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TOTAL WELLNESS CENTERS, LLC

Internal Medicine, Addiction Medicine·WEST SPRINGFIELD, MA·NPI: 1770816506Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.4M

$38,421,933

Total Claims

720K

Beneficiaries

479K

1.5 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$8.0M
-14%
2019
$6.9M
-26%
2020
$5.1M
+1%
2021
$5.2M
-7%
2022
$4.8M
-5%
2023
$4.6M
-15%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 32 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 66% of total spending.

99214Normal range

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

$25.3M

365K claims · 65.7%

Your Cost: $69.10/claim|Median: $53.41
1.3× median
99213Normal range

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

$9.3M

186K claims · 24.1%

Your Cost: $49.75/claim|Median: $37.81
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2.2M

52K claims · 5.8%

Your Cost: $42.85/claim|Median: $35.43
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$624K

14K claims · 1.6%

Your Cost: $45.53/claim|Median: $41.28
1.1× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$436K

6,948 claims · 1.1%

Your Cost: $62.73/claim|Median: $37.56
1.7× median
81025Normal range

Urine pregnancy test

$127K

21K claims · 0.3%

Your Cost: $6.06/claim|Median: $4.81
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$74K

2,641 claims · 0.2%

Your Cost: $28.13/claim|Median: $25.06
1.1× median
99000Normal range

$64K

59K claims · 0.2%

Your Cost: $1.07/claim|Median: $2.30
0.5× median
90834Top 25%

Psychotherapy, 45 minutes

$59K

627 claims · 0.2%

Your Cost: $94.27/claim|Median: $63.65
1.5× median
90837Top 25%

Psychotherapy, 60 minutes

$56K

467 claims · 0.1%

Your Cost: $119.58/claim|Median: $85.66
1.4× median
99204Top 25%

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

$51K

373 claims · 0.1%

Your Cost: $135.68/claim|Median: $84.03
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$46K

350 claims · 0.1%

Your Cost: $132.16/claim|Median: $99.21
1.3× median
99203Normal range

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

$44K

606 claims · 0.1%

Your Cost: $72.93/claim|Median: $57.85
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$43K

2,307 claims · 0.1%

Your Cost: $18.86/claim|Median: $9.56
2.0× median
80076Top 25%

Hepatic function panel

$12K

1,460 claims · 0.0%

Your Cost: $8.11/claim|Median: $4.59
1.8× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$11K

489 claims · 0.0%

Your Cost: $22.61/claim|Median: $18.03
1.3× median
T1502Top 25%

Administration of oral, intramuscular, or subcutaneous medication

$8K

136 claims · 0.0%

Your Cost: $59.14/claim|Median: $7.86
7.5× median
98967Normal range

$7K

546 claims · 0.0%

Your Cost: $13.71/claim|Median: $18.97
0.7× median
98966Normal range

$6K

852 claims · 0.0%

Your Cost: $7.41/claim|Median: $6.84
1.1× median
86803Normal range

Hepatitis C antibody

$6K

505 claims · 0.0%

Your Cost: $12.40/claim|Median: $10.17
1.2× median
87340Top 25%

Hepatitis B surface antigen detection

$5K

517 claims · 0.0%

Your Cost: $10.07/claim|Median: $5.52
1.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$5K

95 claims · 0.0%

Your Cost: $48.33/claim|Median: $40.11
1.2× median
99406Normal range

$3K

3,064 claims · 0.0%

Your Cost: $1.10/claim|Median: $6.53
0.2× median
99408Top 25%

$3K

109 claims · 0.0%

Your Cost: $27.10/claim|Median: $9.32
2.9× median
99409Top 25%

$2K

40 claims · 0.0%

Your Cost: $49.29/claim|Median: $34.77
1.4× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$1K

18 claims · 0.0%

Your Cost: $72.30/claim|Median: $51.67
1.4× median
99441Normal range

Telephone E/M by physician, 5-10 min

$1K

130 claims · 0.0%

Your Cost: $7.98/claim|Median: $13.30
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$963

59 claims · 0.0%

Your Cost: $16.32/claim|Median: $22.44
0.7× median
90853Normal range

Group psychotherapy

$605

24 claims · 0.0%

Your Cost: $25.21/claim|Median: $25.02
1.0× median
90785Normal range

$496

100 claims · 0.0%

Your Cost: $4.96/claim|Median: $6.43
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$115

298 claims · 0.0%

Your Cost: $0.39/claim|Median: $1.57
0.2× median
3FA11

$0

16 claims · 0.0%

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