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BRONXCARE HEALTH SYSTEM

Internal Medicine·BRONX, NY·NPI: 1245390855Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $62.4M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$62.4M

$62,384,134

Total Claims

1.0M

Beneficiaries

889K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+21%
2019
$7.5M
+0%
2020
$7.5M
+41%
2021
$10.7M
+11%
2022
$11.9M
-9%
2023
$10.8M
-28%
2024
$7.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 19% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$11.7M

108K claims · 18.7%

Your Cost: $108.63/claim|Median: $69.51
1.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$8.6M

56K claims · 13.8%

Your Cost: $154.43/claim|Median: $85.65
1.8× median
99214Normal range

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

$7.5M

117K claims · 12.1%

Your Cost: $64.19/claim|Median: $53.41
1.2× median
99213Normal range

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

$7.0M

161K claims · 11.2%

Your Cost: $43.45/claim|Median: $37.81
1.1× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$6.3M

115K claims · 10.1%

Your Cost: $54.47/claim|Median: $23.99
2.3× median
99283Normal range

Emergency dept visit, moderate complexity

$5.7M

93K claims · 9.2%

Your Cost: $61.30/claim|Median: $42.48
1.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.3M

22K claims · 2.1%

Your Cost: $60.10/claim|Median: $37.22
1.6× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$1.3M

12K claims · 2.0%

Your Cost: $106.59/claim|Median: $51.25
2.1× median
99291Top 25%

Critical care, first 30-74 minutes

$1.3M

7,424 claims · 2.0%

Your Cost: $170.54/claim|Median: $101.24
1.7× median
99203Normal range

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

$964K

15K claims · 1.5%

Your Cost: $65.08/claim|Median: $57.85
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$961K

17K claims · 1.5%

Your Cost: $55.02/claim|Median: $35.80
1.5× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$932K

12K claims · 1.5%

Your Cost: $80.75/claim|Median: $35.30
2.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$818K

17K claims · 1.3%

Your Cost: $47.76/claim|Median: $54.68
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$721K

34K claims · 1.2%

Your Cost: $21.00/claim|Median: $25.06
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$649K

13K claims · 1.0%

Your Cost: $49.03/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$582K

11K claims · 0.9%

Your Cost: $54.98/claim|Median: $75.18
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$525K

80K claims · 0.8%

Your Cost: $6.53/claim|Median: $5.60
1.2× median
45380Normal range

Colonoscopy with biopsy

$395K

2,910 claims · 0.6%

Your Cost: $135.74/claim|Median: $200.68
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$378K

3,834 claims · 0.6%

Your Cost: $98.63/claim|Median: $74.09
1.3× median
99221Top 25%

Initial hospital care, straightforward/low

$365K

5,135 claims · 0.6%

Your Cost: $71.08/claim|Median: $39.96
1.8× median
99204Normal range

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

$359K

3,726 claims · 0.6%

Your Cost: $96.22/claim|Median: $84.03
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$353K

6,733 claims · 0.6%

Your Cost: $52.41/claim|Median: $74.82
0.7× median
99254Top 25%

$350K

2,716 claims · 0.6%

Your Cost: $128.95/claim|Median: $81.43
1.6× median
99218Top 25%

$337K

4,820 claims · 0.5%

Your Cost: $69.87/claim|Median: $51.50
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$317K

2,231 claims · 0.5%

Your Cost: $142.06/claim|Median: $108.91
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$283K

2,971 claims · 0.5%

Your Cost: $95.30/claim|Median: $151.68
0.6× median
99223Top 10%

Initial hospital care, per day, high complexity

$255K

1,637 claims · 0.4%

Your Cost: $156.02/claim|Median: $67.32
2.3× median
99217Top 25%

$199K

4,177 claims · 0.3%

Your Cost: $47.67/claim|Median: $31.89
1.5× median
99253Top 10%

$176K

1,678 claims · 0.3%

Your Cost: $104.68/claim|Median: $55.16
1.9× median
99281Normal range

Emergency dept visit, minimal complexity

$174K

8,596 claims · 0.3%

Your Cost: $20.23/claim|Median: $52.03
0.4× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$155K

1,872 claims · 0.2%

Your Cost: $83.02/claim|Median: $43.85
1.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$152K

3,820 claims · 0.2%

Your Cost: $39.75/claim|Median: $40.11
1.0× median
45378Normal range

Colonoscopy, diagnostic

$142K

939 claims · 0.2%

Your Cost: $151.14/claim|Median: $225.49
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$124K

2,139 claims · 0.2%

Your Cost: $57.75/claim|Median: $80.15
0.7× median
99225Top 25%

$106K

2,107 claims · 0.2%

Your Cost: $50.38/claim|Median: $20.96
2.4× median
36573Normal range

$95K

1,758 claims · 0.2%

Your Cost: $54.25/claim|Median: $46.55
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$63K

1,771 claims · 0.1%

Your Cost: $35.78/claim|Median: $29.03
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$60K

467 claims · 0.1%

Your Cost: $128.42/claim|Median: $121.58
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$57K

686 claims · 0.1%

Your Cost: $82.90/claim|Median: $82.43
1.0× median
93793Top 25%

$45K

7,218 claims · 0.1%

Your Cost: $6.27/claim|Median: $4.09
1.5× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$44K

548 claims · 0.1%

Your Cost: $81.14/claim|Median: $62.48
1.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$41K

1,158 claims · 0.1%

Your Cost: $35.63/claim|Median: $38.83
0.9× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$38K

522 claims · 0.1%

Your Cost: $72.10/claim|Median: $59.38
1.2× median
88141Normal range

$33K

1,623 claims · 0.1%

Your Cost: $20.54/claim|Median: $14.87
1.4× median
88304Normal range

$32K

2,677 claims · 0.1%

Your Cost: $11.90/claim|Median: $12.88
0.9× median
99219Top 25%

$30K

324 claims · 0.0%

Your Cost: $91.96/claim|Median: $63.35
1.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$29K

147 claims · 0.0%

Your Cost: $197.87/claim|Median: $255.17
0.8× median
94060Normal range

$28K

3,955 claims · 0.0%

Your Cost: $7.03/claim|Median: $25.18
0.3× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$26K

1,034 claims · 0.0%

Your Cost: $24.94/claim|Median: $43.07
0.6× median
99282Normal range

Emergency dept visit, low complexity

$24K

585 claims · 0.0%

Your Cost: $41.14/claim|Median: $37.72
1.1× median

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