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MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC

Dermatology·BOSTON, MA·NPI: 1801874573Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$60.2M

$60,228,824

Total Claims

1.8M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$6.8M
+4%
2019
$7.1M
+2%
2020
$7.3M
+29%
2021
$9.4M
+10%
2022
$10.3M
+3%
2023
$10.6M
-19%
2024
$8.6M

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 9% of total spending.

99214Normal range

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

$5.4M

95K claims · 9.0%

Your Cost: $56.96/claim|Median: $53.41
1.1× median
99284Normal range

Emergency dept visit, high complexity

$4.1M

59K claims · 6.8%

Your Cost: $69.64/claim|Median: $69.51
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.1M

45K claims · 6.8%

Your Cost: $90.15/claim|Median: $85.65
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.3M

106K claims · 5.5%

Your Cost: $31.15/claim|Median: $23.99
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.0M

63K claims · 4.9%

Your Cost: $46.69/claim|Median: $35.30
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$2.7M

53K claims · 4.4%

Your Cost: $50.75/claim|Median: $65.76
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$2.5M

26K claims · 4.2%

Your Cost: $96.08/claim|Median: $101.24
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$2.3M

30K claims · 3.8%

Your Cost: $76.09/claim|Median: $74.09
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.8M

49K claims · 3.0%

Your Cost: $37.24/claim|Median: $35.80
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$1.5M

12K claims · 2.4%

Your Cost: $121.33/claim|Median: $133.68
0.9× median
99213Normal range

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

$1.4M

38K claims · 2.4%

Your Cost: $38.14/claim|Median: $37.81
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$1.4M

35K claims · 2.3%

Your Cost: $39.98/claim|Median: $42.48
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

32K claims · 1.8%

Your Cost: $33.45/claim|Median: $54.68
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$1.0M

12K claims · 1.7%

Your Cost: $86.42/claim|Median: $67.32
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$974K

20K claims · 1.6%

Your Cost: $47.52/claim|Median: $58.55
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$959K

236K claims · 1.6%

Your Cost: $4.06/claim|Median: $5.60
0.7× median
71260Normal range

CT chest with contrast

$920K

25K claims · 1.5%

Your Cost: $37.14/claim|Median: $48.36
0.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$885K

3,026 claims · 1.5%

Your Cost: $292.36/claim|Median: $470.36
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$798K

28K claims · 1.3%

Your Cost: $28.76/claim|Median: $39.33
0.7× median
70450Normal range

CT head/brain without contrast

$766K

40K claims · 1.3%

Your Cost: $19.01/claim|Median: $45.53
0.4× median
90834Top 25%

Psychotherapy, 45 minutes

$765K

8,395 claims · 1.3%

Your Cost: $91.17/claim|Median: $63.65
1.4× median
96133Top 25%

$750K

1,892 claims · 1.2%

Your Cost: $396.63/claim|Median: $185.94
2.1× median
99204Normal range

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

$743K

7,389 claims · 1.2%

Your Cost: $100.58/claim|Median: $84.03
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$726K

19K claims · 1.2%

Your Cost: $37.26/claim|Median: $49.45
0.8× median
71045Normal range

Chest X-ray, single view

$708K

162K claims · 1.2%

Your Cost: $4.37/claim|Median: $4.93
0.9× median
99255Top 5%

$595K

2,264 claims · 1.0%

Your Cost: $262.81/claim|Median: $90.45
2.9× median
76815Normal range

Ultrasound, pregnant uterus, limited

$553K

16K claims · 0.9%

Your Cost: $34.24/claim|Median: $36.79
0.9× median
96137Top 10%

Psychological/neuropsychological testing, each additional 30 min

$506K

1,397 claims · 0.8%

Your Cost: $362.14/claim|Median: $92.96
3.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$466K

4,005 claims · 0.8%

Your Cost: $116.41/claim|Median: $109.42
1.1× median
71046Normal range

Chest X-ray, 2 views

$454K

80K claims · 0.8%

Your Cost: $5.71/claim|Median: $8.92
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$436K

25K claims · 0.7%

Your Cost: $17.19/claim|Median: $16.77
1.0× median
99203Normal range

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

$433K

6,343 claims · 0.7%

Your Cost: $68.23/claim|Median: $57.85
1.2× median
96118Top 10%

$402K

504 claims · 0.7%

Your Cost: $798.06/claim|Median: $196.66
4.1× median
74183Normal range

$401K

3,701 claims · 0.7%

Your Cost: $108.29/claim|Median: $151.91
0.7× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$387K

28K claims · 0.6%

Your Cost: $14.02/claim|Median: $21.41
0.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$339K

2,335 claims · 0.6%

Your Cost: $145.33/claim|Median: $99.21
1.5× median
71275Normal range

CT angiography, chest, with contrast

$330K

8,498 claims · 0.5%

Your Cost: $38.89/claim|Median: $92.96
0.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$324K

5,261 claims · 0.5%

Your Cost: $61.66/claim|Median: $51.25
1.2× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$322K

5,458 claims · 0.5%

Your Cost: $58.94/claim|Median: $59.38
1.0× median
70551Normal range

MRI brain without contrast

$306K

5,081 claims · 0.5%

Your Cost: $60.15/claim|Median: $85.39
0.7× median
99254Top 5%

$260K

1,372 claims · 0.4%

Your Cost: $189.34/claim|Median: $81.43
2.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$253K

5,265 claims · 0.4%

Your Cost: $48.12/claim|Median: $58.16
0.8× median
71250Normal range

CT scan of chest without contrast

$250K

9,398 claims · 0.4%

Your Cost: $26.61/claim|Median: $39.11
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$233K

3,119 claims · 0.4%

Your Cost: $74.78/claim|Median: $106.79
0.7× median
96132Normal range

$209K

2,037 claims · 0.3%

Your Cost: $102.65/claim|Median: $70.53
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$204K

1,513 claims · 0.3%

Your Cost: $134.73/claim|Median: $111.09
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$199K

4,229 claims · 0.3%

Your Cost: $47.06/claim|Median: $41.28
1.1× median
95720Normal range

$188K

1,677 claims · 0.3%

Your Cost: $112.39/claim|Median: $120.95
0.9× median
90961Normal range

$187K

2,753 claims · 0.3%

Your Cost: $68.07/claim|Median: $47.22
1.4× median
73721Normal range

MRI joint of lower extremity without contrast

$166K

1,794 claims · 0.3%

Your Cost: $92.55/claim|Median: $127.34
0.7× median

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