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ADVANTAGECARE PHYSICIANS PC

General Practice·NEW YORK, NY·NPI: 1336578772Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.5M is at the 50th percentile among 6 General Practice providers.

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

Total Paid

$60.5M

$60,520,629

Total Claims

2.3M

Beneficiaries

2.3M

1.0 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$5.7M
+22%
2019
$7.0M
-7%
2020
$6.5M
+44%
2021
$9.4M
+12%
2022
$10.5M
+17%
2023
$12.3M
-26%
2024
$9.1M

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 34% of total spending.

99213Top 25%

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

$20.8M

362K claims · 34.4%

Your Cost: $57.40/claim|Median: $37.81
1.5× median
99214Normal range

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

$18.1M

255K claims · 29.9%

Your Cost: $71.08/claim|Median: $53.41
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2.8M

110K claims · 4.6%

Your Cost: $25.51/claim|Median: $17.85
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.4M

45K claims · 4.0%

Your Cost: $53.19/claim|Median: $74.82
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2.1M

38K claims · 3.5%

Your Cost: $56.93/claim|Median: $80.15
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.1M

38K claims · 3.5%

Your Cost: $55.01/claim|Median: $75.18
0.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

6,278 claims · 1.9%

Your Cost: $186.92/claim|Median: $54.68
3.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$1.1M

15K claims · 1.8%

Your Cost: $74.45/claim|Median: $76.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.1M

16K claims · 1.8%

Your Cost: $68.72/claim|Median: $72.71
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$766K

15K claims · 1.3%

Your Cost: $49.56/claim|Median: $69.35
0.7× median
99204Top 10%

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

$739K

5,157 claims · 1.2%

Your Cost: $143.24/claim|Median: $84.03
1.7× median
99203Top 25%

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

$689K

7,590 claims · 1.1%

Your Cost: $90.83/claim|Median: $57.85
1.6× median
92551Normal range

Screening audiometry, pure tone, air only

$590K

81K claims · 1.0%

Your Cost: $7.28/claim|Median: $6.61
1.1× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$522K

6,853 claims · 0.9%

Your Cost: $76.20/claim|Median: $47.08
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$494K

14K claims · 0.8%

Your Cost: $34.32/claim|Median: $25.06
1.4× median
45378Normal range

Colonoscopy, diagnostic

$451K

1,245 claims · 0.7%

Your Cost: $362.55/claim|Median: $225.49
1.6× median
90471Normal range

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

$371K

42K claims · 0.6%

Your Cost: $8.79/claim|Median: $9.80
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$339K

103K claims · 0.6%

Your Cost: $3.29/claim|Median: $3.67
0.9× median
90461Normal range

Immunization admin, additional vaccine, counseling

$336K

16K claims · 0.6%

Your Cost: $20.70/claim|Median: $6.93
3.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$284K

720 claims · 0.5%

Your Cost: $394.55/claim|Median: $151.68
2.6× median
11721Top 5%

$242K

8,194 claims · 0.4%

Your Cost: $29.52/claim|Median: $8.56
3.4× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$184K

2,007 claims · 0.3%

Your Cost: $91.73/claim|Median: $59.72
1.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$126K

1,244 claims · 0.2%

Your Cost: $101.22/claim|Median: $39.33
2.6× median
90834Normal range

Psychotherapy, 45 minutes

$121K

1,482 claims · 0.2%

Your Cost: $81.67/claim|Median: $63.65
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$111K

1,079 claims · 0.2%

Your Cost: $103.31/claim|Median: $74.09
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$111K

2,588 claims · 0.2%

Your Cost: $43.04/claim|Median: $39.70
1.1× median
00812Top 5%

$107K

528 claims · 0.2%

Your Cost: $202.25/claim|Median: $59.54
3.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$105K

1,337 claims · 0.2%

Your Cost: $78.22/claim|Median: $76.22
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$104K

8,116 claims · 0.2%

Your Cost: $12.86/claim|Median: $9.70
1.3× median
G0447Normal range

$94K

7,281 claims · 0.2%

Your Cost: $12.98/claim|Median: $5.19
2.5× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$93K

1,669 claims · 0.2%

Your Cost: $55.83/claim|Median: $38.23
1.5× median
92134Top 25%

$87K

2,827 claims · 0.1%

Your Cost: $30.82/claim|Median: $15.46
2.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$83K

4,232 claims · 0.1%

Your Cost: $19.73/claim|Median: $65.64
0.3× median
45380Top 25%

Colonoscopy with biopsy

$77K

185 claims · 0.1%

Your Cost: $418.85/claim|Median: $200.68
2.1× median
92250Top 25%

Fundus photography with interpretation and report

$73K

1,879 claims · 0.1%

Your Cost: $38.70/claim|Median: $27.95
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$68K

5,380 claims · 0.1%

Your Cost: $12.67/claim|Median: $28.46
0.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$68K

1,143 claims · 0.1%

Your Cost: $59.36/claim|Median: $40.11
1.5× median
90472Normal range

Immunization administration, each additional vaccine

$65K

5,535 claims · 0.1%

Your Cost: $11.79/claim|Median: $11.79
1.0× median
99173Normal range

$62K

80K claims · 0.1%

Your Cost: $0.77/claim|Median: $2.16
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$60K

46K claims · 0.1%

Your Cost: $1.31/claim|Median: $7.18
0.2× median
36415Normal range

Collection of venous blood by venipuncture

$59K

80K claims · 0.1%

Your Cost: $0.74/claim|Median: $1.57
0.5× median
90682Top 25%

$57K

1,093 claims · 0.1%

Your Cost: $52.07/claim|Median: $34.72
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$55K

15K claims · 0.1%

Your Cost: $3.58/claim|Median: $9.10
0.4× median
92020Top 25%

$54K

2,706 claims · 0.1%

Your Cost: $19.89/claim|Median: $12.46
1.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$42K

946 claims · 0.1%

Your Cost: $44.86/claim|Median: $12.70
3.5× median
76641Top 25%

Ultrasound imaging of one breast, complete

$41K

386 claims · 0.1%

Your Cost: $105.55/claim|Median: $49.03
2.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$40K

1,269 claims · 0.1%

Your Cost: $31.23/claim|Median: $33.85
0.9× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$39K

1,014 claims · 0.1%

Your Cost: $38.43/claim|Median: $13.30
2.9× median
96365Normal range

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

$35K

575 claims · 0.1%

Your Cost: $61.58/claim|Median: $54.77
1.1× median
81025Normal range

Urine pregnancy test

$33K

8,290 claims · 0.1%

Your Cost: $4.03/claim|Median: $4.81
0.8× median

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