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UNIVERSITY OF PITTSBURGH PHYSICIANS

Specialist·PITTSBURGH, PA·NPI: 1881683100Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.6M

$23,581,353

Total Claims

504K

Beneficiaries

453K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$141K
+104%
2019
$289K
+270%
2020
$1.1M
+551%
2021
$7.0M
-18%
2022
$5.7M
-15%
2023
$4.9M
-7%
2024
$4.5M

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 32% of total spending.

99284Normal range

Emergency dept visit, high complexity

$7.6M

98K claims · 32.4%

Your Cost: $78.02/claim|Median: $69.51
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.0M

35K claims · 12.6%

Your Cost: $83.92/claim|Median: $85.65
1.0× median
99213Normal range

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

$1.4M

33K claims · 5.9%

Your Cost: $42.84/claim|Median: $37.81
1.1× median
99214Normal range

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

$1.0M

14K claims · 4.2%

Your Cost: $71.97/claim|Median: $53.41
1.3× median
70450Normal range

CT head/brain without contrast

$713K

15K claims · 3.0%

Your Cost: $47.20/claim|Median: $45.53
1.0× median
S9083Normal range

Global fee, urgent care centers

$712K

8,157 claims · 3.0%

Your Cost: $87.26/claim|Median: $103.99
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$693K

9,191 claims · 2.9%

Your Cost: $75.35/claim|Median: $65.76
1.1× median
71045Top 25%

Chest X-ray, single view

$558K

69K claims · 2.4%

Your Cost: $8.04/claim|Median: $4.93
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$518K

4,064 claims · 2.2%

Your Cost: $127.51/claim|Median: $74.09
1.7× median
99203Normal range

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

$428K

5,592 claims · 1.8%

Your Cost: $76.61/claim|Median: $57.85
1.3× median
93010Top 25%

Electrocardiogram, interpretation and report only

$393K

42K claims · 1.7%

Your Cost: $9.36/claim|Median: $5.60
1.7× median
V2020Top 5%

Frames, purchases

$381K

4,493 claims · 1.6%

Your Cost: $84.70/claim|Median: $19.33
4.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$350K

5,661 claims · 1.5%

Your Cost: $61.89/claim|Median: $58.16
1.1× median
99244Top 5%

Office or other outpatient consultation, moderate complexity

$346K

1,585 claims · 1.5%

Your Cost: $218.35/claim|Median: $121.58
1.8× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$292K

4,687 claims · 1.2%

Your Cost: $62.22/claim|Median: $35.80
1.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$262K

5,512 claims · 1.1%

Your Cost: $47.61/claim|Median: $58.55
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$229K

5,872 claims · 1.0%

Your Cost: $39.05/claim|Median: $23.99
1.6× median
70551Normal range

MRI brain without contrast

$216K

2,220 claims · 0.9%

Your Cost: $97.19/claim|Median: $85.39
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$206K

1,612 claims · 0.9%

Your Cost: $127.58/claim|Median: $106.79
1.2× median
76830Normal range

Ultrasound, transvaginal

$201K

4,574 claims · 0.9%

Your Cost: $43.92/claim|Median: $57.47
0.8× median
J7298Normal range

$181K

773 claims · 0.8%

Your Cost: $233.55/claim|Median: $751.11
0.3× median
99204Top 25%

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

$179K

1,543 claims · 0.8%

Your Cost: $116.23/claim|Median: $84.03
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$177K

1,718 claims · 0.8%

Your Cost: $103.07/claim|Median: $75.18
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$167K

3,555 claims · 0.7%

Your Cost: $47.09/claim|Median: $47.65
1.0× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$160K

1,880 claims · 0.7%

Your Cost: $84.90/claim|Median: $35.30
2.4× median
93303Normal range

Echocardiography, transthoracic, limited

$152K

1,128 claims · 0.6%

Your Cost: $134.83/claim|Median: $112.83
1.2× median
71046Normal range

Chest X-ray, 2 views

$150K

12K claims · 0.6%

Your Cost: $12.07/claim|Median: $8.92
1.4× median
95720Top 5%

$145K

521 claims · 0.6%

Your Cost: $277.86/claim|Median: $120.95
2.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$132K

1,343 claims · 0.6%

Your Cost: $98.16/claim|Median: $74.82
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$130K

1,310 claims · 0.6%

Your Cost: $99.27/claim|Median: $69.35
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$119K

1,762 claims · 0.5%

Your Cost: $67.52/claim|Median: $60.19
1.1× median
00170Normal range

Anesthesia for intraoral procedures

$118K

736 claims · 0.5%

Your Cost: $159.75/claim|Median: $132.89
1.2× median
72125Normal range

CT cervical spine without contrast

$116K

2,237 claims · 0.5%

Your Cost: $51.93/claim|Median: $32.30
1.6× median
71275Normal range

CT angiography, chest, with contrast

$110K

921 claims · 0.5%

Your Cost: $118.90/claim|Median: $92.96
1.3× median
95718Top 10%

$109K

584 claims · 0.5%

Your Cost: $187.19/claim|Median: $78.85
2.4× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$103K

1,725 claims · 0.4%

Your Cost: $59.45/claim|Median: $59.38
1.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$100K

685 claims · 0.4%

Your Cost: $146.01/claim|Median: $786.43
0.2× median
99479Top 10%

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

$92K

596 claims · 0.4%

Your Cost: $153.75/claim|Median: $103.70
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$84K

1,677 claims · 0.4%

Your Cost: $49.84/claim|Median: $47.08
1.1× median
74018Normal range

$81K

7,684 claims · 0.3%

Your Cost: $10.54/claim|Median: $7.00
1.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$64K

1,691 claims · 0.3%

Your Cost: $37.90/claim|Median: $39.33
1.0× median
76705Normal range

Ultrasound, abdominal, limited

$62K

1,663 claims · 0.3%

Your Cost: $37.26/claim|Median: $23.81
1.6× median
93976Normal range

$60K

981 claims · 0.3%

Your Cost: $61.34/claim|Median: $42.06
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$57K

1,015 claims · 0.2%

Your Cost: $55.78/claim|Median: $59.72
0.9× median
93320Normal range

$53K

1,282 claims · 0.2%

Your Cost: $41.24/claim|Median: $28.68
1.4× median
V2784Top 10%

Lens, polycarbonate or equal

$48K

1,354 claims · 0.2%

Your Cost: $35.76/claim|Median: $9.50
3.8× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$48K

1,646 claims · 0.2%

Your Cost: $29.18/claim|Median: $21.41
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$43K

806 claims · 0.2%

Your Cost: $53.64/claim|Median: $54.68
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$43K

928 claims · 0.2%

Your Cost: $46.39/claim|Median: $49.45
0.9× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$41K

134 claims · 0.2%

Your Cost: $308.41/claim|Median: $283.78
1.1× median

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