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MARSHFIELD CLINIC INC

Clinic/Center·MARSHFIELD, WI·NPI: 1952347981Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.6M is at the 25th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.6M

$19,611,575

Total Claims

921K

Beneficiaries

796K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$5.1M
-37%
2019
$3.2M
+6%
2020
$3.4M
+11%
2021
$3.8M
-42%
2022
$2.2M
-44%
2023
$1.2M
-46%
2024
$666K

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 19% of total spending.

99214Normal range

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

$3.7M

107K claims · 18.7%

Your Cost: $34.24/claim|Median: $53.41
0.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.3M

32K claims · 11.9%

Your Cost: $73.50/claim|Median: $63.08
1.2× median
99213Normal range

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

$1.3M

56K claims · 6.8%

Your Cost: $23.83/claim|Median: $37.81
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.3M

28K claims · 6.8%

Your Cost: $47.46/claim|Median: $35.80
1.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$472K

8,964 claims · 2.4%

Your Cost: $52.69/claim|Median: $35.43
1.5× median
90960Normal range

End-stage renal disease services, per month, age 20+

$428K

5,917 claims · 2.2%

Your Cost: $72.32/claim|Median: $52.76
1.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$391K

7,328 claims · 2.0%

Your Cost: $53.38/claim|Median: $37.56
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$325K

10K claims · 1.7%

Your Cost: $31.00/claim|Median: $24.95
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$300K

11K claims · 1.5%

Your Cost: $27.15/claim|Median: $63.65
0.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$284K

9,167 claims · 1.4%

Your Cost: $31.01/claim|Median: $23.39
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$263K

4,098 claims · 1.3%

Your Cost: $64.18/claim|Median: $77.33
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$236K

9,485 claims · 1.2%

Your Cost: $24.92/claim|Median: $18.18
1.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$232K

5,524 claims · 1.2%

Your Cost: $41.95/claim|Median: $39.33
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$221K

16K claims · 1.1%

Your Cost: $13.94/claim|Median: $9.87
1.4× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$199K

2,297 claims · 1.0%

Your Cost: $86.63/claim|Median: $65.64
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$185K

4,611 claims · 0.9%

Your Cost: $40.18/claim|Median: $65.76
0.6× median
80061Normal range

Lipid panel

$183K

17K claims · 0.9%

Your Cost: $10.79/claim|Median: $8.41
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$164K

3,110 claims · 0.8%

Your Cost: $52.72/claim|Median: $75.18
0.7× median
45380Normal range

Colonoscopy with biopsy

$154K

643 claims · 0.8%

Your Cost: $239.50/claim|Median: $200.68
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$150K

4,816 claims · 0.8%

Your Cost: $31.12/claim|Median: $47.08
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$144K

3,272 claims · 0.7%

Your Cost: $44.16/claim|Median: $74.09
0.6× median
88142Normal range

$142K

7,725 claims · 0.7%

Your Cost: $18.44/claim|Median: $14.75
1.2× median
80050Normal range

General health panel

$139K

3,718 claims · 0.7%

Your Cost: $37.28/claim|Median: $25.59
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$128K

2,488 claims · 0.7%

Your Cost: $51.43/claim|Median: $69.35
0.7× median
70450Normal range

CT head/brain without contrast

$124K

4,905 claims · 0.6%

Your Cost: $25.29/claim|Median: $45.53
0.6× median
81514Normal range

$123K

1,288 claims · 0.6%

Your Cost: $95.56/claim|Median: $143.67
0.7× median
87505Top 25%

$119K

1,150 claims · 0.6%

Your Cost: $103.46/claim|Median: $62.35
1.7× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$118K

18K claims · 0.6%

Your Cost: $6.71/claim|Median: $15.76
0.4× median
80053Normal range

Comprehensive metabolic panel

$118K

14K claims · 0.6%

Your Cost: $8.15/claim|Median: $7.24
1.1× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$115K

3,922 claims · 0.6%

Your Cost: $29.22/claim|Median: $25.57
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$112K

2,167 claims · 0.6%

Your Cost: $51.82/claim|Median: $74.82
0.7× median
71046Normal range

Chest X-ray, 2 views

$109K

16K claims · 0.6%

Your Cost: $6.81/claim|Median: $8.92
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$102K

6,224 claims · 0.5%

Your Cost: $16.42/claim|Median: $14.00
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$101K

5,445 claims · 0.5%

Your Cost: $18.52/claim|Median: $24.49
0.8× median
99284Normal range

Emergency dept visit, high complexity

$101K

2,892 claims · 0.5%

Your Cost: $34.82/claim|Median: $69.51
0.5× median
92340Normal range

Fitting of spectacles, except for aphakia

$95K

6,821 claims · 0.5%

Your Cost: $13.95/claim|Median: $19.46
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$94K

1,822 claims · 0.5%

Your Cost: $51.60/claim|Median: $54.68
0.9× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$92K

2,584 claims · 0.5%

Your Cost: $35.71/claim|Median: $26.72
1.3× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$91K

4,479 claims · 0.5%

Your Cost: $20.40/claim|Median: $18.03
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$91K

2,160 claims · 0.5%

Your Cost: $42.05/claim|Median: $39.70
1.1× median
87086Normal range

Urine culture, colony count, with identification

$91K

13K claims · 0.5%

Your Cost: $6.87/claim|Median: $5.31
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$90K

997 claims · 0.5%

Your Cost: $89.78/claim|Median: $151.68
0.6× median
82728Top 25%

Ferritin

$88K

7,505 claims · 0.4%

Your Cost: $11.69/claim|Median: $6.00
1.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$87K

15K claims · 0.4%

Your Cost: $5.86/claim|Median: $4.71
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$86K

17K claims · 0.4%

Your Cost: $5.18/claim|Median: $5.60
0.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$86K

1,268 claims · 0.4%

Your Cost: $67.71/claim|Median: $75.28
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$83K

11K claims · 0.4%

Your Cost: $7.68/claim|Median: $5.50
1.4× median
87634Normal range

$77K

1,372 claims · 0.4%

Your Cost: $56.21/claim|Median: $48.78
1.2× median
92015Normal range

Determination of refractive state

$71K

10K claims · 0.4%

Your Cost: $7.09/claim|Median: $10.36
0.7× median
87081Normal range

Culture screening for pathogenic organisms

$69K

10K claims · 0.4%

Your Cost: $6.65/claim|Median: $5.09
1.3× median