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JOHN MUIR PHYSICIAN NETWORK

General Practice·WALNUT CREEK, CA·NPI: 1841407665Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.1M is at the 25th percentile among 6 General Practice providers.

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

Total Paid

$27.1M

$27,057,876

Total Claims

563K

Beneficiaries

482K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$618K
+271%
2019
$2.3M
+9%
2020
$2.5M
+63%
2021
$4.1M
+21%
2022
$4.9M
+18%
2023
$5.8M
+18%
2024
$6.8M

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 34% of total spending.

99213Top 25%

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

$9.1M

139K claims · 33.6%

Your Cost: $65.31/claim|Median: $37.81
1.7× median
99214Normal range

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

$4.2M

67K claims · 15.4%

Your Cost: $62.60/claim|Median: $53.41
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.1M

61K claims · 7.9%

Your Cost: $34.82/claim|Median: $23.99
1.5× median
99203Top 5%

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

$1.7M

12K claims · 6.4%

Your Cost: $144.46/claim|Median: $57.85
2.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.4M

15K claims · 5.2%

Your Cost: $94.25/claim|Median: $54.68
1.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$936K

25K claims · 3.5%

Your Cost: $36.83/claim|Median: $35.30
1.0× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$656K

12K claims · 2.4%

Your Cost: $53.31/claim|Median: $39.70
1.3× median
93010Top 5%

Electrocardiogram, interpretation and report only

$642K

51K claims · 2.4%

Your Cost: $12.52/claim|Median: $5.60
2.2× median
99215Normal range

Office/outpatient visit, high complexity

$571K

8,380 claims · 2.1%

Your Cost: $68.15/claim|Median: $74.09
0.9× median
78815Top 10%

PET imaging for limited area

$480K

400 claims · 1.8%

Your Cost: $1,200.68/claim|Median: $325.10
3.7× median
90471Top 25%

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

$329K

20K claims · 1.2%

Your Cost: $16.81/claim|Median: $9.80
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$313K

4,437 claims · 1.2%

Your Cost: $70.58/claim|Median: $67.32
1.0× median
99204Top 25%

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

$276K

2,321 claims · 1.0%

Your Cost: $118.73/claim|Median: $84.03
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$267K

1,190 claims · 1.0%

Your Cost: $224.28/claim|Median: $151.68
1.5× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$218K

9,029 claims · 0.8%

Your Cost: $24.15/claim|Median: $9.70
2.5× median
87428Top 10%

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

$207K

3,148 claims · 0.8%

Your Cost: $65.60/claim|Median: $39.63
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$197K

4,076 claims · 0.7%

Your Cost: $48.45/claim|Median: $75.18
0.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$197K

2,747 claims · 0.7%

Your Cost: $71.69/claim|Median: $40.11
1.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$178K

3,827 claims · 0.7%

Your Cost: $46.54/claim|Median: $43.85
1.1× median
J9271Top 5%

Injection, pembrolizumab, 1 mg

$164K

14 claims · 0.6%

Your Cost: $11,727.03/claim|Median: $5,391.55
2.2× median
45380Top 25%

Colonoscopy with biopsy

$157K

432 claims · 0.6%

Your Cost: $362.77/claim|Median: $200.68
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$152K

2,746 claims · 0.6%

Your Cost: $55.30/claim|Median: $69.35
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$152K

8,531 claims · 0.6%

Your Cost: $17.79/claim|Median: $24.49
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$148K

2,185 claims · 0.5%

Your Cost: $67.72/claim|Median: $51.25
1.3× median
A9552Top 25%

$132K

409 claims · 0.5%

Your Cost: $322.47/claim|Median: $89.01
3.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$125K

865 claims · 0.5%

Your Cost: $144.91/claim|Median: $111.09
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$121K

2,421 claims · 0.4%

Your Cost: $49.78/claim|Median: $74.82
0.7× median
G2023Top 25%

Specimen collection for COVID-19 testing

$120K

4,932 claims · 0.4%

Your Cost: $24.25/claim|Median: $17.15
1.4× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$103K

3,760 claims · 0.4%

Your Cost: $27.49/claim|Median: $16.79
1.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$94K

3,512 claims · 0.3%

Your Cost: $26.88/claim|Median: $75.28
0.4× median
96367Top 25%

$91K

1,521 claims · 0.3%

Your Cost: $59.75/claim|Median: $29.27
2.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$63K

7,697 claims · 0.2%

Your Cost: $8.18/claim|Median: $7.18
1.1× median
51701Top 5%

$60K

570 claims · 0.2%

Your Cost: $104.96/claim|Median: $22.05
4.8× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$60K

1,018 claims · 0.2%

Your Cost: $58.61/claim|Median: $54.77
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$54K

7,233 claims · 0.2%

Your Cost: $7.47/claim|Median: $11.48
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$51K

1,413 claims · 0.2%

Your Cost: $36.03/claim|Median: $25.06
1.4× median
99255Top 25%

$49K

375 claims · 0.2%

Your Cost: $131.31/claim|Median: $90.45
1.5× median
77014Normal range

CT guidance for radiation therapy procedure

$42K

1,621 claims · 0.2%

Your Cost: $26.17/claim|Median: $26.94
1.0× median
71046Normal range

Chest X-ray, 2 views

$39K

2,642 claims · 0.1%

Your Cost: $14.91/claim|Median: $8.92
1.7× median
77427Top 25%

$39K

332 claims · 0.1%

Your Cost: $116.11/claim|Median: $83.73
1.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$38K

3,156 claims · 0.1%

Your Cost: $12.19/claim|Median: $9.56
1.3× median
99152Top 10%

$38K

984 claims · 0.1%

Your Cost: $38.36/claim|Median: $7.34
5.2× median
92551Top 25%

Screening audiometry, pure tone, air only

$35K

2,943 claims · 0.1%

Your Cost: $12.05/claim|Median: $6.61
1.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$35K

883 claims · 0.1%

Your Cost: $39.55/claim|Median: $33.72
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$34K

848 claims · 0.1%

Your Cost: $39.68/claim|Median: $36.70
1.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$34K

358 claims · 0.1%

Your Cost: $93.62/claim|Median: $39.33
2.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$33K

555 claims · 0.1%

Your Cost: $60.07/claim|Median: $80.15
0.7× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$33K

68 claims · 0.1%

Your Cost: $483.15/claim|Median: $255.17
1.9× median
93296Top 25%

Remote monitoring of cardiac device, single or dual lead

$33K

1,698 claims · 0.1%

Your Cost: $19.21/claim|Median: $10.24
1.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$33K

813 claims · 0.1%

Your Cost: $40.04/claim|Median: $14.92
2.7× median

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