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HALO MEDICAL GROUP PLLC

Internal Medicine, Cardiovascular Disease·DETROIT, MI·NPI: 1811214489Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.4M

$19,418,040

Total Claims

294K

Beneficiaries

262K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-5%
2019
$2.2M
+5%
2020
$2.3M
+32%
2021
$3.0M
-2%
2022
$3.0M
+15%
2023
$3.4M
-4%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 13% of total spending.

99213Normal range

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

$2.6M

53K claims · 13.2%

Your Cost: $48.29/claim|Median: $37.81
1.3× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$2.4M

13K claims · 12.4%

Your Cost: $183.27/claim|Median: $106.14
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.0M

20K claims · 10.4%

Your Cost: $102.65/claim|Median: $54.68
1.9× median
A9500Top 25%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$2.0M

13K claims · 10.0%

Your Cost: $155.47/claim|Median: $64.30
2.4× median
36475Normal range

$1.0M

1,439 claims · 5.3%

Your Cost: $711.88/claim|Median: $902.80
0.8× median
93229Normal range

$942K

1,965 claims · 4.9%

Your Cost: $479.48/claim|Median: $364.01
1.3× median
J2785Normal range

$814K

7,120 claims · 4.2%

Your Cost: $114.32/claim|Median: $61.83
1.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$629K

11K claims · 3.2%

Your Cost: $58.37/claim|Median: $35.30
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$622K

15K claims · 3.2%

Your Cost: $41.14/claim|Median: $23.99
1.7× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$607K

6,262 claims · 3.1%

Your Cost: $96.99/claim|Median: $43.07
2.3× median
99215Normal range

Office/outpatient visit, high complexity

$578K

6,011 claims · 3.0%

Your Cost: $96.15/claim|Median: $74.09
1.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$560K

5,288 claims · 2.9%

Your Cost: $105.84/claim|Median: $67.32
1.6× median
93925Top 25%

$508K

4,068 claims · 2.6%

Your Cost: $124.79/claim|Median: $54.12
2.3× median
93923Normal range

$505K

7,731 claims · 2.6%

Your Cost: $65.27/claim|Median: $38.08
1.7× median
99214Normal range

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

$473K

6,476 claims · 2.4%

Your Cost: $73.01/claim|Median: $53.41
1.4× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$457K

4,753 claims · 2.4%

Your Cost: $96.09/claim|Median: $49.03
2.0× median
99203Normal range

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

$293K

4,709 claims · 1.5%

Your Cost: $62.16/claim|Median: $57.85
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$269K

11K claims · 1.4%

Your Cost: $24.42/claim|Median: $25.06
1.0× median
93015Normal range

$191K

5,080 claims · 1.0%

Your Cost: $37.66/claim|Median: $41.12
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$189K

4,638 claims · 1.0%

Your Cost: $40.85/claim|Median: $40.11
1.0× median
93458Normal range

Left heart catheterization with imaging

$166K

1,115 claims · 0.9%

Your Cost: $149.07/claim|Median: $183.33
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$166K

20K claims · 0.9%

Your Cost: $8.47/claim|Median: $9.70
0.9× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$148K

2,222 claims · 0.8%

Your Cost: $66.39/claim|Median: $25.43
2.6× median
94729Normal range

$116K

3,944 claims · 0.6%

Your Cost: $29.50/claim|Median: $12.24
2.4× median
94727Normal range

$91K

3,983 claims · 0.5%

Your Cost: $22.75/claim|Median: $14.31
1.6× median
99220Normal range

$89K

963 claims · 0.5%

Your Cost: $91.94/claim|Median: $73.56
1.2× median
94010Normal range

$88K

5,630 claims · 0.5%

Your Cost: $15.66/claim|Median: $18.11
0.9× median
99441Normal range

Telephone E/M by physician, 5-10 min

$62K

2,976 claims · 0.3%

Your Cost: $20.88/claim|Median: $13.30
1.6× median
93298Top 25%

$61K

2,842 claims · 0.3%

Your Cost: $21.43/claim|Median: $14.28
1.5× median
99204Normal range

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

$56K

586 claims · 0.3%

Your Cost: $95.72/claim|Median: $84.03
1.1× median
93307Normal range

$54K

2,152 claims · 0.3%

Your Cost: $25.24/claim|Median: $31.30
0.8× median
93272Normal range

$49K

3,515 claims · 0.3%

Your Cost: $13.93/claim|Median: $16.90
0.8× median
93454Normal range

$46K

398 claims · 0.2%

Your Cost: $116.65/claim|Median: $141.82
0.8× median
93978Normal range

$46K

576 claims · 0.2%

Your Cost: $79.77/claim|Median: $60.72
1.3× median
93299Top 25%

$40K

572 claims · 0.2%

Your Cost: $69.38/claim|Median: $19.91
3.5× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$36K

251 claims · 0.2%

Your Cost: $142.74/claim|Median: $79.28
1.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$33K

442 claims · 0.2%

Your Cost: $73.84/claim|Median: $51.25
1.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$31K

1,354 claims · 0.2%

Your Cost: $22.73/claim|Median: $16.77
1.4× median
G2066Normal range

$30K

2,031 claims · 0.2%

Your Cost: $14.65/claim|Median: $14.66
1.0× median
99221Normal range

Initial hospital care, straightforward/low

$28K

527 claims · 0.1%

Your Cost: $52.94/claim|Median: $39.96
1.3× median
93228Normal range

$27K

2,053 claims · 0.1%

Your Cost: $13.29/claim|Median: $14.08
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$27K

5,832 claims · 0.1%

Your Cost: $4.57/claim|Median: $5.60
0.8× median
93297Top 10%

$24K

1,192 claims · 0.1%

Your Cost: $20.44/claim|Median: $8.99
2.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$22K

365 claims · 0.1%

Your Cost: $60.18/claim|Median: $32.55
1.8× median
J1245Normal range

$21K

3,350 claims · 0.1%

Your Cost: $6.14/claim|Median: $3.76
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$21K

532 claims · 0.1%

Your Cost: $38.53/claim|Median: $37.22
1.0× median
93295Normal range

$18K

797 claims · 0.1%

Your Cost: $22.37/claim|Median: $21.14
1.1× median
93270Normal range

$17K

3,470 claims · 0.1%

Your Cost: $4.81/claim|Median: $16.59
0.3× median
99490Top 10%

Chronic care management services, 20 minutes per month

$14K

421 claims · 0.1%

Your Cost: $32.69/claim|Median: $6.31
5.2× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$14K

1,031 claims · 0.1%

Your Cost: $13.29/claim|Median: $10.24
1.3× median

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