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UNM MEDICAL GROUP INC

Clinic/Center, Multi-Specialty·ALBUQUERQUE, NM·NPI: 1831218627Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $113.5M is at the 50th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$113.5M

$113,470,646

Total Claims

2.1M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$16.5M
+2%
2019
$16.8M
-16%
2020
$14.2M
+14%
2021
$16.1M
+6%
2022
$17.1M
+1%
2023
$17.3M
-10%
2024
$15.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 15% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$16.7M

166K claims · 14.7%

Your Cost: $100.50/claim|Median: $69.51
1.4× median
99214Normal range

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

$12.4M

202K claims · 11.0%

Your Cost: $61.63/claim|Median: $53.41
1.2× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$8.0M

100K claims · 7.1%

Your Cost: $80.16/claim|Median: $35.30
2.3× median
99213Normal range

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

$6.9M

159K claims · 6.1%

Your Cost: $43.29/claim|Median: $37.81
1.1× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$5.3M

87K claims · 4.7%

Your Cost: $61.35/claim|Median: $23.99
2.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.1M

36K claims · 4.5%

Your Cost: $140.05/claim|Median: $85.65
1.6× median
99291Top 25%

Critical care, first 30-74 minutes

$4.9M

36K claims · 4.3%

Your Cost: $137.87/claim|Median: $101.24
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$3.5M

47K claims · 3.1%

Your Cost: $75.87/claim|Median: $65.76
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$2.9M

34K claims · 2.5%

Your Cost: $84.43/claim|Median: $74.09
1.1× median
70450Normal range

CT head/brain without contrast

$2.3M

66K claims · 2.0%

Your Cost: $35.33/claim|Median: $45.53
0.8× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$2.2M

5,840 claims · 2.0%

Your Cost: $383.60/claim|Median: $293.45
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

21K claims · 1.5%

Your Cost: $78.93/claim|Median: $42.48
1.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.5M

27K claims · 1.3%

Your Cost: $53.98/claim|Median: $35.80
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.3M

12K claims · 1.1%

Your Cost: $111.27/claim|Median: $98.15
1.1× median
99204Normal range

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

$1.2M

12K claims · 1.0%

Your Cost: $99.24/claim|Median: $84.03
1.2× median
71045Normal range

Chest X-ray, single view

$1.2M

153K claims · 1.0%

Your Cost: $7.58/claim|Median: $4.93
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

22K claims · 1.0%

Your Cost: $50.04/claim|Median: $54.68
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.1M

8,472 claims · 1.0%

Your Cost: $127.85/claim|Median: $121.58
1.1× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$1.1M

15K claims · 0.9%

Your Cost: $71.99/claim|Median: $37.22
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

14K claims · 0.9%

Your Cost: $76.03/claim|Median: $75.18
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.0M

22K claims · 0.9%

Your Cost: $46.04/claim|Median: $58.55
0.8× median
99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$997K

2,502 claims · 0.9%

Your Cost: $398.34/claim|Median: $307.98
1.3× median
70553Normal range

MRI brain without contrast, then with contrast

$903K

9,507 claims · 0.8%

Your Cost: $94.97/claim|Median: $133.68
0.7× median
71260Normal range

CT chest with contrast

$885K

17K claims · 0.8%

Your Cost: $52.43/claim|Median: $48.36
1.1× median
99223Top 10%

Initial hospital care, per day, high complexity

$861K

5,992 claims · 0.8%

Your Cost: $143.76/claim|Median: $67.32
2.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$846K

9,181 claims · 0.7%

Your Cost: $92.16/claim|Median: $82.43
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$802K

10K claims · 0.7%

Your Cost: $76.46/claim|Median: $69.35
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$781K

6,326 claims · 0.7%

Your Cost: $123.40/claim|Median: $106.79
1.2× median
71275Normal range

CT angiography, chest, with contrast

$753K

10K claims · 0.7%

Your Cost: $72.42/claim|Median: $92.96
0.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$726K

6,381 claims · 0.6%

Your Cost: $113.79/claim|Median: $103.70
1.1× median
71046Normal range

Chest X-ray, 2 views

$711K

77K claims · 0.6%

Your Cost: $9.21/claim|Median: $8.92
1.0× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$700K

5,553 claims · 0.6%

Your Cost: $126.01/claim|Median: $51.25
2.5× median
93303Normal range

Echocardiography, transthoracic, limited

$695K

11K claims · 0.6%

Your Cost: $63.08/claim|Median: $112.83
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$687K

14K claims · 0.6%

Your Cost: $50.15/claim|Median: $49.45
1.0× median
99203Normal range

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

$672K

10K claims · 0.6%

Your Cost: $64.55/claim|Median: $57.85
1.1× median
72125Normal range

CT cervical spine without contrast

$610K

13K claims · 0.5%

Your Cost: $45.43/claim|Median: $32.30
1.4× median
99282Normal range

Emergency dept visit, low complexity

$607K

17K claims · 0.5%

Your Cost: $35.07/claim|Median: $37.72
0.9× median
70551Normal range

MRI brain without contrast

$596K

9,339 claims · 0.5%

Your Cost: $63.87/claim|Median: $85.39
0.7× median
70498Normal range

$579K

7,374 claims · 0.5%

Your Cost: $78.45/claim|Median: $58.88
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$551K

86K claims · 0.5%

Your Cost: $6.40/claim|Median: $5.60
1.1× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$534K

5,945 claims · 0.5%

Your Cost: $89.88/claim|Median: $43.85
2.0× median
95004Top 25%

Percutaneous allergy skin tests, each

$521K

2,373 claims · 0.5%

Your Cost: $219.66/claim|Median: $134.97
1.6× median
76770Normal range

Ultrasound, retroperitoneal, complete

$490K

14K claims · 0.4%

Your Cost: $35.32/claim|Median: $37.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$408K

5,241 claims · 0.4%

Your Cost: $77.80/claim|Median: $74.82
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$394K

4,330 claims · 0.3%

Your Cost: $90.94/claim|Median: $85.66
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$388K

5,316 claims · 0.3%

Your Cost: $72.90/claim|Median: $63.65
1.1× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$384K

4,301 claims · 0.3%

Your Cost: $89.31/claim|Median: $59.38
1.5× median
43239Normal range

Upper GI endoscopy with biopsy

$383K

2,582 claims · 0.3%

Your Cost: $148.49/claim|Median: $151.68
1.0× median
76700Normal range

Ultrasound, abdominal, complete

$363K

11K claims · 0.3%

Your Cost: $32.94/claim|Median: $50.69
0.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$354K

7,521 claims · 0.3%

Your Cost: $47.09/claim|Median: $47.65
1.0× median

Other Top Providers in New Mexico

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Ambercare Home Health Care Corporation

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Unm Hospital

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$463.3M

Presbyterian Healthcare Services

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$345.5M

Presbyterian Healthcare Services

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$240.2M

DHHS PHS Naihs Shiprock Hospital

General Acute Care Hospital

$190.6M

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