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

⚖️ Compare🖨️ Print Report

BORO PARK PEDIATRIC ASSOCIATES, PLLC

Pediatrics·BROOKLYN, NY·NPI: 1063629186Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.1M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2023-01(61 months)
Billing appears to have stoppedLast active: 2023-01

Total Paid

$31.1M

$31,119,453

Total Claims

874K

Beneficiaries

820K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$5.2M
-4%
2019
$5.0M
+7%
2020
$5.4M
+33%
2021
$7.2M
+12%
2022
$8.0M
-97%
2023
$246K

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 56% of total spending.

99213Top 10%

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

$17.3M

223K claims · 55.6%

Your Cost: $77.59/claim|Median: $37.81
2.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.2M

22K claims · 7.2%

Your Cost: $100.60/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.8M

18K claims · 5.7%

Your Cost: $99.23/claim|Median: $74.82
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.5M

49K claims · 4.9%

Your Cost: $31.05/claim|Median: $17.85
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.4M

16K claims · 4.6%

Your Cost: $89.86/claim|Median: $69.35
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$957K

9,361 claims · 3.1%

Your Cost: $102.24/claim|Median: $80.15
1.3× median
99214Top 5%

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

$805K

6,416 claims · 2.6%

Your Cost: $125.40/claim|Median: $53.41
2.3× median
87070Normal range

Bacterial culture, any source except blood or urine

$796K

99K claims · 2.6%

Your Cost: $8.02/claim|Median: $5.89
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$677K

15K claims · 2.2%

Your Cost: $45.76/claim|Median: $25.06
1.8× median
87184Top 25%

$647K

99K claims · 2.1%

Your Cost: $6.51/claim|Median: $4.02
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$588K

98K claims · 1.9%

Your Cost: $5.98/claim|Median: $11.48
0.5× median
87804Top 10%

Influenza virus detection, rapid test

$562K

19K claims · 1.8%

Your Cost: $30.29/claim|Median: $12.59
2.4× median
99050Normal range

$513K

46K claims · 1.6%

Your Cost: $11.06/claim|Median: $11.81
0.9× median
69210Top 5%

$345K

6,721 claims · 1.1%

Your Cost: $51.27/claim|Median: $21.74
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$217K

54K claims · 0.7%

Your Cost: $3.99/claim|Median: $4.71
0.8× median
83655Top 25%

$112K

7,899 claims · 0.4%

Your Cost: $14.20/claim|Median: $10.49
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$105K

1,721 claims · 0.3%

Your Cost: $60.96/claim|Median: $62.48
1.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$102K

1,836 claims · 0.3%

Your Cost: $55.29/claim|Median: $37.22
1.5× median
87811Top 5%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$71K

1,549 claims · 0.2%

Your Cost: $46.11/claim|Median: $30.53
1.5× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$66K

9,666 claims · 0.2%

Your Cost: $6.83/claim|Median: $24.33
0.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$61K

604 claims · 0.2%

Your Cost: $101.41/claim|Median: $72.71
1.4× median
G0447Normal range

$57K

6,788 claims · 0.2%

Your Cost: $8.35/claim|Median: $5.19
1.6× median
87086Normal range

Urine culture, colony count, with identification

$27K

3,515 claims · 0.1%

Your Cost: $7.74/claim|Median: $5.31
1.5× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$26K

242 claims · 0.1%

Your Cost: $107.82/claim|Median: $73.46
1.5× median
87426Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$24K

504 claims · 0.1%

Your Cost: $47.12/claim|Median: $30.04
1.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$21K

1,811 claims · 0.1%

Your Cost: $11.74/claim|Median: $6.93
1.7× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$9K

106 claims · 0.0%

Your Cost: $81.81/claim|Median: $81.92
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$8K

409 claims · 0.0%

Your Cost: $18.76/claim|Median: $9.56
2.0× median
81003Normal range

Urinalysis, automated without microscopy

$7K

3,928 claims · 0.0%

Your Cost: $1.83/claim|Median: $1.48
1.2× median
99462Normal range

$5K

187 claims · 0.0%

Your Cost: $29.10/claim|Median: $27.49
1.1× median
98926Top 10%

$5K

105 claims · 0.0%

Your Cost: $42.96/claim|Median: $22.66
1.9× median
94664Top 25%

$4K

273 claims · 0.0%

Your Cost: $16.43/claim|Median: $8.88
1.9× median
99215Top 25%

Office/outpatient visit, high complexity

$3K

24 claims · 0.0%

Your Cost: $130.97/claim|Median: $74.09
1.8× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$3K

30 claims · 0.0%

Your Cost: $89.49/claim|Median: $79.89
1.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$3K

26 claims · 0.0%

Your Cost: $102.28/claim|Median: $83.63
1.2× median
36416Normal range

$2K

38K claims · 0.0%

Your Cost: $0.06/claim|Median: $1.31
0.0× median
51701Normal range

$2K

70 claims · 0.0%

Your Cost: $31.46/claim|Median: $22.05
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

3,511 claims · 0.0%

Your Cost: $0.44/claim|Median: $7.18
0.1× median
12001Normal range

$2K

13 claims · 0.0%

Your Cost: $117.32/claim|Median: $64.99
1.8× median
99203Top 5%

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

$2K

13 claims · 0.0%

Your Cost: $116.31/claim|Median: $57.85
2.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$1K

108 claims · 0.0%

Your Cost: $13.76/claim|Median: $10.88
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$1K

18 claims · 0.0%

Your Cost: $81.53/claim|Median: $40.11
2.0× median
99234Top 10%

$1K

13 claims · 0.0%

Your Cost: $112.72/claim|Median: $80.89
1.4× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1K

15 claims · 0.0%

Your Cost: $78.66/claim|Median: $43.85
1.8× median
99221Top 10%

Initial hospital care, straightforward/low

$1K

12 claims · 0.0%

Your Cost: $85.40/claim|Median: $39.96
2.1× median
36415Normal range

Collection of venous blood by venipuncture

$396

481 claims · 0.0%

Your Cost: $0.82/claim|Median: $1.57
0.5× median
90715Normal range

Tdap vaccine

$208

66 claims · 0.0%

Your Cost: $3.15/claim|Median: $10.32
0.3× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$162

91 claims · 0.0%

Your Cost: $1.78/claim|Median: $0.79
2.3× median
J0696Normal range

$122

102 claims · 0.0%

Your Cost: $1.20/claim|Median: $1.34
0.9× median
90633Normal range

$30

529 claims · 0.0%

Your Cost: $0.06/claim|Median: $3.56
0.0× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in Pediatrics

Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

← All providersAll providers in New York →How we detect fraud →