Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Clinic/Center·BRONX, NY·NPI: 1003824608Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.6M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$34.6M

$34,623,365

Total Claims

949K

Beneficiaries

773K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$860K
+183%
2019
$2.4M
+162%
2020
$6.4M
+41%
2021
$9.0M
-32%
2022
$6.2M
-19%
2023
$5.0M
-3%
2024
$4.8M

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 19% of total spending.

99213Top 10%

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

$6.5M

81K claims · 18.6%

Your Cost: $79.94/claim|Median: $37.81
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.3M

34K claims · 6.7%

Your Cost: $68.65/claim|Median: $63.08
1.1× median
99212Top 10%

Office/outpatient visit, low complexity

$1.9M

29K claims · 5.6%

Your Cost: $65.91/claim|Median: $25.06
2.6× median
99214Top 10%

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

$1.8M

18K claims · 5.3%

Your Cost: $104.27/claim|Median: $53.41
2.0× median
90832Top 10%

Psychotherapy, 30 minutes

$1.6M

16K claims · 4.5%

Your Cost: $98.59/claim|Median: $41.28
2.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$983K

11K claims · 2.8%

Your Cost: $88.40/claim|Median: $74.82
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$849K

11K claims · 2.5%

Your Cost: $76.50/claim|Median: $75.18
1.0× median
90834Top 10%

Psychotherapy, 45 minutes

$836K

6,487 claims · 2.4%

Your Cost: $128.94/claim|Median: $63.65
2.0× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$823K

7,816 claims · 2.4%

Your Cost: $105.26/claim|Median: $80.15
1.3× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$625K

7,971 claims · 1.8%

Your Cost: $78.43/claim|Median: $22.44
3.5× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$548K

17K claims · 1.6%

Your Cost: $32.38/claim|Median: $17.85
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$528K

17K claims · 1.5%

Your Cost: $31.06/claim|Median: $24.95
1.2× median
90471Top 25%

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

$512K

28K claims · 1.5%

Your Cost: $18.28/claim|Median: $9.80
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$484K

7,659 claims · 1.4%

Your Cost: $63.16/claim|Median: $69.35
0.9× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$472K

7,952 claims · 1.4%

Your Cost: $59.36/claim|Median: $38.35
1.5× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$391K

2,702 claims · 1.1%

Your Cost: $144.68/claim|Median: $37.60
3.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$385K

8,921 claims · 1.1%

Your Cost: $43.10/claim|Median: $39.70
1.1× median
99203Top 10%

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

$382K

3,357 claims · 1.1%

Your Cost: $113.82/claim|Median: $57.85
2.0× median
D0999Normal range

Unspecified diagnostic procedure, by report

$378K

2,366 claims · 1.1%

Your Cost: $159.85/claim|Median: $101.33
1.6× median
80061Normal range

Lipid panel

$365K

30K claims · 1.1%

Your Cost: $12.13/claim|Median: $8.41
1.4× median
99204Top 10%

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

$362K

2,276 claims · 1.0%

Your Cost: $159.04/claim|Median: $84.03
1.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$330K

11K claims · 1.0%

Your Cost: $30.22/claim|Median: $23.39
1.3× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$320K

5,256 claims · 0.9%

Your Cost: $60.92/claim|Median: $13.30
4.6× median
36415Top 5%

Collection of venous blood by venipuncture

$308K

22K claims · 0.9%

Your Cost: $14.19/claim|Median: $1.57
9.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$308K

17K claims · 0.9%

Your Cost: $18.32/claim|Median: $12.93
1.4× median
85027Top 25%

Complete blood count (CBC), automated

$305K

40K claims · 0.9%

Your Cost: $7.55/claim|Median: $3.72
2.0× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$300K

2,496 claims · 0.9%

Your Cost: $120.12/claim|Median: $72.71
1.7× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$299K

12K claims · 0.9%

Your Cost: $24.54/claim|Median: $15.76
1.6× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$294K

3,243 claims · 0.8%

Your Cost: $90.64/claim|Median: $47.08
1.9× median
77067Top 10%

Screening mammography, bilateral, including CAD

$287K

2,644 claims · 0.8%

Your Cost: $108.58/claim|Median: $39.33
2.8× median
80053Top 25%

Comprehensive metabolic panel

$285K

24K claims · 0.8%

Your Cost: $11.77/claim|Median: $7.24
1.6× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$261K

5,387 claims · 0.8%

Your Cost: $48.48/claim|Median: $6.93
7.0× median
80048Normal range

Basic metabolic panel

$245K

29K claims · 0.7%

Your Cost: $8.42/claim|Median: $5.78
1.5× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$226K

7,911 claims · 0.7%

Your Cost: $28.59/claim|Median: $26.94
1.1× median
90651Top 10%

HPV vaccine, 9-valent

$222K

3,263 claims · 0.6%

Your Cost: $67.89/claim|Median: $8.93
7.6× median
83655Top 10%

$213K

12K claims · 0.6%

Your Cost: $17.08/claim|Median: $10.49
1.6× median
81001Top 10%

Urinalysis, automated, with microscopy

$209K

27K claims · 0.6%

Your Cost: $7.70/claim|Median: $2.03
3.8× median
86703Top 25%

$205K

15K claims · 0.6%

Your Cost: $14.02/claim|Median: $10.37
1.4× median
99215Top 10%

Office/outpatient visit, high complexity

$202K

1,386 claims · 0.6%

Your Cost: $145.98/claim|Median: $74.09
2.0× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$192K

510 claims · 0.6%

Your Cost: $376.42/claim|Median: $169.17
2.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$189K

24K claims · 0.5%

Your Cost: $7.88/claim|Median: $5.50
1.4× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$189K

1,877 claims · 0.5%

Your Cost: $100.51/claim|Median: $59.72
1.7× median
90677Top 10%

$180K

1,179 claims · 0.5%

Your Cost: $152.58/claim|Median: $12.96
11.8× median
90472Top 25%

Immunization administration, each additional vaccine

$175K

8,312 claims · 0.5%

Your Cost: $21.05/claim|Median: $11.79
1.8× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$171K

2,612 claims · 0.5%

Your Cost: $65.38/claim|Median: $27.38
2.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$163K

13K claims · 0.5%

Your Cost: $12.77/claim|Median: $9.87
1.3× median
90837Top 10%

Psychotherapy, 60 minutes

$157K

1,105 claims · 0.5%

Your Cost: $142.15/claim|Median: $85.66
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$155K

14K claims · 0.4%

Your Cost: $10.83/claim|Median: $7.18
1.5× median
90746Normal range

Hepatitis B vaccine, adult

$154K

2,542 claims · 0.4%

Your Cost: $60.57/claim|Median: $48.85
1.2× median
U0001Top 10%

$128K

3,246 claims · 0.4%

Your Cost: $39.54/claim|Median: $24.79
1.6× median