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ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

Clinic/Center, Multi-Specialty·GRAND RAPIDS, MI·NPI: 1952340911Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.9M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$21.9M

$21,941,358

Total Claims

528K

Beneficiaries

420K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-4%
2019
$2.0M
+6%
2020
$2.1M
+63%
2021
$3.5M
+14%
2022
$3.9M
+12%
2023
$4.4M
-11%
2024
$4.0M

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 20% of total spending.

99214Normal range

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

$4.4M

81K claims · 19.9%

Your Cost: $54.15/claim|Median: $53.41
1.0× median
99213Normal range

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

$2.5M

62K claims · 11.4%

Your Cost: $39.99/claim|Median: $37.81
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.1M

59K claims · 9.7%

Your Cost: $36.11/claim|Median: $23.99
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$1.4M

14K claims · 6.2%

Your Cost: $94.87/claim|Median: $67.32
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.2M

23K claims · 5.7%

Your Cost: $54.78/claim|Median: $35.30
1.6× median
99204Normal range

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

$876K

12K claims · 4.0%

Your Cost: $72.55/claim|Median: $84.03
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$840K

11K claims · 3.8%

Your Cost: $77.55/claim|Median: $74.09
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$760K

6,613 claims · 3.5%

Your Cost: $114.91/claim|Median: $101.24
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$518K

7,703 claims · 2.4%

Your Cost: $67.19/claim|Median: $51.25
1.3× median
59426Top 25%

Antepartum care only, high risk, additional visits

$512K

681 claims · 2.3%

Your Cost: $751.26/claim|Median: $122.30
6.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$477K

8,520 claims · 2.2%

Your Cost: $56.00/claim|Median: $43.85
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$461K

8,744 claims · 2.1%

Your Cost: $52.71/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$438K

7,249 claims · 2.0%

Your Cost: $60.41/claim|Median: $75.18
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$384K

4,094 claims · 1.7%

Your Cost: $93.71/claim|Median: $111.09
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$339K

5,643 claims · 1.5%

Your Cost: $60.12/claim|Median: $74.82
0.8× median
99203Normal range

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

$324K

7,055 claims · 1.5%

Your Cost: $45.92/claim|Median: $57.85
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$277K

4,099 claims · 1.3%

Your Cost: $67.55/claim|Median: $80.15
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$211K

5,320 claims · 1.0%

Your Cost: $39.62/claim|Median: $37.22
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$211K

3,175 claims · 1.0%

Your Cost: $66.36/claim|Median: $72.71
0.9× median
95720Normal range

$199K

1,794 claims · 0.9%

Your Cost: $110.78/claim|Median: $120.95
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$196K

5,459 claims · 0.9%

Your Cost: $35.94/claim|Median: $54.68
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$193K

2,592 claims · 0.9%

Your Cost: $74.42/claim|Median: $76.06
1.0× median
99479Normal range

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

$192K

1,838 claims · 0.9%

Your Cost: $104.39/claim|Median: $103.70
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$173K

8,694 claims · 0.8%

Your Cost: $19.95/claim|Median: $16.77
1.2× median
59409Normal range

Vaginal delivery only

$153K

202 claims · 0.7%

Your Cost: $759.71/claim|Median: $619.91
1.2× median
99220Normal range

$143K

1,656 claims · 0.7%

Your Cost: $86.30/claim|Median: $73.56
1.2× median
64615Normal range

$130K

1,988 claims · 0.6%

Your Cost: $65.51/claim|Median: $82.82
0.8× median
99254Normal range

$98K

1,085 claims · 0.4%

Your Cost: $90.07/claim|Median: $81.43
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$90K

1,651 claims · 0.4%

Your Cost: $54.79/claim|Median: $62.48
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$87K

3,710 claims · 0.4%

Your Cost: $23.54/claim|Median: $25.06
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$87K

1,371 claims · 0.4%

Your Cost: $63.42/claim|Median: $85.66
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$86K

2,198 claims · 0.4%

Your Cost: $38.93/claim|Median: $42.48
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$82K

1,755 claims · 0.4%

Your Cost: $46.93/claim|Median: $63.65
0.7× median
59025Normal range

Fetal non-stress test

$81K

4,712 claims · 0.4%

Your Cost: $17.21/claim|Median: $26.45
0.7× median
99253Normal range

$78K

1,263 claims · 0.4%

Your Cost: $61.57/claim|Median: $55.16
1.1× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$75K

717 claims · 0.3%

Your Cost: $104.28/claim|Median: $98.15
1.1× median
99217Normal range

$72K

2,165 claims · 0.3%

Your Cost: $33.11/claim|Median: $31.89
1.0× median
99219Normal range

$65K

1,008 claims · 0.3%

Your Cost: $64.42/claim|Median: $63.35
1.0× median
95951Normal range

$64K

385 claims · 0.3%

Your Cost: $166.03/claim|Median: $183.28
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$63K

958 claims · 0.3%

Your Cost: $65.38/claim|Median: $233.73
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$62K

643 claims · 0.3%

Your Cost: $96.89/claim|Median: $99.21
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$59K

709 claims · 0.3%

Your Cost: $82.74/claim|Median: $121.58
0.7× median
95886Normal range

$55K

1,813 claims · 0.3%

Your Cost: $30.48/claim|Median: $67.70
0.5× median
95718Normal range

$43K

583 claims · 0.2%

Your Cost: $73.48/claim|Median: $78.85
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$41K

10K claims · 0.2%

Your Cost: $3.97/claim|Median: $5.60
0.7× median
99468Normal range

$41K

52 claims · 0.2%

Your Cost: $785.72/claim|Median: $679.18
1.2× median
99464Normal range

$41K

931 claims · 0.2%

Your Cost: $43.68/claim|Median: $59.94
0.7× median
64405Normal range

$40K

1,172 claims · 0.2%

Your Cost: $34.42/claim|Median: $48.36
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$40K

809 claims · 0.2%

Your Cost: $49.38/claim|Median: $39.96
1.2× median
43775Normal range

$37K

109 claims · 0.2%

Your Cost: $342.95/claim|Median: $619.12
0.6× median

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