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

⚖️ Compare🖨️ Print Report

ADVANCED DERMATOLOGY PC

Dermatology·NEW HYDE PARK, NY·NPI: 1134201460Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.0M

$44,004,536

Total Claims

632K

Beneficiaries

575K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+54%
2019
$3.1M
+18%
2020
$3.6M
+101%
2021
$7.3M
+39%
2022
$10.1M
-2%
2023
$9.9M
-18%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 49 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.

99213Top 10%

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

$11.0M

153K claims · 25.0%

Your Cost: $72.07/claim|Median: $37.81
1.9× median
99214Top 10%

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

$7.9M

74K claims · 18.0%

Your Cost: $107.92/claim|Median: $53.41
2.0× median
99203Top 10%

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

$4.4M

45K claims · 10.1%

Your Cost: $98.55/claim|Median: $57.85
1.7× median
10040Top 25%

$4.3M

45K claims · 9.7%

Your Cost: $95.96/claim|Median: $70.50
1.4× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$3.5M

36K claims · 8.0%

Your Cost: $96.48/claim|Median: $59.25
1.6× median
99204Top 10%

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

$3.0M

20K claims · 6.9%

Your Cost: $149.38/claim|Median: $84.03
1.8× median
11900Normal range

$2.1M

53K claims · 4.7%

Your Cost: $39.50/claim|Median: $31.25
1.3× median
11901Top 25%

$2.0M

33K claims · 4.5%

Your Cost: $59.25/claim|Median: $36.91
1.6× median
17360Normal range

$1.5M

13K claims · 3.3%

Your Cost: $114.83/claim|Median: $98.65
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$744K

16K claims · 1.7%

Your Cost: $45.19/claim|Median: $25.06
1.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$704K

10K claims · 1.6%

Your Cost: $67.98/claim|Median: $40.11
1.7× median
96921Top 25%

$438K

2,867 claims · 1.0%

Your Cost: $152.86/claim|Median: $106.73
1.4× median
96920Normal range

$428K

3,396 claims · 1.0%

Your Cost: $126.15/claim|Median: $118.58
1.1× median
11102Top 25%

$374K

4,978 claims · 0.9%

Your Cost: $75.18/claim|Median: $48.69
1.5× median
96910Top 25%

$309K

3,960 claims · 0.7%

Your Cost: $77.94/claim|Median: $51.52
1.5× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$303K

4,993 claims · 0.7%

Your Cost: $60.59/claim|Median: $35.80
1.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$213K

2,330 claims · 0.5%

Your Cost: $91.36/claim|Median: $82.43
1.1× median
95004Top 25%

Percutaneous allergy skin tests, each

$159K

672 claims · 0.4%

Your Cost: $237.15/claim|Median: $134.97
1.8× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$105K

87K claims · 0.2%

Your Cost: $1.21/claim|Median: $2.91
0.4× median
96922Normal range

$60K

306 claims · 0.1%

Your Cost: $194.79/claim|Median: $194.79
1.0× median
17111Top 25%

$59K

501 claims · 0.1%

Your Cost: $116.97/claim|Median: $80.28
1.5× median
88312Top 10%

$52K

493 claims · 0.1%

Your Cost: $104.82/claim|Median: $24.56
4.3× median
95044Top 25%

$46K

144 claims · 0.1%

Your Cost: $315.98/claim|Median: $209.40
1.5× median
17000Top 25%

$45K

1,118 claims · 0.1%

Your Cost: $40.65/claim|Median: $21.35
1.9× median
11100Top 25%

$44K

596 claims · 0.1%

Your Cost: $73.30/claim|Median: $44.58
1.6× median
17340Normal range

$30K

1,629 claims · 0.1%

Your Cost: $18.19/claim|Median: $20.26
0.9× median
88304Top 10%

$25K

670 claims · 0.1%

Your Cost: $37.88/claim|Median: $12.88
2.9× median
11301Top 25%

$22K

255 claims · 0.1%

Your Cost: $87.37/claim|Median: $46.76
1.9× median
99242Normal range

Office consultation, low complexity

$20K

359 claims · 0.0%

Your Cost: $56.35/claim|Median: $57.97
1.0× median
10061Top 25%

$15K

75 claims · 0.0%

Your Cost: $205.39/claim|Median: $101.03
2.0× median
17003Top 10%

$9K

368 claims · 0.0%

Your Cost: $24.93/claim|Median: $8.67
2.9× median
10060Normal range

Incision and drainage of abscess, simple

$9K

92 claims · 0.0%

Your Cost: $95.78/claim|Median: $75.72
1.3× median
13121Top 1%

$7K

16 claims · 0.0%

Your Cost: $430.54/claim|Median: $181.83
2.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

439 claims · 0.0%

Your Cost: $13.61/claim|Median: $9.56
1.4× median
13132Top 25%

$6K

13 claims · 0.0%

Your Cost: $427.00/claim|Median: $119.51
3.6× median
88342Top 5%

$5K

51 claims · 0.0%

Your Cost: $88.70/claim|Median: $23.66
3.7× median
13101Top 10%

$4K

12 claims · 0.0%

Your Cost: $331.32/claim|Median: $242.52
1.4× median
11103Top 25%

$4K

71 claims · 0.0%

Your Cost: $52.27/claim|Median: $37.08
1.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$3K

30 claims · 0.0%

Your Cost: $102.20/claim|Median: $121.58
0.8× median
0658TTop 1%

$3K

81 claims · 0.0%

Your Cost: $37.20/claim|Median: $37.20
1.0× median
99072Normal range

$2K

15K claims · 0.0%

Your Cost: $0.13/claim|Median: $0.54
0.2× median
11302Normal range

$2K

16 claims · 0.0%

Your Cost: $96.23/claim|Median: $37.86
2.5× median
11104Normal range

$1K

13 claims · 0.0%

Your Cost: $100.21/claim|Median: $76.74
1.3× median
17004Normal range

$912

14 claims · 0.0%

Your Cost: $65.17/claim|Median: $65.58
1.0× median
11300Normal range

$641

13 claims · 0.0%

Your Cost: $49.32/claim|Median: $38.09
1.3× median
87101Normal range

Culture, fungi, isolation, non-blood specimen

$515

82 claims · 0.0%

Your Cost: $6.28/claim|Median: $5.18
1.2× median
11101Top 25%

$461

12 claims · 0.0%

Your Cost: $38.41/claim|Median: $23.72
1.6× median
11055Top 25%

$323

16 claims · 0.0%

Your Cost: $20.22/claim|Median: $7.46
2.7× median
81025Normal range

Urine pregnancy test

$218

47 claims · 0.0%

Your Cost: $4.64/claim|Median: $4.81
1.0× 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

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