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PROCARE MEDICAL GROUP SC

Clinic/Center, Multi-Specialty·MILWAUKEE, WI·NPI: 1922164656Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.2M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$25.2M

$25,170,803

Total Claims

852K

Beneficiaries

740K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-15%
2019
$3.4M
-2%
2020
$3.4M
+0%
2021
$3.4M
+1%
2022
$3.4M
+3%
2023
$3.5M
+18%
2024
$4.1M

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 40% of total spending.

99214Normal range

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

$10.0M

191K claims · 39.8%

Your Cost: $52.35/claim|Median: $53.41
1.0× median
99213Normal range

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

$6.0M

171K claims · 24.0%

Your Cost: $35.26/claim|Median: $37.81
0.9× median
99204Normal range

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

$768K

7,048 claims · 3.1%

Your Cost: $109.02/claim|Median: $84.03
1.3× median
70551Top 10%

MRI brain without contrast

$635K

1,993 claims · 2.5%

Your Cost: $318.74/claim|Median: $85.39
3.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$582K

9,826 claims · 2.3%

Your Cost: $59.25/claim|Median: $74.82
0.8× median
72148Top 10%

MRI lumbar spine without contrast

$569K

1,754 claims · 2.3%

Your Cost: $324.68/claim|Median: $101.03
3.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$554K

9,333 claims · 2.2%

Your Cost: $59.37/claim|Median: $75.18
0.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$483K

3,023 claims · 1.9%

Your Cost: $159.69/claim|Median: $54.68
2.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$416K

7,238 claims · 1.7%

Your Cost: $57.45/claim|Median: $72.71
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$412K

6,855 claims · 1.6%

Your Cost: $60.11/claim|Median: $80.15
0.8× median
73721Top 25%

MRI joint of lower extremity without contrast

$393K

1,365 claims · 1.6%

Your Cost: $287.84/claim|Median: $127.34
2.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$359K

6,035 claims · 1.4%

Your Cost: $59.54/claim|Median: $69.35
0.9× median
99173Top 10%

$352K

20K claims · 1.4%

Your Cost: $17.53/claim|Median: $2.16
8.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$286K

19K claims · 1.1%

Your Cost: $15.31/claim|Median: $12.63
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$284K

9,443 claims · 1.1%

Your Cost: $30.12/claim|Median: $25.06
1.2× median
76700Top 25%

Ultrasound, abdominal, complete

$262K

2,648 claims · 1.0%

Your Cost: $99.00/claim|Median: $50.69
2.0× median
76830Top 25%

Ultrasound, transvaginal

$240K

2,827 claims · 1.0%

Your Cost: $84.94/claim|Median: $57.47
1.5× median
76856Top 25%

Ultrasound, pelvic, complete

$238K

3,002 claims · 0.9%

Your Cost: $79.38/claim|Median: $47.58
1.7× median
73221Top 10%

MRI of upper extremity joint with contrast

$151K

510 claims · 0.6%

Your Cost: $295.94/claim|Median: $122.11
2.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$146K

5,267 claims · 0.6%

Your Cost: $27.79/claim|Median: $76.06
0.4× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$141K

1,617 claims · 0.6%

Your Cost: $87.14/claim|Median: $37.35
2.3× median
81025Top 25%

Urine pregnancy test

$128K

18K claims · 0.5%

Your Cost: $7.34/claim|Median: $4.81
1.5× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$121K

8,138 claims · 0.5%

Your Cost: $14.81/claim|Median: $11.48
1.3× median
99203Normal range

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

$119K

1,790 claims · 0.5%

Your Cost: $66.53/claim|Median: $57.85
1.2× median
82962Normal range

Blood glucose test by monitoring device

$88K

43K claims · 0.3%

Your Cost: $2.03/claim|Median: $1.40
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$81K

14K claims · 0.3%

Your Cost: $5.62/claim|Median: $7.18
0.8× median
72141Top 10%

MRI of cervical spine without contrast

$81K

245 claims · 0.3%

Your Cost: $330.04/claim|Median: $112.68
2.9× median
3008FTop 25%

$81K

53K claims · 0.3%

Your Cost: $1.52/claim|Median: $0.06
25.3× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$59K

2,355 claims · 0.2%

Your Cost: $24.94/claim|Median: $14.34
1.7× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$58K

3,833 claims · 0.2%

Your Cost: $15.02/claim|Median: $9.70
1.5× median
76705Top 25%

Ultrasound, abdominal, limited

$56K

803 claims · 0.2%

Your Cost: $70.19/claim|Median: $23.81
2.9× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$55K

2,608 claims · 0.2%

Your Cost: $21.05/claim|Median: $21.28
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$48K

217 claims · 0.2%

Your Cost: $222.00/claim|Median: $106.14
2.1× median
81002Top 25%

Urinalysis, non-automated without microscopy

$48K

17K claims · 0.2%

Your Cost: $2.80/claim|Median: $2.00
1.4× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$45K

27 claims · 0.2%

Your Cost: $1,670.58/claim|Median: $1,482.45
1.1× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$44K

500 claims · 0.2%

Your Cost: $88.62/claim|Median: $58.16
1.5× median
A9502Top 10%

$44K

220 claims · 0.2%

Your Cost: $199.01/claim|Median: $54.60
3.6× median
78268Top 25%

$40K

562 claims · 0.2%

Your Cost: $70.82/claim|Median: $58.35
1.2× median
90674Normal range

$37K

2,203 claims · 0.1%

Your Cost: $16.83/claim|Median: $15.16
1.1× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$35K

483 claims · 0.1%

Your Cost: $72.54/claim|Median: $47.65
1.5× median
90651Normal range

HPV vaccine, 9-valent

$30K

3,759 claims · 0.1%

Your Cost: $8.04/claim|Median: $8.93
0.9× median
92250Normal range

Fundus photography with interpretation and report

$29K

2,367 claims · 0.1%

Your Cost: $12.24/claim|Median: $27.95
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$27K

8,520 claims · 0.1%

Your Cost: $3.18/claim|Median: $3.67
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$27K

735 claims · 0.1%

Your Cost: $36.47/claim|Median: $33.72
1.1× median
76536Normal range

$27K

373 claims · 0.1%

Your Cost: $71.24/claim|Median: $44.06
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$24K

622 claims · 0.1%

Your Cost: $38.03/claim|Median: $36.70
1.0× median
93015Top 25%

$22K

326 claims · 0.1%

Your Cost: $67.19/claim|Median: $41.12
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$21K

262 claims · 0.1%

Your Cost: $79.15/claim|Median: $74.09
1.1× median
90698Normal range

$20K

3,891 claims · 0.1%

Your Cost: $5.11/claim|Median: $6.32
0.8× median
99490Normal range

Chronic care management services, 20 minutes per month

$19K

2,695 claims · 0.1%

Your Cost: $6.93/claim|Median: $6.31
1.1× median

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