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UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL

Family Medicine·CHARLESTON, SC·NPI: 1982678496Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.5M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$56.5M

$56,496,992

Total Claims

624K

Beneficiaries

521K

1.2 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$7.2M
+10%
2019
$7.9M
-13%
2020
$6.9M
+24%
2021
$8.6M
+8%
2022
$9.2M
-10%
2023
$8.3M
-2%
2024
$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 16% of total spending.

99469Top 25%

Subsequent intensive care, very low birth weight infant

$8.8M

22K claims · 15.5%

Your Cost: $406.66/claim|Median: $293.45
1.4× median
99214Top 25%

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

$8.0M

104K claims · 14.1%

Your Cost: $76.82/claim|Median: $53.41
1.4× median
99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$5.5M

13K claims · 9.7%

Your Cost: $407.48/claim|Median: $307.98
1.3× median
99284Top 25%

Emergency dept visit, high complexity

$3.5M

31K claims · 6.2%

Your Cost: $114.14/claim|Median: $69.51
1.6× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$3.3M

21K claims · 5.9%

Your Cost: $160.42/claim|Median: $121.58
1.3× median
99213Normal range

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

$3.3M

77K claims · 5.8%

Your Cost: $42.76/claim|Median: $37.81
1.1× median
99479Top 25%

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

$3.0M

23K claims · 5.2%

Your Cost: $128.17/claim|Median: $103.70
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$2.8M

26K claims · 5.0%

Your Cost: $107.86/claim|Median: $74.09
1.5× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$2.7M

28K claims · 4.8%

Your Cost: $94.88/claim|Median: $35.30
2.7× median
99283Normal range

Emergency dept visit, moderate complexity

$2.5M

41K claims · 4.5%

Your Cost: $61.88/claim|Median: $42.48
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.8M

11K claims · 3.1%

Your Cost: $166.58/claim|Median: $85.65
1.9× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$1.7M

14K claims · 3.0%

Your Cost: $120.48/claim|Median: $98.15
1.2× median
93303Normal range

Echocardiography, transthoracic, limited

$1.7M

23K claims · 2.9%

Your Cost: $70.78/claim|Median: $112.83
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.2M

15K claims · 2.2%

Your Cost: $84.93/claim|Median: $54.68
1.6× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$833K

12K claims · 1.5%

Your Cost: $67.99/claim|Median: $23.99
2.8× median
99245Top 25%

Office consultation, high complexity

$759K

3,933 claims · 1.3%

Your Cost: $192.95/claim|Median: $143.30
1.3× median
93320Normal range

$479K

24K claims · 0.8%

Your Cost: $19.92/claim|Median: $28.68
0.7× median
99203Normal range

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

$376K

6,012 claims · 0.7%

Your Cost: $62.54/claim|Median: $57.85
1.1× median
99204Top 25%

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

$351K

2,741 claims · 0.6%

Your Cost: $127.98/claim|Median: $84.03
1.5× median
95813Normal range

$312K

2,476 claims · 0.6%

Your Cost: $126.04/claim|Median: $121.48
1.0× median
95720Top 25%

$238K

1,345 claims · 0.4%

Your Cost: $177.19/claim|Median: $120.95
1.5× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$228K

4,557 claims · 0.4%

Your Cost: $49.97/claim|Median: $17.85
2.8× median
99282Normal range

Emergency dept visit, low complexity

$196K

4,710 claims · 0.3%

Your Cost: $41.54/claim|Median: $37.72
1.1× median
99254Top 10%

$184K

1,187 claims · 0.3%

Your Cost: $154.74/claim|Median: $81.43
1.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$184K

24K claims · 0.3%

Your Cost: $7.50/claim|Median: $5.60
1.3× median
95951Normal range

$178K

756 claims · 0.3%

Your Cost: $235.07/claim|Median: $183.28
1.3× median
G9008Normal range

Coordination of long-term care services, per month

$163K

1,841 claims · 0.3%

Your Cost: $88.64/claim|Median: $66.78
1.3× median
93325Normal range

$159K

33K claims · 0.3%

Your Cost: $4.87/claim|Median: $14.61
0.3× median
99291Top 10%

Critical care, first 30-74 minutes

$151K

761 claims · 0.3%

Your Cost: $198.60/claim|Median: $101.24
2.0× median
96112Normal range

Developmental test administration

$117K

1,113 claims · 0.2%

Your Cost: $104.85/claim|Median: $102.95
1.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$114K

4,353 claims · 0.2%

Your Cost: $26.30/claim|Median: $24.33
1.1× median
99468Top 10%

$111K

118 claims · 0.2%

Your Cost: $940.14/claim|Median: $679.18
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$97K

1,375 claims · 0.2%

Your Cost: $70.71/claim|Median: $134.97
0.5× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$97K

565 claims · 0.2%

Your Cost: $171.57/claim|Median: $111.09
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$80K

827 claims · 0.1%

Your Cost: $96.99/claim|Median: $75.18
1.3× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$72K

1,008 claims · 0.1%

Your Cost: $71.51/claim|Median: $37.22
1.9× median
93304Normal range

$67K

1,886 claims · 0.1%

Your Cost: $35.47/claim|Median: $54.29
0.7× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$66K

496 claims · 0.1%

Your Cost: $133.45/claim|Median: $51.25
2.6× median
94375Normal range

$63K

3,954 claims · 0.1%

Your Cost: $16.05/claim|Median: $17.23
0.9× median
99223Top 5%

Initial hospital care, per day, high complexity

$63K

319 claims · 0.1%

Your Cost: $197.28/claim|Median: $67.32
2.9× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$63K

1,780 claims · 0.1%

Your Cost: $35.12/claim|Median: $12.70
2.8× median
64642Normal range

$57K

1,029 claims · 0.1%

Your Cost: $55.66/claim|Median: $81.85
0.7× median
99255Top 10%

$52K

294 claims · 0.1%

Your Cost: $175.50/claim|Median: $90.45
1.9× median
93356Top 25%

$51K

1,215 claims · 0.1%

Your Cost: $41.99/claim|Median: $9.51
4.4× median
93227Normal range

$44K

1,808 claims · 0.1%

Your Cost: $24.21/claim|Median: $18.60
1.3× median
99243Top 25%

Office or other outpatient consultation, low complexity

$40K

390 claims · 0.1%

Your Cost: $103.60/claim|Median: $82.43
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$36K

336 claims · 0.1%

Your Cost: $107.17/claim|Median: $151.68
0.7× median
71045Top 25%

Chest X-ray, single view

$36K

4,447 claims · 0.1%

Your Cost: $8.03/claim|Median: $4.93
1.6× median
83020Top 25%

$34K

2,466 claims · 0.1%

Your Cost: $13.64/claim|Median: $9.42
1.4× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$32K

166 claims · 0.1%

Your Cost: $193.94/claim|Median: $59.72
3.2× median

Other Top Providers in South Carolina

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Medical University Hospital Authority

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$187.8M

Prisma Health University Medical Group

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$172.2M

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