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CLINICA LA FAMILIA, PC

Internal Medicine·PHOENIX, AZ·NPI: 1780668921Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.5M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$39.5M

$39,474,776

Total Claims

1.2M

Beneficiaries

1.0M

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-2%
2019
$4.7M
-1%
2020
$4.6M
+40%
2021
$6.4M
+17%
2022
$7.5M
-17%
2023
$6.3M
-18%
2024
$5.1M

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 46% of total spending.

99214Normal range

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

$18.3M

320K claims · 46.3%

Your Cost: $57.02/claim|Median: $53.41
1.1× median
99213Normal range

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

$12.4M

258K claims · 31.5%

Your Cost: $48.19/claim|Median: $37.81
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$986K

11K claims · 2.5%

Your Cost: $86.01/claim|Median: $80.15
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$816K

9,761 claims · 2.1%

Your Cost: $83.64/claim|Median: $76.06
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$810K

26K claims · 2.1%

Your Cost: $31.37/claim|Median: $17.85
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$800K

10K claims · 2.0%

Your Cost: $77.14/claim|Median: $74.82
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$796K

9,897 claims · 2.0%

Your Cost: $80.42/claim|Median: $72.71
1.1× median
99204Normal range

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

$688K

8,200 claims · 1.7%

Your Cost: $83.85/claim|Median: $84.03
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$453K

13K claims · 1.1%

Your Cost: $34.47/claim|Median: $30.04
1.1× median
99203Normal range

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

$399K

5,970 claims · 1.0%

Your Cost: $66.80/claim|Median: $57.85
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$341K

4,534 claims · 0.9%

Your Cost: $75.27/claim|Median: $75.18
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$296K

112K claims · 0.8%

Your Cost: $2.65/claim|Median: $1.57
1.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$263K

19K claims · 0.7%

Your Cost: $14.08/claim|Median: $9.56
1.5× median
90471Top 10%

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

$223K

11K claims · 0.6%

Your Cost: $20.11/claim|Median: $9.80
2.1× median
87804Top 25%

Influenza virus detection, rapid test

$209K

8,922 claims · 0.5%

Your Cost: $23.45/claim|Median: $12.59
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$167K

20K claims · 0.4%

Your Cost: $8.43/claim|Median: $7.18
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$141K

14K claims · 0.4%

Your Cost: $10.18/claim|Median: $12.93
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$132K

1,929 claims · 0.3%

Your Cost: $68.31/claim|Median: $69.35
1.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$111K

1,226 claims · 0.3%

Your Cost: $90.57/claim|Median: $76.22
1.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$92K

2,290 claims · 0.2%

Your Cost: $40.26/claim|Median: $33.85
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$80K

2,335 claims · 0.2%

Your Cost: $34.28/claim|Median: $25.93
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$71K

5,052 claims · 0.2%

Your Cost: $14.05/claim|Median: $11.48
1.2× median
0064ATop 10%

$63K

1,182 claims · 0.2%

Your Cost: $53.52/claim|Median: $34.17
1.6× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$60K

906 claims · 0.2%

Your Cost: $66.06/claim|Median: $36.70
1.8× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$57K

977 claims · 0.1%

Your Cost: $58.34/claim|Median: $33.72
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$51K

21K claims · 0.1%

Your Cost: $2.40/claim|Median: $2.00
1.2× median
0072ATop 5%

$48K

623 claims · 0.1%

Your Cost: $77.58/claim|Median: $39.57
2.0× median
0071ATop 5%

$48K

659 claims · 0.1%

Your Cost: $73.13/claim|Median: $38.71
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$39K

968 claims · 0.1%

Your Cost: $39.86/claim|Median: $74.09
0.5× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$36K

333 claims · 0.1%

Your Cost: $108.33/claim|Median: $87.82
1.2× median
76700Normal range

Ultrasound, abdominal, complete

$33K

434 claims · 0.1%

Your Cost: $75.26/claim|Median: $50.69
1.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$29K

2,898 claims · 0.1%

Your Cost: $9.99/claim|Median: $9.70
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$26K

779 claims · 0.1%

Your Cost: $33.23/claim|Median: $25.06
1.3× median
76770Normal range

Ultrasound, retroperitoneal, complete

$26K

456 claims · 0.1%

Your Cost: $55.95/claim|Median: $37.35
1.5× median
90656Top 10%

$25K

1,140 claims · 0.1%

Your Cost: $22.01/claim|Median: $8.67
2.5× median
99173Normal range

$23K

20K claims · 0.1%

Your Cost: $1.16/claim|Median: $2.16
0.5× median
90662Normal range

$22K

2,707 claims · 0.1%

Your Cost: $8.10/claim|Median: $6.55
1.2× median
99000Normal range

$22K

15K claims · 0.1%

Your Cost: $1.44/claim|Median: $2.30
0.6× median
0054ATop 5%

$19K

268 claims · 0.0%

Your Cost: $72.51/claim|Median: $35.83
2.0× median
0052ATop 5%

$18K

231 claims · 0.0%

Your Cost: $77.95/claim|Median: $37.79
2.1× median
81025Normal range

Urine pregnancy test

$16K

2,771 claims · 0.0%

Your Cost: $5.82/claim|Median: $4.81
1.2× median
92228Top 25%

$15K

645 claims · 0.0%

Your Cost: $23.46/claim|Median: $11.30
2.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$15K

190 claims · 0.0%

Your Cost: $76.76/claim|Median: $81.92
0.9× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$14K

137 claims · 0.0%

Your Cost: $99.59/claim|Median: $83.63
1.2× median
0004ATop 10%

$13K

207 claims · 0.0%

Your Cost: $64.26/claim|Median: $35.62
1.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$13K

458 claims · 0.0%

Your Cost: $28.05/claim|Median: $22.44
1.2× median
99397Normal range

$12K

816 claims · 0.0%

Your Cost: $14.60/claim|Median: $22.92
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$12K

2,887 claims · 0.0%

Your Cost: $4.06/claim|Median: $3.67
1.1× median
J2930Normal range

$11K

2,581 claims · 0.0%

Your Cost: $4.21/claim|Median: $3.03
1.4× median
0051ATop 5%

$10K

128 claims · 0.0%

Your Cost: $76.98/claim|Median: $36.92
2.1× median