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LEWIS GALE PHYSICIANS LLC

Internal Medicine·SALEM, VA·NPI: 1902977705Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.6M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.6M

$20,583,995

Total Claims

571K

Beneficiaries

471K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$525K
+325%
2019
$2.2M
+27%
2020
$2.8M
+12%
2021
$3.2M
+20%
2022
$3.8M
+18%
2023
$4.5M
-23%
2024
$3.5M

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 29% of total spending.

99213Normal range

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

$5.9M

123K claims · 28.5%

Your Cost: $47.55/claim|Median: $37.81
1.3× median
99214Normal range

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

$5.6M

86K claims · 27.1%

Your Cost: $65.22/claim|Median: $53.41
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.0M

57K claims · 9.8%

Your Cost: $35.41/claim|Median: $23.99
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$834K

12K claims · 4.1%

Your Cost: $69.22/claim|Median: $69.35
1.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$639K

6,331 claims · 3.1%

Your Cost: $100.98/claim|Median: $67.32
1.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$542K

6,915 claims · 2.6%

Your Cost: $78.35/claim|Median: $58.55
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$520K

6,814 claims · 2.5%

Your Cost: $76.35/claim|Median: $75.18
1.0× median
99204Normal range

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

$424K

4,512 claims · 2.1%

Your Cost: $94.06/claim|Median: $84.03
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$409K

7,504 claims · 2.0%

Your Cost: $54.45/claim|Median: $43.85
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$370K

6,560 claims · 1.8%

Your Cost: $56.34/claim|Median: $35.30
1.6× median
99203Normal range

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

$331K

5,402 claims · 1.6%

Your Cost: $61.30/claim|Median: $57.85
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$307K

4,004 claims · 1.5%

Your Cost: $76.56/claim|Median: $74.82
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$263K

4,654 claims · 1.3%

Your Cost: $56.44/claim|Median: $51.25
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$230K

6,149 claims · 1.1%

Your Cost: $37.33/claim|Median: $54.68
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$135K

1,897 claims · 0.7%

Your Cost: $71.25/claim|Median: $74.09
1.0× median
90670Top 25%

$129K

5,830 claims · 0.6%

Your Cost: $22.13/claim|Median: $5.94
3.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$111K

23K claims · 0.5%

Your Cost: $4.79/claim|Median: $5.60
0.9× median
1159FTop 5%

$98K

34K claims · 0.5%

Your Cost: $2.91/claim|Median: $0.01
290.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$96K

1,149 claims · 0.5%

Your Cost: $83.35/claim|Median: $80.15
1.0× median
3074FTop 5%

$93K

17K claims · 0.5%

Your Cost: $5.32/claim|Median: $0.11
48.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$87K

657 claims · 0.4%

Your Cost: $132.50/claim|Median: $108.91
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$86K

855 claims · 0.4%

Your Cost: $100.12/claim|Median: $74.78
1.3× median
3078FTop 5%

$83K

16K claims · 0.4%

Your Cost: $5.20/claim|Median: $0.08
65.0× median
90677Top 25%

$73K

1,014 claims · 0.4%

Your Cost: $72.19/claim|Median: $12.96
5.6× median
43239Normal range

Upper GI endoscopy with biopsy

$71K

1,636 claims · 0.3%

Your Cost: $43.18/claim|Median: $151.68
0.3× median
90648Top 25%

$70K

6,715 claims · 0.3%

Your Cost: $10.48/claim|Median: $4.08
2.6× median
90723Top 25%

DTaP-HepB-IPV vaccine

$65K

4,468 claims · 0.3%

Your Cost: $14.56/claim|Median: $5.78
2.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$62K

4,981 claims · 0.3%

Your Cost: $12.54/claim|Median: $11.48
1.1× median
1160FTop 5%

$58K

22K claims · 0.3%

Your Cost: $2.70/claim|Median: $0.01
269.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$53K

4,577 claims · 0.3%

Your Cost: $11.54/claim|Median: $7.18
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$47K

1,931 claims · 0.2%

Your Cost: $24.52/claim|Median: $25.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$47K

643 claims · 0.2%

Your Cost: $73.46/claim|Median: $72.71
1.0× median
87804Normal range

Influenza virus detection, rapid test

$35K

2,872 claims · 0.2%

Your Cost: $12.26/claim|Median: $12.59
1.0× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$35K

2,685 claims · 0.2%

Your Cost: $13.00/claim|Median: $25.43
0.5× median
59510Normal range

$35K

18 claims · 0.2%

Your Cost: $1,919.46/claim|Median: $1,543.20
1.2× median
59025Normal range

Fetal non-stress test

$30K

1,269 claims · 0.1%

Your Cost: $23.62/claim|Median: $26.45
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$29K

616 claims · 0.1%

Your Cost: $47.79/claim|Median: $37.22
1.3× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$29K

17 claims · 0.1%

Your Cost: $1,677.17/claim|Median: $1,482.45
1.1× median
3079FTop 5%

$28K

5,343 claims · 0.1%

Your Cost: $5.22/claim|Median: $0.12
43.5× median
90681Top 25%

$28K

1,677 claims · 0.1%

Your Cost: $16.43/claim|Median: $5.74
2.9× median
90710Top 10%

MMRV vaccine

$24K

791 claims · 0.1%

Your Cost: $30.45/claim|Median: $7.00
4.4× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$24K

453 claims · 0.1%

Your Cost: $52.14/claim|Median: $38.83
1.3× median
90633Top 25%

$22K

1,824 claims · 0.1%

Your Cost: $12.21/claim|Median: $3.56
3.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$20K

591 claims · 0.1%

Your Cost: $34.39/claim|Median: $29.03
1.2× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$20K

224 claims · 0.1%

Your Cost: $87.67/claim|Median: $58.16
1.5× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$19K

1,045 claims · 0.1%

Your Cost: $18.41/claim|Median: $43.07
0.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$19K

2,265 claims · 0.1%

Your Cost: $8.30/claim|Median: $9.70
0.9× median
0502FNormal range

$19K

7,247 claims · 0.1%

Your Cost: $2.56/claim|Median: $44.10
0.1× median
76830Top 25%

Ultrasound, transvaginal

$18K

189 claims · 0.1%

Your Cost: $96.63/claim|Median: $57.47
1.7× median
3077FTop 5%

$15K

3,029 claims · 0.1%

Your Cost: $5.02/claim|Median: $0.12
41.9× median