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ASCENSION ST JOHN HOSPITAL

Internal Medicine·DETROIT, MI·NPI: 1912965088Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.8M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$41.8M

$41,791,817

Total Claims

1.2M

Beneficiaries

973K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$5.1M
+3%
2019
$5.2M
+1%
2020
$5.3M
+13%
2021
$6.0M
+20%
2022
$7.1M
+1%
2023
$7.2M
-17%
2024
$5.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 10% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$4.2M

13K claims · 10.1%

Your Cost: $332.10/claim|Median: $293.45
1.1× median
99214Normal range

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

$3.6M

68K claims · 8.7%

Your Cost: $53.85/claim|Median: $53.41
1.0× median
99213Normal range

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

$3.1M

83K claims · 7.4%

Your Cost: $36.87/claim|Median: $37.81
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.6M

65K claims · 6.3%

Your Cost: $40.88/claim|Median: $23.99
1.7× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$2.5M

7,440 claims · 6.0%

Your Cost: $335.37/claim|Median: $307.98
1.1× median
59409Normal range

Vaginal delivery only

$2.3M

3,068 claims · 5.5%

Your Cost: $751.56/claim|Median: $619.91
1.2× median
99479Normal range

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

$2.0M

20K claims · 4.9%

Your Cost: $103.26/claim|Median: $103.70
1.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.9M

18K claims · 4.5%

Your Cost: $106.93/claim|Median: $67.32
1.6× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$1.6M

21K claims · 3.8%

Your Cost: $74.70/claim|Median: $51.25
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.5M

16K claims · 3.7%

Your Cost: $98.39/claim|Median: $98.15
1.0× median
99468Normal range

$1.4M

1,811 claims · 3.4%

Your Cost: $774.87/claim|Median: $679.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

25K claims · 2.8%

Your Cost: $46.70/claim|Median: $69.35
0.7× median
59514Top 25%

Cesarean delivery only

$1.1M

1,356 claims · 2.8%

Your Cost: $847.55/claim|Median: $452.80
1.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.1M

18K claims · 2.6%

Your Cost: $60.21/claim|Median: $35.30
1.7× median
99204Normal range

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

$1.1M

13K claims · 2.5%

Your Cost: $81.22/claim|Median: $84.03
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$931K

18K claims · 2.2%

Your Cost: $53.04/claim|Median: $75.18
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$788K

19K claims · 1.9%

Your Cost: $41.85/claim|Median: $37.22
1.1× median
59426Normal range

Antepartum care only, high risk, additional visits

$759K

1,123 claims · 1.8%

Your Cost: $675.86/claim|Median: $122.30
5.5× median
99215Normal range

Office/outpatient visit, high complexity

$684K

8,847 claims · 1.6%

Your Cost: $77.26/claim|Median: $74.09
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$514K

11K claims · 1.2%

Your Cost: $48.12/claim|Median: $74.82
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$476K

21K claims · 1.1%

Your Cost: $23.08/claim|Median: $16.77
1.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$458K

8,138 claims · 1.1%

Your Cost: $56.32/claim|Median: $106.79
0.5× median
99203Normal range

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

$425K

8,247 claims · 1.0%

Your Cost: $51.51/claim|Median: $57.85
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$400K

6,786 claims · 1.0%

Your Cost: $58.98/claim|Median: $76.06
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$362K

6,621 claims · 0.9%

Your Cost: $54.65/claim|Median: $62.48
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$355K

3,463 claims · 0.8%

Your Cost: $102.40/claim|Median: $111.09
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$317K

5,862 claims · 0.8%

Your Cost: $54.01/claim|Median: $72.71
0.7× median
59025Normal range

Fetal non-stress test

$289K

14K claims · 0.7%

Your Cost: $21.14/claim|Median: $26.45
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$266K

5,362 claims · 0.6%

Your Cost: $49.70/claim|Median: $80.15
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$262K

9,380 claims · 0.6%

Your Cost: $27.94/claim|Median: $58.55
0.5× median
59430Top 25%

$231K

1,495 claims · 0.6%

Your Cost: $154.32/claim|Median: $80.32
1.9× median
99464Normal range

$193K

4,559 claims · 0.5%

Your Cost: $42.23/claim|Median: $59.94
0.7× median
99471Normal range

$175K

243 claims · 0.4%

Your Cost: $720.01/claim|Median: $680.99
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$150K

3,008 claims · 0.4%

Your Cost: $49.73/claim|Median: $54.68
0.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$143K

6,229 claims · 0.3%

Your Cost: $22.96/claim|Median: $47.65
0.5× median
93303Normal range

Echocardiography, transthoracic, limited

$126K

2,809 claims · 0.3%

Your Cost: $44.83/claim|Median: $112.83
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$125K

6,191 claims · 0.3%

Your Cost: $20.25/claim|Median: $25.06
0.8× median
54150Normal range

$121K

2,103 claims · 0.3%

Your Cost: $57.35/claim|Median: $84.60
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$121K

1,947 claims · 0.3%

Your Cost: $61.94/claim|Median: $43.85
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$100K

5,042 claims · 0.2%

Your Cost: $19.79/claim|Median: $36.79
0.5× median
99462Normal range

$97K

4,090 claims · 0.2%

Your Cost: $23.71/claim|Median: $27.49
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$97K

1,564 claims · 0.2%

Your Cost: $61.95/claim|Median: $76.22
0.8× median
99221Normal range

Initial hospital care, straightforward/low

$92K

1,720 claims · 0.2%

Your Cost: $53.32/claim|Median: $39.96
1.3× median
59425Top 10%

Antepartum care only, 4-6 visits

$83K

208 claims · 0.2%

Your Cost: $400.03/claim|Median: $63.63
6.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$73K

2,335 claims · 0.2%

Your Cost: $31.35/claim|Median: $74.78
0.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$72K

2,393 claims · 0.2%

Your Cost: $30.16/claim|Median: $58.16
0.5× median
76820Normal range

$71K

4,589 claims · 0.2%

Your Cost: $15.55/claim|Median: $31.79
0.5× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$70K

898 claims · 0.2%

Your Cost: $78.26/claim|Median: $87.82
0.9× median
99219Normal range

$61K

829 claims · 0.1%

Your Cost: $73.06/claim|Median: $63.35
1.2× median
99235Normal range

$59K

640 claims · 0.1%

Your Cost: $92.58/claim|Median: $110.13
0.8× median

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