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EXCLUSIVE PHYSICIANS PLLC

Clinic/Center, Multi-Specialty·FERNDALE, MI·NPI: 1811226749Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.6M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$28.6M

$28,556,955

Total Claims

1.7M

Beneficiaries

1.5M

1.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-5%
2019
$1.5M
+80%
2020
$2.7M
+68%
2021
$4.6M
+20%
2022
$5.5M
+28%
2023
$7.0M
-19%
2024
$5.7M

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 37% of total spending.

99214Top 25%

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

$10.5M

122K claims · 36.7%

Your Cost: $85.70/claim|Median: $53.41
1.6× median
99213Top 25%

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

$1.8M

28K claims · 6.2%

Your Cost: $63.17/claim|Median: $37.81
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.3M

16K claims · 4.6%

Your Cost: $80.44/claim|Median: $72.71
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$1.2M

14K claims · 4.3%

Your Cost: $87.29/claim|Median: $76.06
1.1× median
99204Top 25%

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

$978K

8,411 claims · 3.4%

Your Cost: $116.33/claim|Median: $84.03
1.4× median
99490Top 10%

Chronic care management services, 20 minutes per month

$890K

24K claims · 3.1%

Your Cost: $37.06/claim|Median: $6.31
5.9× median
87801Top 5%

Infectious agent detection, amplified probe, multiple organisms

$636K

4,259 claims · 2.2%

Your Cost: $149.35/claim|Median: $38.79
3.9× median
99203Normal range

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

$523K

6,754 claims · 1.8%

Your Cost: $77.44/claim|Median: $57.85
1.3× median
80074Normal range

$441K

13K claims · 1.5%

Your Cost: $33.15/claim|Median: $27.54
1.2× median
99487Top 10%

$440K

5,688 claims · 1.5%

Your Cost: $77.34/claim|Median: $14.74
5.2× median
94010Normal range

$301K

18K claims · 1.1%

Your Cost: $16.49/claim|Median: $18.11
0.9× median
80053Normal range

Comprehensive metabolic panel

$284K

34K claims · 1.0%

Your Cost: $8.24/claim|Median: $7.24
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$258K

42K claims · 0.9%

Your Cost: $6.09/claim|Median: $4.71
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$241K

3,000 claims · 0.8%

Your Cost: $80.29/claim|Median: $80.15
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$238K

3,234 claims · 0.8%

Your Cost: $73.57/claim|Median: $74.82
1.0× median
80061Normal range

Lipid panel

$229K

24K claims · 0.8%

Your Cost: $9.63/claim|Median: $8.41
1.1× median
94690Normal range

$216K

8,675 claims · 0.8%

Your Cost: $24.86/claim|Median: $25.67
1.0× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$210K

3,883 claims · 0.7%

Your Cost: $54.17/claim|Median: $26.72
2.0× median
93922Normal range

$204K

4,524 claims · 0.7%

Your Cost: $45.15/claim|Median: $26.06
1.7× median
99406Normal range

$195K

27K claims · 0.7%

Your Cost: $7.24/claim|Median: $6.53
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$190K

2,085 claims · 0.7%

Your Cost: $90.94/claim|Median: $85.66
1.1× median
99439Top 10%

$184K

6,575 claims · 0.6%

Your Cost: $28.02/claim|Median: $5.83
4.8× median
36415Top 25%

Collection of venous blood by venipuncture

$183K

66K claims · 0.6%

Your Cost: $2.75/claim|Median: $1.57
1.8× median
77067Top 25%

Screening mammography, bilateral, including CAD

$179K

2,253 claims · 0.6%

Your Cost: $79.31/claim|Median: $39.33
2.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$172K

21K claims · 0.6%

Your Cost: $8.29/claim|Median: $9.70
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$172K

2,315 claims · 0.6%

Your Cost: $74.35/claim|Median: $75.18
1.0× median
95250Normal range

$163K

1,987 claims · 0.6%

Your Cost: $82.23/claim|Median: $59.66
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$160K

1,414 claims · 0.6%

Your Cost: $112.84/claim|Median: $74.09
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$151K

6,010 claims · 0.5%

Your Cost: $25.08/claim|Median: $17.85
1.4× median
87426Normal range

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

$144K

4,962 claims · 0.5%

Your Cost: $29.00/claim|Median: $30.04
1.0× median
G0506Normal range

Comprehensive assessment of chronic care management

$142K

20K claims · 0.5%

Your Cost: $6.97/claim|Median: $7.41
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$130K

11K claims · 0.5%

Your Cost: $11.60/claim|Median: $9.87
1.2× median
93925Top 25%

$128K

1,063 claims · 0.4%

Your Cost: $120.36/claim|Median: $54.12
2.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$127K

1,622 claims · 0.4%

Your Cost: $77.99/claim|Median: $54.68
1.4× median
87652Top 25%

$126K

4,210 claims · 0.4%

Your Cost: $29.99/claim|Median: $10.60
2.8× median
99489Top 10%

$124K

2,533 claims · 0.4%

Your Cost: $49.07/claim|Median: $9.86
5.0× median
87512Normal range

$120K

4,215 claims · 0.4%

Your Cost: $28.40/claim|Median: $23.49
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$119K

17K claims · 0.4%

Your Cost: $7.18/claim|Median: $5.50
1.3× median
97110Normal range

Therapeutic exercises, each 15 min

$118K

6,723 claims · 0.4%

Your Cost: $17.58/claim|Median: $24.49
0.7× median
97535Normal range

Self-care/home management training, per 15 minutes

$114K

6,391 claims · 0.4%

Your Cost: $17.83/claim|Median: $18.18
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$109K

12K claims · 0.4%

Your Cost: $8.87/claim|Median: $9.56
0.9× median
96160Top 25%

Patient-focused health risk assessment

$104K

7,853 claims · 0.4%

Your Cost: $13.18/claim|Median: $2.10
6.3× median
90791Normal range

Psychiatric diagnostic evaluation

$102K

889 claims · 0.4%

Your Cost: $115.21/claim|Median: $99.21
1.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$101K

40K claims · 0.4%

Your Cost: $2.52/claim|Median: $2.00
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$99K

11K claims · 0.3%

Your Cost: $9.18/claim|Median: $9.10
1.0× median
92250Normal range

Fundus photography with interpretation and report

$98K

4,707 claims · 0.3%

Your Cost: $20.81/claim|Median: $27.95
0.7× median
87389Normal range

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

$97K

5,396 claims · 0.3%

Your Cost: $18.03/claim|Median: $18.03
1.0× median
87653Normal range

$93K

4,024 claims · 0.3%

Your Cost: $23.20/claim|Median: $19.33
1.2× median
Q0091Top 25%

$91K

3,886 claims · 0.3%

Your Cost: $23.50/claim|Median: $11.15
2.1× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$91K

4,261 claims · 0.3%

Your Cost: $21.43/claim|Median: $21.08
1.0× median