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ESSEN MEDICAL ASSOCIATES, PC

Legal Medicine·BRONX, NY·NPI: 1366418709Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$37.3M

$37,330,656

Total Claims

701K

Beneficiaries

585K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-1%
2019
$2.7M
+19%
2020
$3.3M
+64%
2021
$5.4M
+30%
2022
$7.0M
+24%
2023
$8.6M
-13%
2024
$7.6M

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 16% of total spending.

99213Top 25%

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

$6.1M

111K claims · 16.2%

Your Cost: $54.68/claim|Median: $37.81
1.4× median
99214Top 25%

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

$5.6M

71K claims · 15.0%

Your Cost: $78.96/claim|Median: $53.41
1.5× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$2.8M

53K claims · 7.5%

Your Cost: $52.93/claim|Median: $22.44
2.4× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$2.0M

25K claims · 5.4%

Your Cost: $81.66/claim|Median: $32.55
2.5× median
93922Top 5%

$1.3M

9,637 claims · 3.4%

Your Cost: $129.90/claim|Median: $26.06
5.0× median
99490Top 10%

Chronic care management services, 20 minutes per month

$1.1M

36K claims · 3.0%

Your Cost: $31.57/claim|Median: $6.31
5.0× median
36465Normal range

$1.1M

1,283 claims · 3.0%

Your Cost: $874.69/claim|Median: $792.14
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

24K claims · 2.8%

Your Cost: $43.61/claim|Median: $41.28
1.1× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$1.0M

19K claims · 2.7%

Your Cost: $51.70/claim|Median: $9.79
5.3× median
99204Top 25%

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

$1.0M

8,600 claims · 2.7%

Your Cost: $116.35/claim|Median: $84.03
1.4× median
95923Top 25%

$988K

10K claims · 2.6%

Your Cost: $95.85/claim|Median: $44.24
2.2× median
99203Top 25%

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

$844K

10K claims · 2.3%

Your Cost: $80.99/claim|Median: $57.85
1.4× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$806K

12K claims · 2.2%

Your Cost: $68.93/claim|Median: $14.00
4.9× median
97110Normal range

Therapeutic exercises, each 15 min

$734K

21K claims · 2.0%

Your Cost: $34.18/claim|Median: $24.49
1.4× median
93925Top 10%

$723K

3,896 claims · 1.9%

Your Cost: $185.46/claim|Median: $54.12
3.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$696K

4,314 claims · 1.9%

Your Cost: $161.38/claim|Median: $54.68
3.0× median
95921Top 10%

$631K

9,526 claims · 1.7%

Your Cost: $66.20/claim|Median: $31.18
2.1× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$607K

4,319 claims · 1.6%

Your Cost: $140.48/claim|Median: $43.07
3.3× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$524K

15K claims · 1.4%

Your Cost: $34.84/claim|Median: $13.30
2.6× median
90834Normal range

Psychotherapy, 45 minutes

$481K

7,236 claims · 1.3%

Your Cost: $66.53/claim|Median: $63.65
1.0× median
93923Top 10%

$435K

3,970 claims · 1.2%

Your Cost: $109.60/claim|Median: $38.08
2.9× median
90791Normal range

Psychiatric diagnostic evaluation

$354K

3,457 claims · 0.9%

Your Cost: $102.42/claim|Median: $99.21
1.0× median
99401Normal range

$343K

17K claims · 0.9%

Your Cost: $20.28/claim|Median: $16.53
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$339K

4,162 claims · 0.9%

Your Cost: $81.53/claim|Median: $59.72
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$329K

3,721 claims · 0.9%

Your Cost: $88.30/claim|Median: $76.06
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$320K

10K claims · 0.9%

Your Cost: $30.97/claim|Median: $33.11
0.9× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$286K

1,908 claims · 0.8%

Your Cost: $150.06/claim|Median: $121.58
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$279K

4,292 claims · 0.7%

Your Cost: $65.09/claim|Median: $47.08
1.4× median
92250Top 25%

Fundus photography with interpretation and report

$268K

6,685 claims · 0.7%

Your Cost: $40.02/claim|Median: $27.95
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$263K

2,921 claims · 0.7%

Your Cost: $90.18/claim|Median: $72.71
1.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$242K

2,479 claims · 0.6%

Your Cost: $97.51/claim|Median: $76.22
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$221K

6,733 claims · 0.6%

Your Cost: $32.76/claim|Median: $25.06
1.3× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$212K

767 claims · 0.6%

Your Cost: $275.89/claim|Median: $106.14
2.6× median
G0101Top 25%

Cervical/vaginal cancer screening; pelvic exam

$204K

6,329 claims · 0.5%

Your Cost: $32.16/claim|Median: $21.28
1.5× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$170K

1,485 claims · 0.5%

Your Cost: $114.76/claim|Median: $87.82
1.3× median
93924Top 25%

$153K

1,208 claims · 0.4%

Your Cost: $126.56/claim|Median: $56.65
2.2× median
A9500Top 5%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$145K

693 claims · 0.4%

Your Cost: $209.51/claim|Median: $64.30
3.3× median
Q0091Top 25%

$133K

5,928 claims · 0.4%

Your Cost: $22.52/claim|Median: $11.15
2.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$126K

13K claims · 0.3%

Your Cost: $9.51/claim|Median: $17.67
0.5× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$115K

1,258 claims · 0.3%

Your Cost: $91.19/claim|Median: $25.43
3.6× median
99306Top 5%

$98K

826 claims · 0.3%

Your Cost: $119.15/claim|Median: $29.97
4.0× median
76830Top 25%

Ultrasound, transvaginal

$92K

1,004 claims · 0.2%

Your Cost: $91.77/claim|Median: $57.47
1.6× median
95911Normal range

$91K

606 claims · 0.2%

Your Cost: $149.77/claim|Median: $122.86
1.2× median
J2785Top 10%

$82K

416 claims · 0.2%

Your Cost: $197.46/claim|Median: $61.83
3.2× median
95886Top 25%

$82K

574 claims · 0.2%

Your Cost: $142.40/claim|Median: $67.70
2.1× median
97162Normal range

PT evaluation, moderate complexity

$81K

1,677 claims · 0.2%

Your Cost: $48.51/claim|Median: $46.10
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$77K

1,826 claims · 0.2%

Your Cost: $42.26/claim|Median: $38.23
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$76K

9,123 claims · 0.2%

Your Cost: $8.38/claim|Median: $16.79
0.5× median
99243Top 25%

Office or other outpatient consultation, low complexity

$73K

713 claims · 0.2%

Your Cost: $101.85/claim|Median: $82.43
1.2× median
97032Normal range

Electrical stimulation, manual

$71K

14K claims · 0.2%

Your Cost: $4.99/claim|Median: $9.42
0.5× median

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