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SUFFOLK PRIMARY HEALTH, LLC

Clinic/Center, Primary Care·RIVERHEAD, NY·NPI: 1174965727Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.2M

$22,231,784

Total Claims

643K

Beneficiaries

324K

2.0 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$54K
+168%
2019
$145K
+42%
2020
$206K
+2%
2021
$210K
+2056%
2022
$4.5M
+200%
2023
$13.6M
-74%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G2023 (Specimen collection for COVID-19 testing)) accounts for 28% of total spending.

G2023Top 10%

Specimen collection for COVID-19 testing

$6.3M

256K claims · 28.4%

Your Cost: $24.66/claim|Median: $17.15
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$5.0M

76K claims · 22.4%

Your Cost: $65.14/claim|Median: $63.08
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$2.7M

37K claims · 12.1%

Your Cost: $73.56/claim|Median: $40.11
1.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$1.8M

94K claims · 8.3%

Your Cost: $19.49/claim|Median: $15.76
1.2× median
99214Top 25%

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

$1.1M

13K claims · 5.1%

Your Cost: $87.35/claim|Median: $53.41
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$855K

86K claims · 3.8%

Your Cost: $9.90/claim|Median: $12.93
0.8× median
99213Top 5%

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

$775K

8,264 claims · 3.5%

Your Cost: $93.75/claim|Median: $37.81
2.5× median
90834Top 5%

Psychotherapy, 45 minutes

$617K

4,392 claims · 2.8%

Your Cost: $140.49/claim|Median: $63.65
2.2× median
96365Top 5%

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

$388K

1,513 claims · 1.7%

Your Cost: $256.67/claim|Median: $54.77
4.7× median
99401Top 5%

$269K

6,966 claims · 1.2%

Your Cost: $38.66/claim|Median: $16.53
2.3× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$255K

1,748 claims · 1.1%

Your Cost: $145.65/claim|Median: $61.57
2.4× median
90847Top 10%

Family psychotherapy with patient, 50 min

$203K

1,009 claims · 0.9%

Your Cost: $201.15/claim|Median: $77.33
2.6× median
90832Top 10%

Psychotherapy, 30 minutes

$202K

1,797 claims · 0.9%

Your Cost: $112.23/claim|Median: $41.28
2.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$191K

1,518 claims · 0.9%

Your Cost: $125.62/claim|Median: $38.92
3.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$176K

991 claims · 0.8%

Your Cost: $177.50/claim|Median: $99.21
1.8× median
99212Top 10%

Office/outpatient visit, low complexity

$166K

2,905 claims · 0.7%

Your Cost: $57.04/claim|Median: $25.06
2.3× median
90853Top 25%

Group psychotherapy

$140K

2,296 claims · 0.6%

Your Cost: $60.78/claim|Median: $25.02
2.4× median
G0444Top 1%

Annual depression screening, fifteen minutes

$132K

3,210 claims · 0.6%

Your Cost: $40.98/claim|Median: $4.23
9.7× median
99406Top 5%

$102K

2,804 claims · 0.5%

Your Cost: $36.49/claim|Median: $6.53
5.6× median
90846Top 25%

Family psychotherapy without patient, 50 min

$79K

704 claims · 0.4%

Your Cost: $112.74/claim|Median: $76.61
1.5× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$78K

760 claims · 0.3%

Your Cost: $102.16/claim|Median: $22.44
4.6× median
99215Normal range

Office/outpatient visit, high complexity

$68K

1,455 claims · 0.3%

Your Cost: $47.00/claim|Median: $74.09
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$57K

735 claims · 0.3%

Your Cost: $78.21/claim|Median: $76.06
1.0× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$57K

500 claims · 0.3%

Your Cost: $114.34/claim|Median: $32.55
3.5× median
99051Normal range

$48K

3,854 claims · 0.2%

Your Cost: $12.57/claim|Median: $7.89
1.6× median
99000Top 5%

$48K

1,922 claims · 0.2%

Your Cost: $24.78/claim|Median: $2.30
10.8× median
99203Top 10%

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

$46K

430 claims · 0.2%

Your Cost: $107.11/claim|Median: $57.85
1.9× median
G0442Top 1%

$36K

985 claims · 0.2%

Your Cost: $36.75/claim|Median: $4.91
7.5× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$36K

320 claims · 0.2%

Your Cost: $111.53/claim|Median: $13.30
8.4× median
36415Top 25%

Collection of venous blood by venipuncture

$33K

8,215 claims · 0.2%

Your Cost: $4.06/claim|Median: $1.57
2.6× median
90837Top 10%

Psychotherapy, 60 minutes

$32K

231 claims · 0.1%

Your Cost: $138.61/claim|Median: $85.66
1.6× median
99204Normal range

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

$26K

331 claims · 0.1%

Your Cost: $79.69/claim|Median: $84.03
0.9× median
G0447Top 1%

$22K

226 claims · 0.1%

Your Cost: $99.40/claim|Median: $5.19
19.2× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$20K

183 claims · 0.1%

Your Cost: $111.95/claim|Median: $72.71
1.5× median
93922Top 5%

$19K

171 claims · 0.1%

Your Cost: $109.84/claim|Median: $26.06
4.2× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$13K

107 claims · 0.1%

Your Cost: $120.90/claim|Median: $76.22
1.6× median
95923Top 10%

$12K

121 claims · 0.1%

Your Cost: $102.65/claim|Median: $44.24
2.3× median
95921Top 25%

$10K

180 claims · 0.0%

Your Cost: $55.61/claim|Median: $31.18
1.8× median
K1034Top 25%

$8K

141 claims · 0.0%

Your Cost: $56.31/claim|Median: $2.76
20.4× median
99402Normal range

$7K

150 claims · 0.0%

Your Cost: $49.85/claim|Median: $31.79
1.6× median
93975Top 1%

Duplex scan of arterial inflow and venous outflow, complete

$6K

12 claims · 0.0%

Your Cost: $514.32/claim|Median: $79.28
6.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$6K

1,398 claims · 0.0%

Your Cost: $4.18/claim|Median: $9.70
0.4× median
99422Top 1%

Online digital E/M, 11-20 min

$5K

58 claims · 0.0%

Your Cost: $88.38/claim|Median: $17.90
4.9× median
80053Top 25%

Comprehensive metabolic panel

$4K

264 claims · 0.0%

Your Cost: $16.12/claim|Median: $7.24
2.2× median
93923Top 5%

$4K

27 claims · 0.0%

Your Cost: $153.91/claim|Median: $38.08
4.0× median
95910Normal range

$3K

27 claims · 0.0%

Your Cost: $126.65/claim|Median: $97.13
1.3× median
82306Normal range

Vitamin D, 25 hydroxy

$3K

140 claims · 0.0%

Your Cost: $22.81/claim|Median: $18.18
1.3× median
99403Normal range

$3K

47 claims · 0.0%

Your Cost: $65.75/claim|Median: $47.11
1.4× median
92227Top 5%

$2K

25 claims · 0.0%

Your Cost: $97.71/claim|Median: $7.85
12.4× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$2K

12 claims · 0.0%

Your Cost: $187.90/claim|Median: $108.91
1.7× median

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