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Yale University

Internal Medicine·New Haven, CT·NPI: 1205822236Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $137.0M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$137.0M

$137,026,668

Total Claims

4.0M

Beneficiaries

3.6M

1.1 claims/patient

Avg Cost/Claim

$34

#816 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Yale University is a Internal Medicine provider based in New Haven, CT. From the 2018–2024 period, this provider received $137.0M in Medicaid payments across 4.0M claims.

Why This Matters

This provider received $137.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,128 Medicaid beneficiaries for a full year at average per-enrollee costs.

9% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.2M
+10%
2019
$21.1M
-21%
2020
$16.8M
+9%
2021
$18.3M
+6%
2022
$19.4M
+10%
2023
$21.4M
-2%
2024
$20.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 15% of total spending.

99214Normal range

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

$20.4M

399K claims · 14.9%

Your Cost: $51.09/claim|Median: $53.41
1.0× median
99284Normal range

Emergency dept visit, high complexity

$18.3M

316K claims · 13.3%

Your Cost: $57.79/claim|Median: $69.51
0.8× median
99213Normal range

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

$10.8M

320K claims · 7.8%

Your Cost: $33.58/claim|Median: $37.81
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$9.2M

124K claims · 6.7%

Your Cost: $74.33/claim|Median: $85.65
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$4.4M

55K claims · 3.2%

Your Cost: $79.56/claim|Median: $74.09
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.7M

133K claims · 2.7%

Your Cost: $27.68/claim|Median: $23.99
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$3.0M

95K claims · 2.2%

Your Cost: $31.41/claim|Median: $42.48
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$2.9M

24K claims · 2.1%

Your Cost: $118.33/claim|Median: $121.58
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$2.8M

69K claims · 2.0%

Your Cost: $40.01/claim|Median: $65.76
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$2.6M

66K claims · 1.9%

Your Cost: $38.54/claim|Median: $35.80
1.1× median
99203Normal range

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

$1.8M

35K claims · 1.3%

Your Cost: $52.32/claim|Median: $57.85
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$1.8M

22K claims · 1.3%

Your Cost: $80.81/claim|Median: $101.24
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.7M

37K claims · 1.2%

Your Cost: $44.43/claim|Median: $35.30
1.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.7M

21K claims · 1.2%

Your Cost: $79.01/claim|Median: $82.43
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

51K claims · 1.1%

Your Cost: $30.52/claim|Median: $54.68
0.6× median
70450Normal range

CT head/brain without contrast

$1.5M

84K claims · 1.1%

Your Cost: $17.58/claim|Median: $45.53
0.4× median
99204Normal range

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

$1.4M

19K claims · 1.0%

Your Cost: $75.17/claim|Median: $84.03
0.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.4M

12K claims · 1.0%

Your Cost: $113.29/claim|Median: $75.18
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.3M

12K claims · 1.0%

Your Cost: $110.32/claim|Median: $69.35
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$1.2M

23K claims · 0.9%

Your Cost: $51.86/claim|Median: $133.68
0.4× median
00170Normal range

Anesthesia for intraoral procedures

$1.1M

7K claims · 0.8%

Your Cost: $149.55/claim|Median: $132.89
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$1.0M

65K claims · 0.7%

Your Cost: $15.61/claim|Median: $16.77
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.0M

11K claims · 0.7%

Your Cost: $90.25/claim|Median: $106.79
0.8× median
77387Top 25%

$964K

11K claims · 0.7%

Your Cost: $86.00/claim|Median: $38.80
2.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$939K

24K claims · 0.7%

Your Cost: $39.92/claim|Median: $47.08
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$935K

37K claims · 0.7%

Your Cost: $25.45/claim|Median: $58.55
0.4× median
59025Normal range

Fetal non-stress test

$932K

21K claims · 0.7%

Your Cost: $43.74/claim|Median: $26.45
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$915K

256K claims · 0.7%

Your Cost: $3.57/claim|Median: $5.60
0.6× median
90960Top 25%

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

$903K

8K claims · 0.7%

Your Cost: $116.29/claim|Median: $52.76
2.2× median
71045Normal range

Chest X-ray, single view

$838K

210K claims · 0.6%

Your Cost: $4.00/claim|Median: $4.93
0.8× median