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URBAN HEALTH PLAN, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·BRONX, NY·NPI: 1265596548Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.7M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

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

Total Paid

$61.7M

$61,727,920

Total Claims

2.2M

Beneficiaries

2.0M

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+22%
2019
$10.3M
-10%
2020
$9.3M
+8%
2021
$10.0M
-20%
2022
$8.0M
+9%
2023
$8.7M
-20%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 40% of total spending.

99213Normal range

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

$24.8M

587K claims · 40.2%

Your Cost: $42.21/claim|Median: $37.81
1.1× median
90834Top 25%

Psychotherapy, 45 minutes

$3.9M

39K claims · 6.3%

Your Cost: $98.77/claim|Median: $63.65
1.6× median
90832Top 5%

Psychotherapy, 30 minutes

$3.3M

22K claims · 5.4%

Your Cost: $153.49/claim|Median: $41.28
3.7× median
99212Normal range

Office/outpatient visit, low complexity

$3.3M

120K claims · 5.3%

Your Cost: $27.21/claim|Median: $25.06
1.1× median
99214Normal range

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

$2.8M

45K claims · 4.5%

Your Cost: $61.53/claim|Median: $53.41
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2.0M

118K claims · 3.3%

Your Cost: $17.22/claim|Median: $17.85
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.7M

38K claims · 2.7%

Your Cost: $43.71/claim|Median: $74.82
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

32K claims · 2.0%

Your Cost: $39.29/claim|Median: $75.18
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1.2M

31K claims · 2.0%

Your Cost: $39.60/claim|Median: $22.44
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$979K

19K claims · 1.6%

Your Cost: $51.09/claim|Median: $80.15
0.6× median
77067Top 10%

Screening mammography, bilateral, including CAD

$917K

8,577 claims · 1.5%

Your Cost: $106.86/claim|Median: $39.33
2.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$861K

16K claims · 1.4%

Your Cost: $52.64/claim|Median: $72.71
0.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$789K

36K claims · 1.3%

Your Cost: $22.21/claim|Median: $13.30
1.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$749K

14K claims · 1.2%

Your Cost: $53.72/claim|Median: $76.06
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$487K

100K claims · 0.8%

Your Cost: $4.86/claim|Median: $6.61
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$479K

15K claims · 0.8%

Your Cost: $32.72/claim|Median: $69.35
0.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$457K

32K claims · 0.7%

Your Cost: $14.34/claim|Median: $6.93
2.1× median
99203Top 25%

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

$451K

5,378 claims · 0.7%

Your Cost: $83.80/claim|Median: $57.85
1.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$409K

20K claims · 0.7%

Your Cost: $20.11/claim|Median: $24.33
0.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$403K

2,950 claims · 0.7%

Your Cost: $136.72/claim|Median: $99.21
1.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$401K

6,661 claims · 0.6%

Your Cost: $60.20/claim|Median: $59.72
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$387K

36K claims · 0.6%

Your Cost: $10.78/claim|Median: $11.48
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$380K

41K claims · 0.6%

Your Cost: $9.33/claim|Median: $9.80
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$354K

11K claims · 0.6%

Your Cost: $33.16/claim|Median: $43.38
0.8× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$345K

8,185 claims · 0.6%

Your Cost: $42.10/claim|Median: $21.41
2.0× median
97110Normal range

Therapeutic exercises, each 15 min

$336K

12K claims · 0.5%

Your Cost: $26.98/claim|Median: $24.49
1.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$320K

5,474 claims · 0.5%

Your Cost: $58.37/claim|Median: $32.55
1.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$267K

23K claims · 0.4%

Your Cost: $11.54/claim|Median: $17.15
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$263K

14K claims · 0.4%

Your Cost: $19.06/claim|Median: $24.34
0.8× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$244K

2,531 claims · 0.4%

Your Cost: $96.39/claim|Median: $144.04
0.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$240K

12K claims · 0.4%

Your Cost: $19.93/claim|Median: $16.79
1.2× median
90674Normal range

$211K

13K claims · 0.3%

Your Cost: $16.08/claim|Median: $15.16
1.1× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$199K

2,793 claims · 0.3%

Your Cost: $71.08/claim|Median: $41.92
1.7× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$187K

1,735 claims · 0.3%

Your Cost: $107.50/claim|Median: $58.16
1.8× median
99173Normal range

$184K

61K claims · 0.3%

Your Cost: $3.02/claim|Median: $2.16
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$182K

2,555 claims · 0.3%

Your Cost: $71.23/claim|Median: $47.08
1.5× median
90847Top 5%

Family psychotherapy with patient, 50 min

$179K

845 claims · 0.3%

Your Cost: $211.96/claim|Median: $77.33
2.7× median
81025Normal range

Urine pregnancy test

$171K

33K claims · 0.3%

Your Cost: $5.23/claim|Median: $4.81
1.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$167K

2,791 claims · 0.3%

Your Cost: $59.85/claim|Median: $40.11
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$164K

40K claims · 0.3%

Your Cost: $4.05/claim|Median: $7.18
0.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$164K

1,639 claims · 0.3%

Your Cost: $99.86/claim|Median: $58.55
1.7× median
D0274Normal range

Bitewings, four radiographic images

$156K

8,427 claims · 0.3%

Your Cost: $18.54/claim|Median: $22.54
0.8× median
D1120Normal range

Prophylaxis, adult

$151K

5,198 claims · 0.2%

Your Cost: $28.98/claim|Median: $33.86
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$135K

872 claims · 0.2%

Your Cost: $154.90/claim|Median: $108.91
1.4× median
90715Top 25%

Tdap vaccine

$133K

4,961 claims · 0.2%

Your Cost: $26.83/claim|Median: $10.32
2.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$131K

3,640 claims · 0.2%

Your Cost: $35.89/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$128K

3,523 claims · 0.2%

Your Cost: $36.43/claim|Median: $36.70
1.0× median
97162Top 25%

PT evaluation, moderate complexity

$124K

1,646 claims · 0.2%

Your Cost: $75.17/claim|Median: $46.10
1.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$120K

19K claims · 0.2%

Your Cost: $6.33/claim|Median: $5.50
1.2× median
71046Top 25%

Chest X-ray, 2 views

$116K

4,404 claims · 0.2%

Your Cost: $26.32/claim|Median: $8.92
3.0× median

Other Top Providers in New York

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Supports Brokerage

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Freedom Care LLC

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$3.03B

American Business Institute Corp

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$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

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