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U OF R NEUROLOGY DEPARTMENT

Psychiatry & Neurology, Neurology·ROCHESTER, NY·NPI: 1184725525Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$61.7M

$61,713,000

Total Claims

1.1M

Beneficiaries

959K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$42K
+20064%
2019
$8.5M
-2%
2020
$8.4M
+38%
2021
$11.6M
+6%
2022
$12.3M
+3%
2023
$12.6M
-35%
2024
$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90791 (Psychiatric diagnostic evaluation)) accounts for 13% of total spending.

90791Top 1%

Psychiatric diagnostic evaluation

$7.8M

5,832 claims · 12.6%

Your Cost: $1,338.24/claim|Median: $99.21
13.5× median
99214Top 5%

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

$3.7M

22K claims · 6.0%

Your Cost: $169.08/claim|Median: $53.41
3.2× median
99213Top 1%

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

$2.8M

15K claims · 4.5%

Your Cost: $187.75/claim|Median: $37.81
5.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.7M

12K claims · 4.3%

Your Cost: $218.36/claim|Median: $42.48
5.1× median
99284Top 10%

Emergency dept visit, high complexity

$2.6M

14K claims · 4.3%

Your Cost: $189.04/claim|Median: $69.51
2.7× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.8M

15K claims · 3.0%

Your Cost: $122.92/claim|Median: $24.49
5.0× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.7M

20K claims · 2.8%

Your Cost: $84.19/claim|Median: $63.08
1.3× median
99215Top 5%

Office/outpatient visit, high complexity

$1.7M

9,308 claims · 2.7%

Your Cost: $178.79/claim|Median: $74.09
2.4× median
96415Top 1%

Chemotherapy infusion, each additional hour

$1.5M

1,726 claims · 2.4%

Your Cost: $858.22/claim|Median: $43.68
19.6× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$1.2M

5,735 claims · 2.0%

Your Cost: $216.05/claim|Median: $75.28
2.9× median
99282Top 5%

Emergency dept visit, low complexity

$1.2M

5,543 claims · 2.0%

Your Cost: $222.02/claim|Median: $37.72
5.9× median
S9485Top 5%

Crisis intervention mental health services, per diem

$1.1M

576 claims · 1.8%

Your Cost: $1,893.69/claim|Median: $501.33
3.8× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.1M

38K claims · 1.7%

Your Cost: $28.57/claim|Median: $18.95
1.5× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.0M

3,013 claims · 1.6%

Your Cost: $335.80/claim|Median: $38.92
8.6× median
96365Top 5%

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

$1.0M

4,242 claims · 1.6%

Your Cost: $236.32/claim|Median: $54.77
4.3× median
Q5103Normal range

$963K

691 claims · 1.6%

Your Cost: $1,393.73/claim|Median: $1,075.28
1.3× median
43239Top 5%

Upper GI endoscopy with biopsy

$887K

1,114 claims · 1.4%

Your Cost: $796.49/claim|Median: $151.68
5.3× median
90834Top 10%

Psychotherapy, 45 minutes

$871K

6,624 claims · 1.4%

Your Cost: $131.54/claim|Median: $63.65
2.1× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$850K

2,523 claims · 1.4%

Your Cost: $336.84/claim|Median: $54.68
6.2× median
70450Top 5%

CT head/brain without contrast

$813K

2,223 claims · 1.3%

Your Cost: $365.58/claim|Median: $45.53
8.0× median
80053Top 25%

Comprehensive metabolic panel

$799K

39K claims · 1.3%

Your Cost: $20.57/claim|Median: $7.24
2.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$732K

3,912 claims · 1.2%

Your Cost: $187.09/claim|Median: $85.65
2.2× median
70553Top 25%

MRI brain without contrast, then with contrast

$666K

1,725 claims · 1.1%

Your Cost: $385.90/claim|Median: $133.68
2.9× median
G0378Normal range

Hospital observation service, per hour

$654K

3,756 claims · 1.1%

Your Cost: $174.01/claim|Median: $99.39
1.8× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$623K

4,989 claims · 1.0%

Your Cost: $124.81/claim|Median: $65.45
1.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$588K

2,117 claims · 1.0%

Your Cost: $277.93/claim|Median: $65.76
4.2× median
69436Top 5%

Tympanostomy, general anesthesia

$564K

301 claims · 0.9%

Your Cost: $1,874.81/claim|Median: $205.50
9.1× median
99212Top 5%

Office/outpatient visit, low complexity

$544K

2,863 claims · 0.9%

Your Cost: $190.02/claim|Median: $25.06
7.6× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$508K

13K claims · 0.8%

Your Cost: $37.92/claim|Median: $24.95
1.5× median
93303Top 5%

Echocardiography, transthoracic, limited

$478K

1,135 claims · 0.8%

Your Cost: $421.05/claim|Median: $112.83
3.7× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$461K

441 claims · 0.7%

Your Cost: $1,044.64/claim|Median: $120.85
8.6× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$456K

455 claims · 0.7%

Your Cost: $1,002.95/claim|Median: $470.36
2.1× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$454K

13K claims · 0.7%

Your Cost: $34.08/claim|Median: $23.39
1.5× median
97161Top 5%

Physical therapy evaluation, low complexity

$451K

2,694 claims · 0.7%

Your Cost: $167.42/claim|Median: $47.89
3.5× median
80048Top 10%

Basic metabolic panel

$437K

17K claims · 0.7%

Your Cost: $25.21/claim|Median: $5.78
4.4× median
99281Top 5%

Emergency dept visit, minimal complexity

$401K

1,837 claims · 0.6%

Your Cost: $218.06/claim|Median: $52.03
4.2× median
90832Top 10%

Psychotherapy, 30 minutes

$399K

3,952 claims · 0.6%

Your Cost: $100.91/claim|Median: $41.28
2.4× median
H0040Top 25%

Assertive community treatment, face-to-face, per 15 minutes

$397K

230 claims · 0.6%

Your Cost: $1,726.75/claim|Median: $266.41
6.5× median
82306Top 10%

Vitamin D, 25 hydroxy

$376K

7,966 claims · 0.6%

Your Cost: $47.23/claim|Median: $18.18
2.6× median
D9223Top 5%

Deep sedation/general anesthesia, each additional 15 min

$374K

573 claims · 0.6%

Your Cost: $652.77/claim|Median: $107.14
6.1× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$372K

1,349 claims · 0.6%

Your Cost: $275.49/claim|Median: $40.12
6.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$357K

8,097 claims · 0.6%

Your Cost: $44.04/claim|Median: $35.80
1.2× median
90837Top 10%

Psychotherapy, 60 minutes

$332K

2,595 claims · 0.5%

Your Cost: $127.89/claim|Median: $85.66
1.5× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$332K

1,618 claims · 0.5%

Your Cost: $204.94/claim|Median: $37.35
5.5× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$319K

13K claims · 0.5%

Your Cost: $24.74/claim|Median: $15.76
1.6× median
59025Top 5%

Fetal non-stress test

$301K

1,041 claims · 0.5%

Your Cost: $289.13/claim|Median: $26.45
10.9× median
92567Top 1%

$252K

2,340 claims · 0.4%

Your Cost: $107.68/claim|Median: $11.50
9.4× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$247K

18K claims · 0.4%

Your Cost: $13.96/claim|Median: $5.50
2.5× median
96360Top 5%

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

$244K

892 claims · 0.4%

Your Cost: $273.85/claim|Median: $61.57
4.4× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$243K

7,808 claims · 0.4%

Your Cost: $31.10/claim|Median: $21.08
1.5× median

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