost: $29.15/claim|Median: $37.72
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$522K

15K claims · 0.5%

Your Cost: $34.79/claim|Median: $58.55
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$519K

10K claims · 0.5%

Your Cost: $50.50/claim|Median: $51.25
1.0× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$518K

5,505 claims · 0.5%

Your Cost: $94.02/claim|Median: $62.48
1.5× median
70450Normal range

CT head/brain without contrast

$490K

28K claims · 0.5%

Your Cost: $17.38/claim|Median: $45.53
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$484K

6,186 claims · 0.5%

Your Cost: $78.31/claim|Median: $74.82
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$481K

11K claims · 0.5%

Your Cost: $44.36/claim|Median: $41.28
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$480K

6,271 claims · 0.5%

Your Cost: $76.57/claim|Median: $75.18
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$443K

15K claims · 0.5%

Your Cost: $28.98/claim|Median: $49.45
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$438K

20K claims · 0.4%

Your Cost: $22.33/claim|Median: $39.33
0.6× median
71260Normal range

CT chest with contrast

$436K

16K claims · 0.4%

Your Cost: $26.57/claim|Median: $48.36
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$421K

5,965 claims · 0.4%

Your Cost: $70.64/claim|Median: $69.35
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$380K

37K claims · 0.4%

Your Cost: $10.26/claim|Median: $9.10
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$375K

16K claims · 0.4%

Your Cost: $22.98/claim|Median: $25.06
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$363K

15K claims · 0.4%

Your Cost: $24.90/claim|Median: $17.85
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$350K

2,609 claims · 0.4%

Your Cost: $133.98/claim|Median: $99.21
1.4× median
71045Normal range

Chest X-ray, single view

$331K

80K claims · 0.3%

Your Cost: $4.15/claim|Median: $4.93
0.8× median
71046Normal range

Chest X-ray, 2 views

$321K

57K claims · 0.3%

Your Cost: $5.62/claim|Median: $8.92
0.6× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$314K

3,687 claims · 0.3%

Your Cost: $85.24/claim|Median: $98.15
0.9× median
01967Top 5%

Anesthesia, neuraxial labor analgesia/delivery

$314K

503 claims · 0.3%

Your Cost: $623.47/claim|Median: $283.78
2.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$311K

2,632 claims · 0.3%

Your Cost: $117.99/claim|Median: $111.09
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$309K

6,139 claims · 0.3%

Your Cost: $50.38/claim|Median: $37.22
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$308K

2,717 claims · 0.3%

Your Cost: $113.25/claim|Median: $108.91
1.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$294K

4,792 claims · 0.3%

Your Cost: $61.43/claim|Median: $59.38
1.0× median
90960Normal range

End-stage renal disease services, per month, age 20+

$272K

4,210 claims · 0.3%

Your Cost: $64.71/claim|Median: $52.76
1.2× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$253K

10K claims · 0.3%

Your Cost: $25.24/claim|Median: $14.00
1.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$246K

3,394 claims · 0.3%

Your Cost: $72.54/claim|Median: $106.79
0.7× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$241K

5,784 claims · 0.2%

Your Cost: $41.66/claim|Median: $58.82
0.7× median

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