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CITY OF HOPE MEDICAL FOUNDATION

Internal Medicine, Hematology & Oncology·DUARTE, CA·NPI: 1871886366Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$40.5M

$40,526,938

Total Claims

728K

Beneficiaries

499K

1.5 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+35%
2019
$4.5M
+2%
2020
$4.6M
+22%
2021
$5.7M
+4%
2022
$5.9M
+48%
2023
$8.7M
-10%
2024
$7.9M

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 13% of total spending.

99214Normal range

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

$5.4M

127K claims · 13.4%

Your Cost: $42.83/claim|Median: $53.41
0.8× median
G6015Normal range

$4.6M

27K claims · 11.5%

Your Cost: $173.53/claim|Median: $146.54
1.2× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$3.0M

637 claims · 7.4%

Your Cost: $4,733.06/claim|Median: $5,391.55
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$2.2M

42K claims · 5.5%

Your Cost: $53.62/claim|Median: $74.09
0.7× median
77014Normal range

CT guidance for radiation therapy procedure

$1.9M

46K claims · 4.7%

Your Cost: $41.41/claim|Median: $26.94
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.9M

43K claims · 4.7%

Your Cost: $44.82/claim|Median: $35.30
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.6M

49K claims · 4.0%

Your Cost: $33.72/claim|Median: $23.99
1.4× median
J0897Normal range

Injection, denosumab, one milligram

$1.3M

1,738 claims · 3.3%

Your Cost: $768.92/claim|Median: $493.25
1.6× median
99213Normal range

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

$1.3M

49K claims · 3.1%

Your Cost: $25.83/claim|Median: $37.81
0.7× median
78815Normal range

PET imaging for limited area

$1.3M

6,495 claims · 3.1%

Your Cost: $192.52/claim|Median: $325.10
0.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$956K

17K claims · 2.4%

Your Cost: $56.83/claim|Median: $75.28
0.8× median
77427Normal range

$746K

10K claims · 1.8%

Your Cost: $73.31/claim|Median: $83.73
0.9× median
77301Normal range

$724K

1,317 claims · 1.8%

Your Cost: $550.11/claim|Median: $546.64
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$677K

8,071 claims · 1.7%

Your Cost: $83.87/claim|Median: $67.32
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$665K

16K claims · 1.6%

Your Cost: $42.26/claim|Median: $35.80
1.2× median
J2506Normal range

$599K

473 claims · 1.5%

Your Cost: $1,266.23/claim|Median: $997.36
1.3× median
G6012Normal range

$528K

4,430 claims · 1.3%

Your Cost: $119.18/claim|Median: $117.36
1.0× median
J2505Normal range

$476K

218 claims · 1.2%

Your Cost: $2,183.84/claim|Median: $1,842.27
1.2× median
J9144Top 25%

$427K

64 claims · 1.1%

Your Cost: $6,665.20/claim|Median: $3,253.39
2.0× median
77334Normal range

$411K

4,602 claims · 1.0%

Your Cost: $89.27/claim|Median: $99.06
0.9× median
74178Normal range

$407K

8,030 claims · 1.0%

Your Cost: $50.63/claim|Median: $122.85
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$405K

6,353 claims · 1.0%

Your Cost: $63.75/claim|Median: $133.68
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$378K

5,845 claims · 0.9%

Your Cost: $64.74/claim|Median: $111.09
0.6× median
Q5117Normal range

$355K

384 claims · 0.9%

Your Cost: $923.82/claim|Median: $1,034.41
0.9× median
71260Normal range

CT chest with contrast

$347K

14K claims · 0.9%

Your Cost: $24.16/claim|Median: $48.36
0.5× median
77338Normal range

$347K

2,113 claims · 0.9%

Your Cost: $164.18/claim|Median: $157.06
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$343K

11K claims · 0.8%

Your Cost: $31.02/claim|Median: $14.92
2.1× median
J0185Normal range

$336K

1,849 claims · 0.8%

Your Cost: $181.56/claim|Median: $125.72
1.4× median
99204Normal range

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

$328K

5,773 claims · 0.8%

Your Cost: $56.81/claim|Median: $84.03
0.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$274K

8,211 claims · 0.7%

Your Cost: $33.31/claim|Median: $9.56
3.5× median
88342Normal range

$271K

8,319 claims · 0.7%

Your Cost: $32.57/claim|Median: $23.66
1.4× median
77263Normal range

$263K

2,868 claims · 0.6%

Your Cost: $91.59/claim|Median: $78.17
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$239K

5,613 claims · 0.6%

Your Cost: $42.61/claim|Median: $54.68
0.8× median
77300Normal range

$234K

3,184 claims · 0.6%

Your Cost: $73.42/claim|Median: $87.77
0.8× median
J1439Normal range

$232K

679 claims · 0.6%

Your Cost: $341.61/claim|Median: $477.34
0.7× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$227K

84 claims · 0.6%

Your Cost: $2,707.67/claim|Median: $3,562.28
0.8× median
77336Normal range

$226K

6,542 claims · 0.6%

Your Cost: $34.51/claim|Median: $55.04
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$195K

3,746 claims · 0.5%

Your Cost: $52.19/claim|Median: $51.25
1.0× median
88341Normal range

$173K

4,347 claims · 0.4%

Your Cost: $39.79/claim|Median: $45.31
0.9× median
Q5107Normal range

$158K

266 claims · 0.4%

Your Cost: $595.62/claim|Median: $824.41
0.7× median
G0452Top 25%

$157K

7,146 claims · 0.4%

Your Cost: $21.92/claim|Median: $9.27
2.4× median
G6002Top 25%

$156K

4,988 claims · 0.4%

Your Cost: $31.34/claim|Median: $14.14
2.2× median
77295Normal range

$149K

669 claims · 0.4%

Your Cost: $222.99/claim|Median: $346.62
0.6× median
88189Normal range

$140K

2,397 claims · 0.3%

Your Cost: $58.59/claim|Median: $45.87
1.3× median
88108Normal range

$134K

7,883 claims · 0.3%

Your Cost: $17.01/claim|Median: $13.54
1.3× median
88321Normal range

$134K

3,354 claims · 0.3%

Your Cost: $39.89/claim|Median: $44.34
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$129K

18K claims · 0.3%

Your Cost: $7.14/claim|Median: $5.60
1.3× median
76641Normal range

Ultrasound imaging of one breast, complete

$121K

5,144 claims · 0.3%

Your Cost: $23.50/claim|Median: $49.03
0.5× median
Q5111Normal range

$116K

53 claims · 0.3%

Your Cost: $2,197.18/claim|Median: $1,602.88
1.4× median
77290Normal range

$110K

1,422 claims · 0.3%

Your Cost: $77.14/claim|Median: $128.59
0.6× median

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