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: 1134137375Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.6M is at the 25th percentile among 13 Clinic/Center providers.

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

Total Paid

$19.6M

$19,588,203

Total Claims

583K

Beneficiaries

486K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$34K
+3254%
2019
$1.1M
+242%
2020
$3.9M
+38%
2021
$5.4M
-29%
2022
$3.8M
-24%
2023
$2.9M
-14%
2024
$2.5M

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 17% of total spending.

99213Top 10%

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

$3.2M

44K claims · 16.5%

Your Cost: $74.21/claim|Median: $37.81
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.3M

20K claims · 6.5%

Your Cost: $63.85/claim|Median: $63.08
1.0× median
99214Top 25%

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

$1.1M

11K claims · 5.7%

Your Cost: $99.20/claim|Median: $53.41
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$1.1M

20K claims · 5.5%

Your Cost: $54.64/claim|Median: $25.06
2.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$654K

6,831 claims · 3.3%

Your Cost: $95.69/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$606K

5,367 claims · 3.1%

Your Cost: $112.95/claim|Median: $80.15
1.4× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$589K

1,422 claims · 3.0%

Your Cost: $414.03/claim|Median: $169.17
2.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$578K

22K claims · 2.9%

Your Cost: $26.14/claim|Median: $24.95
1.0× median
86480Top 10%

Tuberculosis test, cell-mediated immunity

$560K

8,828 claims · 2.9%

Your Cost: $63.46/claim|Median: $38.35
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$549K

6,138 claims · 2.8%

Your Cost: $89.42/claim|Median: $75.18
1.2× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$414K

13K claims · 2.1%

Your Cost: $32.00/claim|Median: $23.39
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$373K

9,199 claims · 1.9%

Your Cost: $40.54/claim|Median: $17.85
2.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$311K

4,300 claims · 1.6%

Your Cost: $72.21/claim|Median: $69.35
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$299K

6,963 claims · 1.5%

Your Cost: $42.95/claim|Median: $12.70
3.4× median
90471Top 25%

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

$298K

16K claims · 1.5%

Your Cost: $19.21/claim|Median: $9.80
2.0× median
D0999Normal range

Unspecified diagnostic procedure, by report

$289K

1,809 claims · 1.5%

Your Cost: $159.91/claim|Median: $101.33
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$247K

3,727 claims · 1.3%

Your Cost: $66.19/claim|Median: $47.08
1.4× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$233K

2,708 claims · 1.2%

Your Cost: $85.94/claim|Median: $32.55
2.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$232K

6,036 claims · 1.2%

Your Cost: $38.38/claim|Median: $39.70
1.0× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$231K

3,281 claims · 1.2%

Your Cost: $70.28/claim|Median: $22.44
3.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$226K

11K claims · 1.2%

Your Cost: $20.05/claim|Median: $12.93
1.6× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$218K

4,127 claims · 1.1%

Your Cost: $52.83/claim|Median: $6.93
7.6× median
77067Top 10%

Screening mammography, bilateral, including CAD

$211K

1,663 claims · 1.1%

Your Cost: $127.18/claim|Median: $39.33
3.2× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$198K

1,575 claims · 1.0%

Your Cost: $125.83/claim|Median: $72.71
1.7× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$192K

2,968 claims · 1.0%

Your Cost: $64.67/claim|Median: $27.38
2.4× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$187K

3,581 claims · 1.0%

Your Cost: $52.11/claim|Median: $13.30
3.9× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$180K

1,267 claims · 0.9%

Your Cost: $142.25/claim|Median: $37.60
3.8× median
U0005Top 10%

Infectious disease detection, COVID-19, antigen

$180K

7,235 claims · 0.9%

Your Cost: $24.84/claim|Median: $15.76
1.6× median
99203Top 5%

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

$173K

1,445 claims · 0.9%

Your Cost: $119.49/claim|Median: $57.85
2.1× median
80053Normal range

Comprehensive metabolic panel

$172K

18K claims · 0.9%

Your Cost: $9.79/claim|Median: $7.24
1.4× median
80061Normal range

Lipid panel

$154K

14K claims · 0.8%

Your Cost: $11.31/claim|Median: $8.41
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$147K

1,769 claims · 0.7%

Your Cost: $83.03/claim|Median: $40.11
2.1× median
99204Top 5%

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

$146K

867 claims · 0.7%

Your Cost: $168.62/claim|Median: $84.03
2.0× median
86703Top 25%

$139K

9,914 claims · 0.7%

Your Cost: $14.00/claim|Median: $10.37
1.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$124K

28K claims · 0.6%

Your Cost: $4.37/claim|Median: $2.03
2.2× median
85027Normal range

Complete blood count (CBC), automated

$119K

21K claims · 0.6%

Your Cost: $5.63/claim|Median: $3.72
1.5× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$116K

1,372 claims · 0.6%

Your Cost: $84.49/claim|Median: $41.92
2.0× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$113K

14K claims · 0.6%

Your Cost: $8.22/claim|Median: $5.50
1.5× median
U0001Top 25%

$111K

3,129 claims · 0.6%

Your Cost: $35.41/claim|Median: $24.79
1.4× median
86769Normal range

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

$110K

4,183 claims · 0.6%

Your Cost: $26.24/claim|Median: $26.94
1.0× median
92558Top 25%

$109K

8,149 claims · 0.6%

Your Cost: $13.37/claim|Median: $6.67
2.0× median
90677Top 10%

$104K

574 claims · 0.5%

Your Cost: $180.91/claim|Median: $12.96
14.0× median
90472Top 25%

Immunization administration, each additional vaccine

$102K

4,931 claims · 0.5%

Your Cost: $20.74/claim|Median: $11.79
1.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$96K

6,896 claims · 0.5%

Your Cost: $13.90/claim|Median: $9.87
1.4× median
86780Top 25%

$89K

6,814 claims · 0.5%

Your Cost: $13.05/claim|Median: $9.83
1.3× median
96110Top 10%

Developmental screening, per standardized instrument

$86K

3,174 claims · 0.4%

Your Cost: $26.97/claim|Median: $9.10
3.0× median
11721Top 5%

$84K

2,596 claims · 0.4%

Your Cost: $32.27/claim|Median: $8.56
3.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$83K

6,435 claims · 0.4%

Your Cost: $12.86/claim|Median: $7.18
1.8× median
H0049Top 10%

$81K

1,668 claims · 0.4%

Your Cost: $48.30/claim|Median: $9.27
5.2× median
76856Top 10%

Ultrasound, pelvic, complete

$80K

580 claims · 0.4%

Your Cost: $138.23/claim|Median: $47.58
2.9× median