Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PARKVIEW HEALTH SYSTEM INC

Family Medicine·FORT WAYNE, IN·NPI: 1932130952Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $88.9M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$88.9M

$88,949,593

Total Claims

2.2M

Beneficiaries

1.9M

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+41%
2019
$8.7M
+1%
2020
$8.7M
+80%
2021
$15.7M
+6%
2022
$16.7M
+6%
2023
$17.6M
-13%
2024
$15.4M

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 37% of total spending.

99213Normal range

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

$33.3M

650K claims · 37.4%

Your Cost: $51.21/claim|Median: $37.81
1.4× median
99214Normal range

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

$29.5M

446K claims · 33.2%

Your Cost: $66.22/claim|Median: $53.41
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4.1M

55K claims · 4.6%

Your Cost: $75.09/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$4.1M

52K claims · 4.6%

Your Cost: $79.32/claim|Median: $75.18
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.9M

24K claims · 2.1%

Your Cost: $79.42/claim|Median: $74.82
1.1× median
99204Normal range

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

$1.4M

17K claims · 1.6%

Your Cost: $83.12/claim|Median: $84.03
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$1.4M

80K claims · 1.6%

Your Cost: $17.36/claim|Median: $11.79
1.5× median
90471Normal range

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

$1.4M

143K claims · 1.5%

Your Cost: $9.65/claim|Median: $9.80
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$1.2M

35K claims · 1.4%

Your Cost: $35.13/claim|Median: $24.49
1.4× median
99203Normal range

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

$1.2M

20K claims · 1.3%

Your Cost: $57.88/claim|Median: $57.85
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1.1M

13K claims · 1.2%

Your Cost: $86.76/claim|Median: $74.09
1.2× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$906K

28K claims · 1.0%

Your Cost: $32.50/claim|Median: $39.63
0.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$869K

29K claims · 1.0%

Your Cost: $30.22/claim|Median: $30.04
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$671K

52K claims · 0.8%

Your Cost: $13.00/claim|Median: $11.48
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$592K

7,571 claims · 0.7%

Your Cost: $78.14/claim|Median: $80.15
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$382K

9,035 claims · 0.4%

Your Cost: $42.27/claim|Median: $54.68
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$284K

10K claims · 0.3%

Your Cost: $27.77/claim|Median: $25.06
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$277K

6,095 claims · 0.3%

Your Cost: $45.49/claim|Median: $37.22
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$260K

2,411 claims · 0.3%

Your Cost: $107.70/claim|Median: $67.32
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$255K

12K claims · 0.3%

Your Cost: $20.81/claim|Median: $16.79
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$216K

1,895 claims · 0.2%

Your Cost: $113.84/claim|Median: $111.09
1.0× median
90474Normal range

$190K

19K claims · 0.2%

Your Cost: $10.22/claim|Median: $8.42
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$168K

2,683 claims · 0.2%

Your Cost: $62.47/claim|Median: $62.48
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$167K

5,052 claims · 0.2%

Your Cost: $32.98/claim|Median: $23.99
1.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$155K

2,396 claims · 0.2%

Your Cost: $64.55/claim|Median: $51.25
1.3× median
00731Normal range

$154K

3,471 claims · 0.2%

Your Cost: $44.44/claim|Median: $64.75
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$153K

72K claims · 0.2%

Your Cost: $2.14/claim|Median: $3.67
0.6× median
97530Normal range

Therapeutic activities, each 15 min

$148K

5,309 claims · 0.2%

Your Cost: $27.90/claim|Median: $33.11
0.8× median
87804Normal range

Influenza virus detection, rapid test

$128K

11K claims · 0.1%

Your Cost: $12.16/claim|Median: $12.59
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$122K

45K claims · 0.1%

Your Cost: $2.74/claim|Median: $7.18
0.4× median
92507Normal range

Speech/hearing/language treatment

$122K

3,166 claims · 0.1%

Your Cost: $38.41/claim|Median: $49.45
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$115K

20K claims · 0.1%

Your Cost: $5.69/claim|Median: $9.10
0.6× median
97113Normal range

$112K

1,679 claims · 0.1%

Your Cost: $66.71/claim|Median: $51.02
1.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$112K

4,580 claims · 0.1%

Your Cost: $24.45/claim|Median: $20.04
1.2× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$99K

3,536 claims · 0.1%

Your Cost: $28.14/claim|Median: $36.13
0.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$72K

1,275 claims · 0.1%

Your Cost: $56.70/claim|Median: $35.30
1.6× median
83655Normal range

$69K

6,742 claims · 0.1%

Your Cost: $10.29/claim|Median: $10.49
1.0× median
95720Normal range

$62K

458 claims · 0.1%

Your Cost: $136.22/claim|Median: $120.95
1.1× median
95951Normal range

$61K

295 claims · 0.1%

Your Cost: $205.79/claim|Median: $183.28
1.1× median
01922Normal range

$59K

1,076 claims · 0.1%

Your Cost: $54.75/claim|Median: $166.77
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$59K

1,759 claims · 0.1%

Your Cost: $33.49/claim|Median: $76.06
0.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$51K

134 claims · 0.1%

Your Cost: $376.87/claim|Median: $470.36
0.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$50K

496 claims · 0.1%

Your Cost: $100.97/claim|Median: $233.73
0.4× median
90677Normal range

$49K

4,382 claims · 0.1%

Your Cost: $11.30/claim|Median: $12.96
0.9× median
95819Normal range

Electroencephalogram with sleep recording

$48K

1,257 claims · 0.1%

Your Cost: $38.41/claim|Median: $62.75
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$41K

1,526 claims · 0.0%

Your Cost: $26.86/claim|Median: $72.71
0.4× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$38K

428 claims · 0.0%

Your Cost: $89.61/claim|Median: $43.85
2.0× median
97161Normal range

Physical therapy evaluation, low complexity

$37K

654 claims · 0.0%

Your Cost: $56.05/claim|Median: $47.89
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$36K

273 claims · 0.0%

Your Cost: $133.01/claim|Median: $101.24
1.3× median
99177Normal range

$36K

11K claims · 0.0%

Your Cost: $3.17/claim|Median: $3.74
0.8× median

Other Top Providers in Indiana

View all →

Bowen Health INC

Psychiatric Hospital

$509.3M

Centerstone of Indiana, Inc.

Community/Behavioral Health

$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

Psychiatric Unit

$231.5M

Similar Providers

Other top providers in Family Medicine

Dap Health, Inc.

El Cajon, CA

$270.2M

Adelante Healthcare, Inc.

Phoenix, AZ

$245.9M

Fast Pace Medical Clinic PLLC

Spring Hill, TN

$179.4M

← All providersAll providers in Indiana →How we detect fraud →