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NEW YORK EYE & EAR INFIRMARY

Special Hospital·NEW YORK CITY, NY·NPI: 1245251222Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.9M

$38,923,623

Total Claims

349K

Beneficiaries

287K

1.2 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018
$203K
+1354%
2019
$3.0M
+120%
2020
$6.5M
+22%
2021
$7.9M
-2%
2022
$7.7M
-3%
2023
$7.5M
-18%
2024
$6.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92012 (Ophthalmological exam, intermediate, established patient)) accounts for 24% of total spending.

92012Top 5%

Ophthalmological exam, intermediate, established patient

$9.4M

94K claims · 24.1%

Your Cost: $99.40/claim|Median: $38.23
2.6× median
66984Top 1%

Extracapsular cataract removal with IOL insertion

$5.1M

3,112 claims · 13.2%

Your Cost: $1,650.36/claim|Median: $268.70
6.1× median
67311Top 10%

$3.9M

1,557 claims · 10.0%

Your Cost: $2,498.60/claim|Median: $610.94
4.1× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$1.7M

2,248 claims · 4.5%

Your Cost: $770.63/claim|Median: $233.73
3.3× median
92002Top 5%

Intermediate eye exam, new patient

$1.7M

13K claims · 4.4%

Your Cost: $131.82/claim|Median: $41.61
3.2× median
30140Top 5%

$1.6M

764 claims · 4.1%

Your Cost: $2,095.24/claim|Median: $240.99
8.7× median
69436Top 5%

Tympanostomy, general anesthesia

$1.6M

1,028 claims · 4.0%

Your Cost: $1,516.60/claim|Median: $205.50
7.4× median
J0178Normal range

Injection, aflibercept, 1 mg

$1.4M

2,779 claims · 3.7%

Your Cost: $511.72/claim|Median: $730.09
0.7× median
92250Top 1%

Fundus photography with interpretation and report

$1.2M

17K claims · 3.2%

Your Cost: $72.01/claim|Median: $27.95
2.6× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$1.1M

640 claims · 2.8%

Your Cost: $1,697.29/claim|Median: $331.68
5.1× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$726K

5,123 claims · 1.9%

Your Cost: $141.69/claim|Median: $58.82
2.4× median
99212Top 5%

Office/outpatient visit, low complexity

$656K

5,570 claims · 1.7%

Your Cost: $117.84/claim|Median: $25.06
4.7× median
92060Top 1%

$655K

7,488 claims · 1.7%

Your Cost: $87.46/claim|Median: $35.83
2.4× median
92083Top 1%

Visual field exam, extended testing, bilateral

$570K

7,463 claims · 1.5%

Your Cost: $76.41/claim|Median: $29.82
2.6× median
92134Top 1%

$545K

6,849 claims · 1.4%

Your Cost: $79.64/claim|Median: $15.46
5.2× median
67113Top 1%

$494K

166 claims · 1.3%

Your Cost: $2,977.44/claim|Median: $824.94
3.6× median
92567Top 5%

$473K

6,740 claims · 1.2%

Your Cost: $70.13/claim|Median: $11.50
6.1× median
42830Top 25%

$456K

278 claims · 1.2%

Your Cost: $1,638.81/claim|Median: $341.04
4.8× median
92133Top 1%

$420K

4,813 claims · 1.1%

Your Cost: $87.16/claim|Median: $19.09
4.6× median
67228Top 5%

$416K

649 claims · 1.1%

Your Cost: $640.71/claim|Median: $256.67
2.5× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$306K

2,529 claims · 0.8%

Your Cost: $120.92/claim|Median: $40.11
3.0× median
92557Top 10%

Comprehensive audiometry, air, bone, and speech testing

$293K

4,820 claims · 0.8%

Your Cost: $60.72/claim|Median: $27.28
2.2× median
92507Top 25%

Speech/hearing/language treatment

$289K

3,842 claims · 0.7%

Your Cost: $75.13/claim|Median: $49.45
1.5× median
67314Normal range

$241K

456 claims · 0.6%

Your Cost: $527.84/claim|Median: $578.21
0.9× median
30520Normal range

$188K

587 claims · 0.5%

Your Cost: $319.56/claim|Median: $369.78
0.9× median
92235Top 5%

$184K

1,693 claims · 0.5%

Your Cost: $108.92/claim|Median: $42.71
2.6× median
92020Top 1%

$173K

2,299 claims · 0.4%

Your Cost: $75.10/claim|Median: $12.46
6.0× median
L8699Normal range

Prosthetic implant, not otherwise classified

$150K

752 claims · 0.4%

Your Cost: $199.35/claim|Median: $389.88
0.5× median
21235Normal range

$146K

204 claims · 0.4%

Your Cost: $713.53/claim|Median: $1,522.91
0.5× median
95782Top 25%

$145K

181 claims · 0.4%

Your Cost: $800.27/claim|Median: $216.35
3.7× median
76512Top 10%

$137K

1,629 claims · 0.4%

Your Cost: $83.95/claim|Median: $43.41
1.9× median
92604Normal range

$125K

1,364 claims · 0.3%

Your Cost: $91.80/claim|Median: $62.19
1.5× median
J3490Normal range

Unclassified drugs

$124K

32K claims · 0.3%

Your Cost: $3.92/claim|Median: $5.70
0.7× median
92550Top 5%

$121K

1,679 claims · 0.3%

Your Cost: $71.87/claim|Median: $14.15
5.1× median
92136Top 1%

$120K

1,618 claims · 0.3%

Your Cost: $73.91/claim|Median: $18.31
4.0× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$118K

172 claims · 0.3%

Your Cost: $684.45/claim|Median: $255.03
2.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$112K

3,193 claims · 0.3%

Your Cost: $35.16/claim|Median: $35.80
1.0× median
92025Top 1%

$112K

1,226 claims · 0.3%

Your Cost: $91.12/claim|Median: $17.08
5.3× median
31231Top 5%

Nasal endoscopy, diagnostic

$98K

353 claims · 0.3%

Your Cost: $277.23/claim|Median: $98.77
2.8× median
G2023Top 5%

Specimen collection for COVID-19 testing

$94K

3,650 claims · 0.2%

Your Cost: $25.87/claim|Median: $17.15
1.5× median
92285Top 1%

$94K

1,223 claims · 0.2%

Your Cost: $77.15/claim|Median: $16.47
4.7× median
97530Top 10%

Therapeutic activities, each 15 min

$93K

1,118 claims · 0.2%

Your Cost: $83.36/claim|Median: $33.11
2.5× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$92K

4,923 claims · 0.2%

Your Cost: $18.73/claim|Median: $34.62
0.5× median
V5020Top 25%

$89K

1,306 claims · 0.2%

Your Cost: $68.52/claim|Median: $34.66
2.0× median
V2632Normal range

$85K

5,392 claims · 0.2%

Your Cost: $15.82/claim|Median: $22.85
0.7× median
92579Top 10%

$80K

1,062 claims · 0.2%

Your Cost: $75.54/claim|Median: $30.58
2.5× median
92015Top 10%

Determination of refractive state

$70K

2,779 claims · 0.2%

Your Cost: $25.25/claim|Median: $10.36
2.4× median
Q3014Top 5%

Telehealth originating site facility fee

$63K

1,914 claims · 0.2%

Your Cost: $33.01/claim|Median: $15.37
2.1× median
65426Top 1%

$62K

26 claims · 0.2%

Your Cost: $2,371.74/claim|Median: $578.99
4.1× median
88304Top 25%

$59K

1,996 claims · 0.2%

Your Cost: $29.38/claim|Median: $12.88
2.3× median

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