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BAPTIST HEALTH MEDICAL GROUP INC

Family Medicine·PADUCAH, KY·NPI: 1922401611Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.9M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$21.9M

$21,937,516

Total Claims

740K

Beneficiaries

644K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-13%
2019
$3.5M
+2%
2020
$3.6M
+1%
2021
$3.6M
-36%
2022
$2.3M
+11%
2023
$2.6M
-9%
2024
$2.3M

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 27% of total spending.

99213Normal range

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

$5.9M

192K claims · 27.1%

Your Cost: $31.00/claim|Median: $37.81
0.8× median
99214Normal range

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

$5.8M

144K claims · 26.7%

Your Cost: $40.48/claim|Median: $53.41
0.8× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$981K

23K claims · 4.5%

Your Cost: $43.41/claim|Median: $17.85
2.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$913K

16K claims · 4.2%

Your Cost: $58.64/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$884K

13K claims · 4.0%

Your Cost: $67.99/claim|Median: $75.18
0.9× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$547K

18K claims · 2.5%

Your Cost: $31.20/claim|Median: $6.93
4.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$540K

8,947 claims · 2.5%

Your Cost: $60.37/claim|Median: $54.68
1.1× median
99204Normal range

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

$473K

5,842 claims · 2.2%

Your Cost: $81.05/claim|Median: $84.03
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$439K

66K claims · 2.0%

Your Cost: $6.70/claim|Median: $5.60
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$425K

6,206 claims · 1.9%

Your Cost: $68.52/claim|Median: $74.82
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$344K

3,984 claims · 1.6%

Your Cost: $86.27/claim|Median: $151.68
0.6× median
99203Normal range

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

$279K

5,037 claims · 1.3%

Your Cost: $55.30/claim|Median: $57.85
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$266K

11K claims · 1.2%

Your Cost: $23.12/claim|Median: $23.99
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$236K

9,811 claims · 1.1%

Your Cost: $24.09/claim|Median: $25.06
1.0× median
76830Normal range

Ultrasound, transvaginal

$235K

3,749 claims · 1.1%

Your Cost: $62.61/claim|Median: $57.47
1.1× median
45380Normal range

Colonoscopy with biopsy

$228K

1,316 claims · 1.0%

Your Cost: $173.50/claim|Median: $200.68
0.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$186K

352 claims · 0.8%

Your Cost: $528.65/claim|Median: $470.36
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$170K

3,672 claims · 0.8%

Your Cost: $46.18/claim|Median: $35.80
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$126K

1,563 claims · 0.6%

Your Cost: $80.62/claim|Median: $80.15
1.0× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$121K

7,423 claims · 0.6%

Your Cost: $16.29/claim|Median: $9.80
1.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$109K

7,962 claims · 0.5%

Your Cost: $13.63/claim|Median: $9.70
1.4× median
69436Normal range

Tympanostomy, general anesthesia

$97K

686 claims · 0.4%

Your Cost: $142.06/claim|Median: $205.50
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$93K

1,092 claims · 0.4%

Your Cost: $84.82/claim|Median: $67.32
1.3× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$88K

4,360 claims · 0.4%

Your Cost: $20.20/claim|Median: $36.13
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$83K

907 claims · 0.4%

Your Cost: $91.90/claim|Median: $76.06
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$80K

1,211 claims · 0.4%

Your Cost: $66.29/claim|Median: $99.21
0.7× median
87804Top 25%

Influenza virus detection, rapid test

$76K

3,873 claims · 0.3%

Your Cost: $19.63/claim|Median: $12.59
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$75K

5,650 claims · 0.3%

Your Cost: $13.34/claim|Median: $11.48
1.2× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$74K

2,271 claims · 0.3%

Your Cost: $32.47/claim|Median: $49.03
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$71K

1,683 claims · 0.3%

Your Cost: $42.36/claim|Median: $37.22
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$68K

2,134 claims · 0.3%

Your Cost: $31.98/claim|Median: $35.30
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$64K

5,165 claims · 0.3%

Your Cost: $12.41/claim|Median: $9.56
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$63K

1,267 claims · 0.3%

Your Cost: $49.61/claim|Median: $74.09
0.7× median
92567Normal range

$62K

8,019 claims · 0.3%

Your Cost: $7.68/claim|Median: $11.50
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$60K

1,923 claims · 0.3%

Your Cost: $31.41/claim|Median: $29.03
1.1× median
90670Normal range

$59K

10K claims · 0.3%

Your Cost: $5.59/claim|Median: $5.94
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$52K

819 claims · 0.2%

Your Cost: $63.31/claim|Median: $72.71
0.9× median
43248Normal range

$50K

426 claims · 0.2%

Your Cost: $117.14/claim|Median: $115.74
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$50K

466 claims · 0.2%

Your Cost: $106.38/claim|Median: $233.73
0.5× median
90833Normal range

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

$45K

1,273 claims · 0.2%

Your Cost: $34.97/claim|Median: $38.83
0.9× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$44K

1,210 claims · 0.2%

Your Cost: $36.26/claim|Median: $31.08
1.2× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$39K

1,337 claims · 0.2%

Your Cost: $28.98/claim|Median: $43.07
0.7× median
45378Normal range

Colonoscopy, diagnostic

$38K

247 claims · 0.2%

Your Cost: $153.80/claim|Median: $225.49
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$38K

558 claims · 0.2%

Your Cost: $67.92/claim|Median: $58.55
1.2× median
90677Top 5%

$37K

169 claims · 0.2%

Your Cost: $219.91/claim|Median: $12.96
17.0× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$37K

167 claims · 0.2%

Your Cost: $218.63/claim|Median: $255.17
0.9× median
85018Normal range

$36K

16K claims · 0.2%

Your Cost: $2.21/claim|Median: $1.71
1.3× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$35K

2,567 claims · 0.2%

Your Cost: $13.45/claim|Median: $27.28
0.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$33K

178 claims · 0.2%

Your Cost: $186.14/claim|Median: $331.68
0.6× median
59410Normal range

$31K

48 claims · 0.1%

Your Cost: $647.25/claim|Median: $781.64
0.8× median

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