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HOLSTON MEDICAL GROUP PC

Family Medicine·KINGSPORT, TN·NPI: 1831110667Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.9M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$36.9M

$36,898,092

Total Claims

1.2M

Beneficiaries

979K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+38%
2019
$4.5M
-10%
2020
$4.1M
+32%
2021
$5.4M
+25%
2022
$6.7M
+0%
2023
$6.7M
-7%
2024
$6.2M

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 31% of total spending.

99214Normal range

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

$11.6M

248K claims · 31.4%

Your Cost: $46.81/claim|Median: $53.41
0.9× median
99213Normal range

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

$10.7M

261K claims · 29.0%

Your Cost: $40.99/claim|Median: $37.81
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.8M

50K claims · 4.8%

Your Cost: $35.19/claim|Median: $17.85
2.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

27K claims · 4.4%

Your Cost: $59.47/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

24K claims · 4.4%

Your Cost: $69.26/claim|Median: $75.18
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$829K

10K claims · 2.2%

Your Cost: $79.21/claim|Median: $65.64
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$748K

11K claims · 2.0%

Your Cost: $68.30/claim|Median: $74.82
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$708K

23K claims · 1.9%

Your Cost: $31.27/claim|Median: $24.49
1.3× median
99203Normal range

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

$543K

11K claims · 1.5%

Your Cost: $47.44/claim|Median: $57.85
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$513K

12K claims · 1.4%

Your Cost: $43.78/claim|Median: $39.70
1.1× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$435K

12K claims · 1.2%

Your Cost: $35.69/claim|Median: $28.46
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$379K

5,119 claims · 1.0%

Your Cost: $74.04/claim|Median: $80.15
0.9× median
99204Normal range

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

$376K

4,817 claims · 1.0%

Your Cost: $78.14/claim|Median: $84.03
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$364K

2,480 claims · 1.0%

Your Cost: $146.64/claim|Median: $65.76
2.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$325K

50K claims · 0.9%

Your Cost: $6.53/claim|Median: $4.71
1.4× median
72148Normal range

MRI lumbar spine without contrast

$244K

1,841 claims · 0.7%

Your Cost: $132.67/claim|Median: $101.03
1.3× median
96110Top 10%

Developmental screening, per standardized instrument

$230K

9,557 claims · 0.6%

Your Cost: $24.08/claim|Median: $9.10
2.6× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$218K

6,636 claims · 0.6%

Your Cost: $32.83/claim|Median: $30.53
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$201K

1,641 claims · 0.5%

Your Cost: $122.54/claim|Median: $151.68
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$185K

3,607 claims · 0.5%

Your Cost: $51.41/claim|Median: $39.33
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$146K

5,586 claims · 0.4%

Your Cost: $26.16/claim|Median: $25.06
1.0× median
87804Normal range

Influenza virus detection, rapid test

$128K

8,619 claims · 0.3%

Your Cost: $14.84/claim|Median: $12.59
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$113K

11K claims · 0.3%

Your Cost: $10.54/claim|Median: $9.56
1.1× median
97161Normal range

Physical therapy evaluation, low complexity

$107K

2,111 claims · 0.3%

Your Cost: $50.57/claim|Median: $47.89
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$102K

5,729 claims · 0.3%

Your Cost: $17.76/claim|Median: $16.79
1.1× median
99309Normal range

Nursing facility care, subsequent, low complexity

$102K

12K claims · 0.3%

Your Cost: $8.51/claim|Median: $14.00
0.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$100K

848 claims · 0.3%

Your Cost: $118.36/claim|Median: $121.58
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$98K

334 claims · 0.3%

Your Cost: $292.89/claim|Median: $233.73
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$93K

8,765 claims · 0.3%

Your Cost: $10.63/claim|Median: $11.48
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$86K

946 claims · 0.2%

Your Cost: $91.30/claim|Median: $54.68
1.7× median
76705Normal range

Ultrasound, abdominal, limited

$82K

1,892 claims · 0.2%

Your Cost: $43.29/claim|Median: $23.81
1.8× median
73721Normal range

MRI joint of lower extremity without contrast

$78K

495 claims · 0.2%

Your Cost: $158.09/claim|Median: $127.34
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$77K

2,729 claims · 0.2%

Your Cost: $28.04/claim|Median: $29.03
1.0× median
96161Top 10%

$73K

5,550 claims · 0.2%

Your Cost: $13.16/claim|Median: $2.49
5.3× median
87426Normal range

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

$71K

3,082 claims · 0.2%

Your Cost: $23.08/claim|Median: $30.04
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$71K

1,573 claims · 0.2%

Your Cost: $44.89/claim|Median: $37.22
1.2× median
99336Normal range

$64K

2,668 claims · 0.2%

Your Cost: $24.17/claim|Median: $20.35
1.2× median
96160Top 25%

Patient-focused health risk assessment

$63K

4,530 claims · 0.2%

Your Cost: $13.91/claim|Median: $2.10
6.6× median
95886Normal range

$61K

743 claims · 0.2%

Your Cost: $82.70/claim|Median: $67.70
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$59K

1,092 claims · 0.2%

Your Cost: $54.47/claim|Median: $49.45
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$59K

13K claims · 0.2%

Your Cost: $4.73/claim|Median: $7.18
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$55K

1,157 claims · 0.1%

Your Cost: $47.61/claim|Median: $62.48
0.8× median
76536Normal range

$52K

1,198 claims · 0.1%

Your Cost: $43.49/claim|Median: $44.06
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$50K

28K claims · 0.1%

Your Cost: $1.80/claim|Median: $1.57
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$45K

10K claims · 0.1%

Your Cost: $4.43/claim|Median: $3.67
1.2× median
99177Top 25%

$43K

6,092 claims · 0.1%

Your Cost: $7.10/claim|Median: $3.74
1.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$43K

146 claims · 0.1%

Your Cost: $295.39/claim|Median: $255.03
1.2× median
90471Normal range

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

$40K

5,003 claims · 0.1%

Your Cost: $8.00/claim|Median: $9.80
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$39K

5,257 claims · 0.1%

Your Cost: $7.34/claim|Median: $6.61
1.1× median
76830Top 25%

Ultrasound, transvaginal

$38K

428 claims · 0.1%

Your Cost: $87.83/claim|Median: $57.47
1.5× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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