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EVANS MEDICAL FOUNDATION, INC.

Internal Medicine·BOSTON, MA·NPI: 1912954124Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.7M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$37.7M

$37,721,650

Total Claims

1.2M

Beneficiaries

915K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+5%
2019
$5.4M
-5%
2020
$5.2M
+6%
2021
$5.5M
+13%
2022
$6.1M
-8%
2023
$5.7M
-16%
2024
$4.7M

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 30% of total spending.

99214Normal range

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

$11.3M

284K claims · 30.0%

Your Cost: $39.92/claim|Median: $53.41
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$6.2M

127K claims · 16.3%

Your Cost: $48.52/claim|Median: $35.30
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$3.6M

35K claims · 9.5%

Your Cost: $103.32/claim|Median: $101.24
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.0M

89K claims · 7.8%

Your Cost: $33.07/claim|Median: $23.99
1.4× median
99213Normal range

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

$2.1M

75K claims · 5.7%

Your Cost: $28.78/claim|Median: $37.81
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$2.1M

39K claims · 5.6%

Your Cost: $54.22/claim|Median: $74.09
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$1.5M

15K claims · 3.9%

Your Cost: $95.56/claim|Median: $67.32
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.4M

296K claims · 3.8%

Your Cost: $4.86/claim|Median: $5.60
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.2M

36K claims · 3.3%

Your Cost: $34.19/claim|Median: $54.68
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$645K

13K claims · 1.7%

Your Cost: $51.01/claim|Median: $43.85
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$479K

7,520 claims · 1.3%

Your Cost: $63.64/claim|Median: $51.25
1.2× median
99220Normal range

$445K

4,865 claims · 1.2%

Your Cost: $91.42/claim|Median: $73.56
1.2× median
99204Normal range

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

$375K

4,600 claims · 1.0%

Your Cost: $81.63/claim|Median: $84.03
1.0× median
90961Top 25%

$315K

3,916 claims · 0.8%

Your Cost: $80.50/claim|Median: $47.22
1.7× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$312K

3,385 claims · 0.8%

Your Cost: $92.09/claim|Median: $52.76
1.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$196K

14K claims · 0.5%

Your Cost: $14.43/claim|Median: $14.00
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$173K

2,188 claims · 0.5%

Your Cost: $78.86/claim|Median: $151.68
0.5× median
99231Normal range

Subsequent hospital care, per day, low complexity

$159K

8,755 claims · 0.4%

Your Cost: $18.18/claim|Median: $16.77
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$157K

1,211 claims · 0.4%

Your Cost: $129.67/claim|Median: $255.17
0.5× median
99350Normal range

$148K

5,051 claims · 0.4%

Your Cost: $29.20/claim|Median: $35.62
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$129K

1,125 claims · 0.3%

Your Cost: $114.50/claim|Median: $111.09
1.0× median
99217Normal range

$117K

3,087 claims · 0.3%

Your Cost: $37.80/claim|Median: $31.89
1.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$107K

6,102 claims · 0.3%

Your Cost: $17.53/claim|Median: $32.55
0.5× median
45378Normal range

Colonoscopy, diagnostic

$91K

875 claims · 0.2%

Your Cost: $103.85/claim|Median: $225.49
0.5× median
99219Normal range

$85K

1,200 claims · 0.2%

Your Cost: $70.66/claim|Median: $63.35
1.1× median
99407Top 10%

$83K

2,619 claims · 0.2%

Your Cost: $31.82/claim|Median: $13.29
2.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$79K

2,157 claims · 0.2%

Your Cost: $36.40/claim|Median: $37.22
1.0× median
99310Normal range

$72K

3,675 claims · 0.2%

Your Cost: $19.62/claim|Median: $21.82
0.9× median
99221Normal range

Initial hospital care, straightforward/low

$64K

1,361 claims · 0.2%

Your Cost: $47.13/claim|Median: $39.96
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$58K

854 claims · 0.2%

Your Cost: $67.99/claim|Median: $233.73
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$57K

5,046 claims · 0.2%

Your Cost: $11.30/claim|Median: $22.44
0.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$56K

2,733 claims · 0.1%

Your Cost: $20.66/claim|Median: $29.03
0.7× median
93351Normal range

$55K

1,067 claims · 0.1%

Your Cost: $51.14/claim|Median: $140.02
0.4× median
99292Normal range

$52K

908 claims · 0.1%

Your Cost: $57.14/claim|Median: $57.64
1.0× median
93272Normal range

$44K

2,980 claims · 0.1%

Your Cost: $14.84/claim|Median: $16.90
0.9× median
76536Normal range

$44K

2,845 claims · 0.1%

Your Cost: $15.54/claim|Median: $44.06
0.4× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$35K

3,029 claims · 0.1%

Your Cost: $11.55/claim|Median: $25.43
0.5× median
77080Normal range

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$35K

8,816 claims · 0.1%

Your Cost: $3.96/claim|Median: $18.93
0.2× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$33K

498 claims · 0.1%

Your Cost: $66.49/claim|Median: $114.30
0.6× median
91200Normal range

$33K

3,910 claims · 0.1%

Your Cost: $8.37/claim|Median: $17.80
0.5× median
99203Normal range

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

$32K

651 claims · 0.1%

Your Cost: $49.78/claim|Median: $57.85
0.9× median
45380Normal range

Colonoscopy with biopsy

$32K

382 claims · 0.1%

Your Cost: $83.02/claim|Median: $200.68
0.4× median
94726Normal range

$31K

4,906 claims · 0.1%

Your Cost: $6.41/claim|Median: $13.41
0.5× median
99226Top 25%

$30K

526 claims · 0.1%

Your Cost: $56.53/claim|Median: $34.09
1.7× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$28K

662 claims · 0.1%

Your Cost: $42.48/claim|Median: $106.14
0.4× median
94060Normal range

$24K

3,625 claims · 0.1%

Your Cost: $6.74/claim|Median: $25.18
0.3× median
93016Normal range

$24K

1,689 claims · 0.1%

Your Cost: $14.39/claim|Median: $12.24
1.2× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$24K

1,368 claims · 0.1%

Your Cost: $17.37/claim|Median: $43.07
0.4× median
99349Normal range

$23K

1,011 claims · 0.1%

Your Cost: $22.30/claim|Median: $24.29
0.9× median
94729Normal range

$22K

4,726 claims · 0.1%

Your Cost: $4.62/claim|Median: $12.24
0.4× median

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