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NEW YORK QUEENS MEDICINE AND SURGERY, P.C.

Pediatrics·FRESH MEADOWS, NY·NPI: 1003114851Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$40.8M

$40,805,292

Total Claims

611K

Beneficiaries

551K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+50%
2019
$5.0M
-6%
2020
$4.7M
+34%
2021
$6.3M
+20%
2022
$7.6M
+4%
2023
$7.9M
-24%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Top 10%

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

$12.0M

146K claims · 29.3%

Your Cost: $81.75/claim|Median: $37.81
2.2× median
99214Top 5%

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

$5.9M

48K claims · 14.5%

Your Cost: $122.96/claim|Median: $53.41
2.3× median
99204Top 5%

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

$3.3M

18K claims · 8.0%

Your Cost: $182.62/claim|Median: $84.03
2.2× median
99203Top 5%

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

$2.0M

16K claims · 4.9%

Your Cost: $122.21/claim|Median: $57.85
2.1× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$1.4M

15K claims · 3.4%

Your Cost: $90.92/claim|Median: $35.80
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.2M

19K claims · 3.0%

Your Cost: $63.06/claim|Median: $24.49
2.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$914K

8,290 claims · 2.2%

Your Cost: $110.26/claim|Median: $54.68
2.0× median
99223Top 5%

Initial hospital care, per day, high complexity

$912K

5,686 claims · 2.2%

Your Cost: $160.39/claim|Median: $67.32
2.4× median
99212Top 25%

Office/outpatient visit, low complexity

$906K

20K claims · 2.2%

Your Cost: $45.10/claim|Median: $25.06
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$828K

11K claims · 2.0%

Your Cost: $73.58/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$707K

10K claims · 1.7%

Your Cost: $67.84/claim|Median: $69.35
1.0× median
93010Top 25%

Electrocardiogram, interpretation and report only

$610K

73K claims · 1.5%

Your Cost: $8.36/claim|Median: $5.60
1.5× median
99215Top 5%

Office/outpatient visit, high complexity

$520K

3,018 claims · 1.3%

Your Cost: $172.36/claim|Median: $74.09
2.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$452K

6,616 claims · 1.1%

Your Cost: $68.27/claim|Median: $74.82
0.9× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$448K

8,015 claims · 1.1%

Your Cost: $55.95/claim|Median: $23.99
2.3× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$412K

4,910 claims · 1.0%

Your Cost: $83.86/claim|Median: $35.30
2.4× median
88342Top 25%

$398K

7,539 claims · 1.0%

Your Cost: $52.83/claim|Median: $23.66
2.2× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$364K

3,147 claims · 0.9%

Your Cost: $115.59/claim|Median: $51.25
2.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$351K

3,319 claims · 0.9%

Your Cost: $105.82/claim|Median: $106.79
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$350K

7,175 claims · 0.9%

Your Cost: $48.75/claim|Median: $58.55
0.8× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$307K

4,116 claims · 0.8%

Your Cost: $74.47/claim|Median: $37.22
2.0× median
93975Top 5%

Duplex scan of arterial inflow and venous outflow, complete

$306K

979 claims · 0.7%

Your Cost: $312.18/claim|Median: $79.28
3.9× median
93304Top 25%

$297K

1,823 claims · 0.7%

Your Cost: $163.18/claim|Median: $54.29
3.0× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$286K

3,139 claims · 0.7%

Your Cost: $91.10/claim|Median: $47.08
1.9× median
76830Top 5%

Ultrasound, transvaginal

$280K

1,998 claims · 0.7%

Your Cost: $140.17/claim|Median: $57.47
2.4× median
88307Top 10%

Surgical pathology, gross and microscopic, complex

$275K

2,563 claims · 0.7%

Your Cost: $107.25/claim|Median: $59.38
1.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$247K

10K claims · 0.6%

Your Cost: $24.56/claim|Median: $16.79
1.5× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$239K

3,952 claims · 0.6%

Your Cost: $60.45/claim|Median: $38.23
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$223K

2,950 claims · 0.5%

Your Cost: $75.58/claim|Median: $80.15
0.9× median
59025Normal range

Fetal non-stress test

$217K

5,875 claims · 0.5%

Your Cost: $36.97/claim|Median: $26.45
1.4× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$205K

12K claims · 0.5%

Your Cost: $16.56/claim|Median: $9.70
1.7× median
93303Top 25%

Echocardiography, transthoracic, limited

$173K

907 claims · 0.4%

Your Cost: $191.00/claim|Median: $112.83
1.7× median
88341Top 25%

$158K

1,763 claims · 0.4%

Your Cost: $89.49/claim|Median: $45.31
2.0× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$155K

2,597 claims · 0.4%

Your Cost: $59.85/claim|Median: $29.03
2.1× median
G2066Top 5%

$155K

1,103 claims · 0.4%

Your Cost: $140.37/claim|Median: $14.66
9.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$144K

3,947 claims · 0.4%

Your Cost: $36.53/claim|Median: $17.85
2.0× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$136K

1,695 claims · 0.3%

Your Cost: $80.06/claim|Median: $22.44
3.6× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$134K

1,292 claims · 0.3%

Your Cost: $104.05/claim|Median: $76.06
1.4× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$131K

1,114 claims · 0.3%

Your Cost: $117.40/claim|Median: $59.72
2.0× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$124K

1,168 claims · 0.3%

Your Cost: $106.47/claim|Median: $43.85
2.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$109K

3,008 claims · 0.3%

Your Cost: $36.25/claim|Median: $36.79
1.0× median
99291Top 10%

Critical care, first 30-74 minutes

$108K

458 claims · 0.3%

Your Cost: $235.90/claim|Median: $101.24
2.3× median
43239Normal range

Upper GI endoscopy with biopsy

$104K

744 claims · 0.3%

Your Cost: $139.51/claim|Median: $151.68
0.9× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$93K

949 claims · 0.2%

Your Cost: $98.42/claim|Median: $72.71
1.4× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$84K

383 claims · 0.2%

Your Cost: $218.06/claim|Median: $111.09
2.0× median
93325Normal range

$83K

4,149 claims · 0.2%

Your Cost: $19.96/claim|Median: $14.61
1.4× median
92134Top 25%

$71K

3,061 claims · 0.2%

Your Cost: $23.29/claim|Median: $15.46
1.5× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$70K

760 claims · 0.2%

Your Cost: $91.68/claim|Median: $58.82
1.6× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$67K

1,341 claims · 0.2%

Your Cost: $50.18/claim|Median: $13.30
3.8× median
95951Normal range

$64K

222 claims · 0.2%

Your Cost: $289.93/claim|Median: $183.28
1.6× median