CPT Billing Explorer

E/M billing has real clinical judgment built in, so two careful clinicians can code slightly differently. Across a full practice panel, those subtle mix differences can add up to meaningful dollar differences.

We use the CMS Medicare Physician/Supplier utilization dataset (MUP_PHY_R25_P05_V20_D23_Prov_Svc.csv) to estimate national norms for E/M level selection patterns. In this tool, those norms come from the D23 file (calendar year 2023 Medicare claims, Jan-Dec 2023). Medicare is used here as a large, consistent national benchmark; in many cases, these coding-pattern insights can also be directionally extrapolated to commercial/private payors. Opportunity dollars are therefore shown as a 12-month estimate for your selected practice size. Some benchmarks may be unavailable when specialty/category volume is too low for stable percentiles or when category detail is incomplete in the benchmark inputs.

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Specialty

Number of providers in your practice

Benchmark

Your Estimated Baseline

CASE STUDIES / TESTIMONIALS

Reducing clinical variation and clinician frustration

A process improvement manager at a regional health system identified inappropriate lab orders during a data-driven order set review process. The downstream removal of inpatient bacterial antigen testing saved over $700,000 annually on low-yield testing, while streamlining the order set design.

OUTCOMES

$700K annual savings by reducing bacterial antigen orders 57%
10X efficiency gains in order set review processes
Streamlined workflows by retiring redundant order sets

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Cutting non-essential orders and IT time

A regional health system reduced non-essential IV fluid usage by 40% within weeks of a nationwide shortage. With Phrase Health, they implemented targeted interventions 5× faster than traditional analytics methods would allow, bypassing IT bottlenecks despite competing strategic priorities.

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"The great thing about Phrase Health is that it makes it very easy to get the data you want. Most other vendors make retrieving any sort of data cumbersome.

Medical director,
Academic health system

ROI

$1M+

saved in lab costs

3,000+ hrs

saved in EHR clicks

10x

operational efficiences

50%

more care gaps closed

CPT Billing Explorer

Reducing clinical variation and clinician frustration

Cutting non-essential orders and IT time

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