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CG MEDICAL ASSOCIATES INC

Clinic/Center, Urgent Care·CINCINNATI, OH·NPI: 1982903951Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.2M

$42,163,703

Total Claims

1.2M

Beneficiaries

998K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+87%
2019
$4.3M
-11%
2020
$3.9M
+52%
2021
$5.9M
+43%
2022
$8.4M
-10%
2023
$7.5M
+30%
2024
$9.8M

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 33% of total spending.

99214Normal range

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

$13.8M

239K claims · 32.8%

Your Cost: $57.91/claim|Median: $53.41
1.1× median
99213Normal range

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

$8.1M

178K claims · 19.2%

Your Cost: $45.45/claim|Median: $37.81
1.2× median
99204Normal range

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

$5.5M

81K claims · 12.9%

Your Cost: $67.46/claim|Median: $84.03
0.8× median
99203Normal range

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

$5.0M

99K claims · 11.9%

Your Cost: $50.68/claim|Median: $57.85
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$3.7M

123K claims · 8.8%

Your Cost: $30.20/claim|Median: $30.53
1.0× median
87798Top 5%

Infectious agent detection, nucleic acid, not otherwise specified

$1.5M

8,008 claims · 3.6%

Your Cost: $191.72/claim|Median: $26.72
7.2× median
87804Normal range

Influenza virus detection, rapid test

$1.0M

106K claims · 2.4%

Your Cost: $9.58/claim|Median: $12.59
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$768K

75K claims · 1.8%

Your Cost: $10.21/claim|Median: $11.48
0.9× median
99051Normal range

$533K

130K claims · 1.3%

Your Cost: $4.10/claim|Median: $7.89
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$277K

6,833 claims · 0.7%

Your Cost: $40.47/claim|Median: $40.11
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$256K

6,862 claims · 0.6%

Your Cost: $37.30/claim|Median: $25.06
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$229K

21K claims · 0.5%

Your Cost: $10.81/claim|Median: $9.56
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$220K

2,853 claims · 0.5%

Your Cost: $77.22/claim|Median: $74.09
1.0× median
87426Normal range

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

$214K

9,822 claims · 0.5%

Your Cost: $21.83/claim|Median: $30.04
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$99K

1,181 claims · 0.2%

Your Cost: $83.91/claim|Median: $111.09
0.8× median
87481Normal range

$99K

2,873 claims · 0.2%

Your Cost: $34.37/claim|Median: $22.38
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$97K

5,076 claims · 0.2%

Your Cost: $19.03/claim|Median: $28.46
0.7× median
87653Normal range

$94K

4,152 claims · 0.2%

Your Cost: $22.53/claim|Median: $19.33
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$87K

3,762 claims · 0.2%

Your Cost: $23.07/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$85K

3,769 claims · 0.2%

Your Cost: $22.66/claim|Median: $23.39
1.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$74K

3,692 claims · 0.2%

Your Cost: $20.16/claim|Median: $21.08
1.0× median
87529Top 25%

$73K

1,598 claims · 0.2%

Your Cost: $45.94/claim|Median: $24.98
1.8× median
87511Normal range

$60K

2,862 claims · 0.1%

Your Cost: $20.99/claim|Median: $16.46
1.3× median
81002Normal range

Urinalysis, non-automated without microscopy

$40K

17K claims · 0.1%

Your Cost: $2.36/claim|Median: $2.00
1.2× median
87641Top 25%

$37K

1,622 claims · 0.1%

Your Cost: $22.69/claim|Median: $12.38
1.8× median
81025Normal range

Urine pregnancy test

$19K

3,325 claims · 0.0%

Your Cost: $5.78/claim|Median: $4.81
1.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$16K

1,755 claims · 0.0%

Your Cost: $9.40/claim|Median: $10.88
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$15K

154 claims · 0.0%

Your Cost: $95.70/claim|Median: $100.62
1.0× median
87480Normal range

$12K

973 claims · 0.0%

Your Cost: $12.49/claim|Median: $14.31
0.9× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$12K

264 claims · 0.0%

Your Cost: $45.15/claim|Median: $27.38
1.6× median
81003Normal range

Urinalysis, automated without microscopy

$11K

7,010 claims · 0.0%

Your Cost: $1.54/claim|Median: $1.48
1.0× median
87498Top 25%

$9K

458 claims · 0.0%

Your Cost: $19.75/claim|Median: $10.02
2.0× median
86580Top 25%

Tuberculosis (TB) skin test

$7K

849 claims · 0.0%

Your Cost: $8.34/claim|Median: $4.46
1.9× median
J1100Normal range

$7K

7,520 claims · 0.0%

Your Cost: $0.90/claim|Median: $0.52
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$6K

98 claims · 0.0%

Your Cost: $65.20/claim|Median: $80.15
0.8× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$6K

3,319 claims · 0.0%

Your Cost: $1.71/claim|Median: $0.91
1.9× median
90714Normal range

Td vaccine

$3K

156 claims · 0.0%

Your Cost: $20.72/claim|Median: $13.20
1.6× median
36415Top 25%

Collection of venous blood by venipuncture

$3K

1,058 claims · 0.0%

Your Cost: $2.97/claim|Median: $1.57
1.9× median
J0696Normal range

$3K

1,920 claims · 0.0%

Your Cost: $1.46/claim|Median: $1.34
1.1× median
69209Normal range

$3K

396 claims · 0.0%

Your Cost: $7.06/claim|Median: $8.70
0.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$3K

105 claims · 0.0%

Your Cost: $25.19/claim|Median: $34.62
0.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$2K

120 claims · 0.0%

Your Cost: $20.03/claim|Median: $12.93
1.5× median
10060Normal range

Incision and drainage of abscess, simple

$2K

36 claims · 0.0%

Your Cost: $62.75/claim|Median: $75.72
0.8× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$2K

31 claims · 0.0%

Your Cost: $70.23/claim|Median: $83.63
0.8× median
90471Normal range

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

$2K

137 claims · 0.0%

Your Cost: $14.41/claim|Median: $9.80
1.5× median
87428Normal range

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

$1K

44 claims · 0.0%

Your Cost: $30.86/claim|Median: $39.63
0.8× median
87640Top 25%

$1K

66 claims · 0.0%

Your Cost: $19.94/claim|Median: $8.39
2.4× median
12001Normal range

$808

13 claims · 0.0%

Your Cost: $62.17/claim|Median: $64.99
1.0× median
87500Top 10%

$803

32 claims · 0.0%

Your Cost: $25.10/claim|Median: $8.53
2.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$737

40 claims · 0.0%

Your Cost: $18.42/claim|Median: $39.70
0.5× median

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