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ENT AND ALLERGY ASSOCIATES LLP

Otolaryngology·TARRYTOWN, NY·NPI: 1376598326Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$118.0M

$117,956,947

Total Claims

1.1M

Beneficiaries

939K

1.1 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$7.7M
+33%
2019
$10.3M
+11%
2020
$11.4M
+51%
2021
$17.3M
+29%
2022
$22.4M
+26%
2023
$28.1M
-26%
2024
$20.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (31231 (Nasal endoscopy, diagnostic)) accounts for 23% of total spending.

31231Top 5%

Nasal endoscopy, diagnostic

$27.0M

120K claims · 22.9%

Your Cost: $225.31/claim|Median: $98.77
2.3× median
99203Top 5%

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

$18.6M

145K claims · 15.7%

Your Cost: $128.16/claim|Median: $57.85
2.2× median
95165Top 5%

Professional services for allergen immunotherapy, per injection

$16.7M

32K claims · 14.1%

Your Cost: $520.46/claim|Median: $144.04
3.6× median
95004Top 10%

Percutaneous allergy skin tests, each

$15.7M

54K claims · 13.3%

Your Cost: $291.03/claim|Median: $134.97
2.2× median
99213Top 5%

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

$14.1M

147K claims · 11.9%

Your Cost: $96.03/claim|Median: $37.81
2.5× median
99214Top 5%

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

$6.5M

48K claims · 5.5%

Your Cost: $135.85/claim|Median: $53.41
2.5× median
99204Top 5%

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

$5.6M

30K claims · 4.8%

Your Cost: $187.60/claim|Median: $84.03
2.2× median
95117Top 10%

$2.6M

184K claims · 2.2%

Your Cost: $14.23/claim|Median: $8.34
1.7× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$2.4M

64K claims · 2.0%

Your Cost: $36.98/claim|Median: $27.28
1.4× median
31575Top 10%

$2.2M

15K claims · 1.8%

Your Cost: $143.29/claim|Median: $68.78
2.1× median
92567Top 25%

$1.6M

101K claims · 1.4%

Your Cost: $16.06/claim|Median: $11.50
1.4× median
69210Top 10%

$1.5M

29K claims · 1.2%

Your Cost: $50.33/claim|Median: $21.74
2.3× median
95024Top 25%

$1.1M

8,998 claims · 0.9%

Your Cost: $124.36/claim|Median: $60.31
2.1× median
31579Top 25%

$479K

2,129 claims · 0.4%

Your Cost: $225.19/claim|Median: $120.24
1.9× median
G0268Top 25%

$390K

8,945 claims · 0.3%

Your Cost: $43.56/claim|Median: $16.23
2.7× median
92504Normal range

$231K

11K claims · 0.2%

Your Cost: $21.11/claim|Median: $16.07
1.3× median
69436Normal range

Tympanostomy, general anesthesia

$209K

626 claims · 0.2%

Your Cost: $334.45/claim|Median: $205.50
1.6× median
92579Top 25%

$201K

4,626 claims · 0.2%

Your Cost: $43.55/claim|Median: $30.58
1.4× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$123K

2,659 claims · 0.1%

Your Cost: $46.41/claim|Median: $31.08
1.5× median
99212Top 10%

Office/outpatient visit, low complexity

$120K

2,128 claims · 0.1%

Your Cost: $56.45/claim|Median: $25.06
2.3× median
92511Top 25%

$115K

894 claims · 0.1%

Your Cost: $129.05/claim|Median: $80.41
1.6× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$90K

1,034 claims · 0.1%

Your Cost: $87.17/claim|Median: $40.11
2.2× median
92612Top 5%

$74K

409 claims · 0.1%

Your Cost: $181.97/claim|Median: $98.45
1.8× median
94010Top 10%

$54K

1,427 claims · 0.0%

Your Cost: $37.87/claim|Median: $18.11
2.1× median
95115Top 10%

$46K

3,823 claims · 0.0%

Your Cost: $11.95/claim|Median: $6.96
1.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$44K

115 claims · 0.0%

Your Cost: $378.33/claim|Median: $331.68
1.1× median
95800Normal range

$41K

389 claims · 0.0%

Your Cost: $104.98/claim|Median: $86.65
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$27K

124 claims · 0.0%

Your Cost: $215.72/claim|Median: $233.73
0.9× median
99243Top 5%

Office or other outpatient consultation, low complexity

$25K

178 claims · 0.0%

Your Cost: $140.41/claim|Median: $82.43
1.7× median
30200Top 25%

$23K

304 claims · 0.0%

Your Cost: $74.10/claim|Median: $42.42
1.7× median
30903Top 25%

$22K

74 claims · 0.0%

Your Cost: $299.57/claim|Median: $213.62
1.4× median
95012Top 10%

$20K

868 claims · 0.0%

Your Cost: $22.89/claim|Median: $10.98
2.1× median
92550Top 25%

$14K

660 claims · 0.0%

Your Cost: $21.36/claim|Median: $14.15
1.5× median
30901Top 10%

$13K

72 claims · 0.0%

Your Cost: $182.60/claim|Median: $74.72
2.4× median
41010Normal range

$11K

49 claims · 0.0%

Your Cost: $227.60/claim|Median: $143.34
1.6× median
96160Normal range

Patient-focused health risk assessment

$8K

3,237 claims · 0.0%

Your Cost: $2.62/claim|Median: $2.10
1.2× median
31237Top 10%

$7K

17 claims · 0.0%

Your Cost: $407.50/claim|Median: $211.06
1.9× median
42830Normal range

$5K

27 claims · 0.0%

Your Cost: $202.84/claim|Median: $341.04
0.6× median
92552Top 5%

Pure tone audiometry, air only, each ear

$5K

133 claims · 0.0%

Your Cost: $37.35/claim|Median: $12.63
3.0× median
92555Top 25%

$3K

95 claims · 0.0%

Your Cost: $30.94/claim|Median: $14.17
2.2× median
92582Normal range

$3K

40 claims · 0.0%

Your Cost: $70.31/claim|Median: $46.66
1.5× median
95782Normal range

$3K

27 claims · 0.0%

Your Cost: $102.92/claim|Median: $216.35
0.5× median
92610Normal range

Evaluation of swallowing function

$3K

39 claims · 0.0%

Your Cost: $69.38/claim|Median: $45.22
1.5× median
94060Top 25%

$2K

50 claims · 0.0%

Your Cost: $49.48/claim|Median: $25.18
2.0× median
92556Normal range

$2K

66 claims · 0.0%

Your Cost: $33.24/claim|Median: $24.07
1.4× median
31000Top 10%

$2K

13 claims · 0.0%

Your Cost: $160.49/claim|Median: $99.30
1.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$1K

49 claims · 0.0%

Your Cost: $27.53/claim|Median: $9.56
2.9× median
92540Top 10%

$1K

15 claims · 0.0%

Your Cost: $89.78/claim|Median: $59.84
1.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$777

36 claims · 0.0%

Your Cost: $21.57/claim|Median: $51.25
0.4× median
95806Normal range

$622

13 claims · 0.0%

Your Cost: $47.85/claim|Median: $64.51
0.7× median

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