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UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

Internal Medicine·NEWARK, NJ·NPI: 1760492367Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.6M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$36.6M

$36,636,195

Total Claims

542K

Beneficiaries

379K

1.4 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-2%
2019
$4.9M
-9%
2020
$4.4M
+38%
2021
$6.1M
+8%
2022
$6.6M
-1%
2023
$6.6M
-52%
2024
$3.1M

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 23% of total spending.

99214Top 10%

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

$8.5M

73K claims · 23.3%

Your Cost: $116.27/claim|Median: $53.41
2.2× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$7.3M

107K claims · 20.0%

Your Cost: $68.43/claim|Median: $23.99
2.9× median
99291Top 10%

Critical care, first 30-74 minutes

$3.8M

15K claims · 10.4%

Your Cost: $262.90/claim|Median: $101.24
2.6× median
99213Top 10%

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

$3.1M

39K claims · 8.4%

Your Cost: $78.09/claim|Median: $37.81
2.1× median
93010Top 10%

Electrocardiogram, interpretation and report only

$1.9M

179K claims · 5.3%

Your Cost: $10.85/claim|Median: $5.60
1.9× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$1.7M

20K claims · 4.8%

Your Cost: $88.13/claim|Median: $35.30
2.5× median
99223Top 5%

Initial hospital care, per day, high complexity

$1.7M

9,344 claims · 4.6%

Your Cost: $178.90/claim|Median: $67.32
2.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.2M

17K claims · 3.4%

Your Cost: $74.52/claim|Median: $54.68
1.4× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$1.1M

8,992 claims · 2.9%

Your Cost: $118.73/claim|Median: $51.25
2.3× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$638K

6,098 claims · 1.7%

Your Cost: $104.57/claim|Median: $43.85
2.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$614K

2,126 claims · 1.7%

Your Cost: $288.67/claim|Median: $151.68
1.9× median
90935Top 25%

Hemodialysis, one evaluation

$577K

11K claims · 1.6%

Your Cost: $54.29/claim|Median: $23.72
2.3× median
99204Top 5%

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

$553K

2,854 claims · 1.5%

Your Cost: $193.88/claim|Median: $84.03
2.3× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$517K

10K claims · 1.4%

Your Cost: $51.41/claim|Median: $9.79
5.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$471K

1,962 claims · 1.3%

Your Cost: $239.96/claim|Median: $85.65
2.8× median
90960Top 5%

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

$327K

1,563 claims · 0.9%

Your Cost: $209.42/claim|Median: $52.76
4.0× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$314K

4,759 claims · 0.9%

Your Cost: $65.91/claim|Median: $37.22
1.8× median
45380Normal range

Colonoscopy with biopsy

$251K

983 claims · 0.7%

Your Cost: $255.40/claim|Median: $200.68
1.3× median
99203Top 5%

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

$236K

1,704 claims · 0.6%

Your Cost: $138.70/claim|Median: $57.85
2.4× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$171K

4,641 claims · 0.5%

Your Cost: $36.94/claim|Median: $16.77
2.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$160K

440 claims · 0.4%

Your Cost: $364.72/claim|Median: $255.17
1.4× median
90961Top 10%

$141K

1,057 claims · 0.4%

Your Cost: $133.17/claim|Median: $47.22
2.8× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$136K

963 claims · 0.4%

Your Cost: $141.53/claim|Median: $75.18
1.9× median
G0500Top 25%

$116K

4,001 claims · 0.3%

Your Cost: $28.88/claim|Median: $5.04
5.7× median
99152Top 5%

$102K

2,252 claims · 0.3%

Your Cost: $45.42/claim|Median: $7.34
6.2× median
45378Normal range

Colonoscopy, diagnostic

$88K

425 claims · 0.2%

Your Cost: $206.95/claim|Median: $225.49
0.9× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$77K

777 claims · 0.2%

Your Cost: $99.67/claim|Median: $69.35
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$68K

500 claims · 0.2%

Your Cost: $136.38/claim|Median: $74.09
1.8× median
99284Top 10%

Emergency dept visit, high complexity

$64K

351 claims · 0.2%

Your Cost: $183.37/claim|Median: $69.51
2.6× median
99254Top 1%

$63K

218 claims · 0.2%

Your Cost: $288.49/claim|Median: $81.43
3.5× median
99212Top 25%

Office/outpatient visit, low complexity

$62K

1,268 claims · 0.2%

Your Cost: $49.23/claim|Median: $25.06
2.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$55K

2,579 claims · 0.1%

Your Cost: $21.21/claim|Median: $32.55
0.7× median
99307Top 5%

$38K

996 claims · 0.1%

Your Cost: $37.99/claim|Median: $6.57
5.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$36K

2,335 claims · 0.1%

Your Cost: $15.21/claim|Median: $22.44
0.7× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$35K

498 claims · 0.1%

Your Cost: $70.57/claim|Median: $14.00
5.0× median
93458Normal range

Left heart catheterization with imaging

$24K

114 claims · 0.1%

Your Cost: $206.78/claim|Median: $183.33
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$23K

263 claims · 0.1%

Your Cost: $87.35/claim|Median: $62.48
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$23K

503 claims · 0.1%

Your Cost: $44.80/claim|Median: $76.06
0.6× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$20K

60 claims · 0.1%

Your Cost: $325.99/claim|Median: $114.30
2.9× median
99244Top 1%

Office or other outpatient consultation, moderate complexity

$19K

55 claims · 0.1%

Your Cost: $337.21/claim|Median: $121.58
2.8× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$16K

489 claims · 0.0%

Your Cost: $32.35/claim|Median: $9.70
3.3× median
93356Top 25%

$16K

571 claims · 0.0%

Your Cost: $27.16/claim|Median: $9.51
2.9× median
99305Top 1%

$14K

120 claims · 0.0%

Your Cost: $118.01/claim|Median: $19.28
6.1× median
99253Top 1%

$14K

80 claims · 0.0%

Your Cost: $173.35/claim|Median: $55.16
3.1× median
93454Normal range

$14K

44 claims · 0.0%

Your Cost: $306.97/claim|Median: $141.82
2.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$13K

83 claims · 0.0%

Your Cost: $162.56/claim|Median: $111.09
1.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$11K

126 claims · 0.0%

Your Cost: $90.57/claim|Median: $74.82
1.2× median
99221Top 25%

Initial hospital care, straightforward/low

$10K

153 claims · 0.0%

Your Cost: $65.11/claim|Median: $39.96
1.6× median
95806Top 25%

$9K

57 claims · 0.0%

Your Cost: $160.05/claim|Median: $64.51
2.5× median
99220Normal range

$9K

157 claims · 0.0%

Your Cost: $54.83/claim|Median: $73.56
0.7× median