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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

General Acute Care Hospital·NEW YORK, NY·NPI: 1033124961Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $108.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$108.2M

$108,181,703

Total Claims

2.4M

Beneficiaries

2.1M

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$215K
+2735%
2019
$6.1M
+185%
2020
$17.4M
+37%
2021
$23.8M
+5%
2022
$25.1M
-25%
2023
$18.8M
-11%
2024
$16.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 14% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$14.9M

80K claims · 13.8%

Your Cost: $187.36/claim|Median: $42.48
4.4× median
99284Top 10%

Emergency dept visit, high complexity

$11.3M

63K claims · 10.5%

Your Cost: $180.32/claim|Median: $69.51
2.6× median
99213Top 5%

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

$8.1M

88K claims · 7.5%

Your Cost: $92.43/claim|Median: $37.81
2.4× median
99214Top 10%

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

$6.9M

60K claims · 6.4%

Your Cost: $115.29/claim|Median: $53.41
2.2× median
90791Top 1%

Psychiatric diagnostic evaluation

$5.3M

5,867 claims · 4.9%

Your Cost: $908.31/claim|Median: $99.21
9.2× median
99282Top 5%

Emergency dept visit, low complexity

$3.4M

17K claims · 3.2%

Your Cost: $203.31/claim|Median: $37.72
5.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.2M

41K claims · 2.1%

Your Cost: $54.87/claim|Median: $63.08
0.9× median
H2012Normal range

Behavioral health day treatment, per hour

$2.2M

19K claims · 2.0%

Your Cost: $111.48/claim|Median: $137.86
0.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.9M

11K claims · 1.8%

Your Cost: $168.04/claim|Median: $85.65
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$1.8M

29K claims · 1.6%

Your Cost: $62.24/claim|Median: $25.06
2.5× median
99215Top 10%

Office/outpatient visit, high complexity

$1.7M

11K claims · 1.6%

Your Cost: $158.76/claim|Median: $74.09
2.1× median
99204Top 10%

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

$1.7M

10K claims · 1.6%

Your Cost: $162.14/claim|Median: $84.03
1.9× median
70450Top 10%

CT head/brain without contrast

$1.5M

7,376 claims · 1.4%

Your Cost: $206.20/claim|Median: $45.53
4.5× median
36415Top 5%

Collection of venous blood by venipuncture

$1.5M

158K claims · 1.4%

Your Cost: $9.46/claim|Median: $1.57
6.0× median
90832Top 5%

Psychotherapy, 30 minutes

$1.4M

7,745 claims · 1.3%

Your Cost: $184.34/claim|Median: $41.28
4.5× median
96361Normal range

IV infusion, hydration, each additional hour

$1.3M

14K claims · 1.2%

Your Cost: $92.50/claim|Median: $38.92
2.4× median
90834Top 5%

Psychotherapy, 45 minutes

$1.3M

5,714 claims · 1.2%

Your Cost: $226.88/claim|Median: $63.65
3.6× median
99203Top 5%

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

$1.2M

10K claims · 1.1%

Your Cost: $118.17/claim|Median: $57.85
2.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$894K

4,561 claims · 0.8%

Your Cost: $195.94/claim|Median: $111.09
1.8× median
81408Top 10%

Molecular pathology procedure, level nine

$836K

613 claims · 0.8%

Your Cost: $1,364.29/claim|Median: $158.72
8.6× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$827K

6,096 claims · 0.8%

Your Cost: $135.67/claim|Median: $32.55
4.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$761K

13K claims · 0.7%

Your Cost: $56.89/claim|Median: $75.18
0.8× median
90935Top 10%

Hemodialysis, one evaluation

$754K

4,162 claims · 0.7%

Your Cost: $181.09/claim|Median: $23.72
7.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$749K

26K claims · 0.7%

Your Cost: $28.80/claim|Median: $24.95
1.2× median
D9999Normal range

Unspecified adjunctive procedure, by report

$731K

5,340 claims · 0.7%

Your Cost: $136.80/claim|Median: $37.60
3.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$717K

4,488 claims · 0.7%

Your Cost: $159.80/claim|Median: $101.33
1.6× median
43239Top 10%

Upper GI endoscopy with biopsy

$700K

1,149 claims · 0.6%

Your Cost: $609.62/claim|Median: $151.68
4.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$663K

10K claims · 0.6%

Your Cost: $64.70/claim|Median: $69.35
0.9× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$656K

8,221 claims · 0.6%

Your Cost: $79.77/claim|Median: $22.44
3.6× median
80048Top 25%

Basic metabolic panel

$583K

64K claims · 0.5%

Your Cost: $9.10/claim|Median: $5.78
1.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$557K

23K claims · 0.5%

Your Cost: $24.56/claim|Median: $23.39
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$533K

25K claims · 0.5%

Your Cost: $20.91/claim|Median: $17.85
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$531K

30K claims · 0.5%

Your Cost: $17.42/claim|Median: $12.93
1.3× median
81220Top 10%

CFTR gene analysis, common variants

$515K

1,156 claims · 0.5%

Your Cost: $445.36/claim|Median: $183.31
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$511K

3,504 claims · 0.5%

Your Cost: $145.79/claim|Median: $65.76
2.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$451K

27K claims · 0.4%

Your Cost: $16.96/claim|Median: $9.56
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$412K

11K claims · 0.4%

Your Cost: $37.79/claim|Median: $74.82
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$411K

13K claims · 0.4%

Your Cost: $31.49/claim|Median: $35.43
0.9× median
81420Top 25%

Fetal chromosomal aneuploidy genomic sequence analysis

$409K

616 claims · 0.4%

Your Cost: $663.67/claim|Median: $358.21
1.9× median
45378Top 10%

Colonoscopy, diagnostic

$406K

545 claims · 0.4%

Your Cost: $745.41/claim|Median: $225.49
3.3× median
77067Top 5%

Screening mammography, bilateral, including CAD

$405K

3,015 claims · 0.4%

Your Cost: $134.32/claim|Median: $39.33
3.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$399K

12K claims · 0.4%

Your Cost: $34.61/claim|Median: $39.70
0.9× median
76856Top 10%

Ultrasound, pelvic, complete

$386K

2,350 claims · 0.4%

Your Cost: $164.43/claim|Median: $47.58
3.5× median
45380Top 10%

Colonoscopy with biopsy

$383K

605 claims · 0.4%

Your Cost: $632.35/claim|Median: $200.68
3.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$375K

6,757 claims · 0.3%

Your Cost: $55.54/claim|Median: $24.49
2.3× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$366K

2,864 claims · 0.3%

Your Cost: $127.67/claim|Median: $47.08
2.7× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$361K

5,976 claims · 0.3%

Your Cost: $60.35/claim|Median: $38.35
1.6× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$352K

5,417 claims · 0.3%

Your Cost: $64.98/claim|Median: $54.77
1.2× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$351K

12K claims · 0.3%

Your Cost: $29.30/claim|Median: $6.93
4.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$340K

18K claims · 0.3%

Your Cost: $18.56/claim|Median: $15.76
1.2× median