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ALLIED PHYSICIANS GROUP, PLLC

Pediatrics·MELVILLE, NY·NPI: 1396944799Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.9M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$33.9M

$33,902,498

Total Claims

832K

Beneficiaries

800K

1.0 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+59%
2019
$3.1M
+31%
2020
$4.0M
+34%
2021
$5.4M
+30%
2022
$7.0M
-6%
2023
$6.5M
-8%
2024
$6.0M

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 49% of total spending.

99213Top 5%

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

$16.6M

188K claims · 49.0%

Your Cost: $88.58/claim|Median: $37.81
2.3× median
99214Top 5%

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

$5.7M

46K claims · 16.9%

Your Cost: $125.44/claim|Median: $53.41
2.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$3.1M

101K claims · 9.3%

Your Cost: $31.14/claim|Median: $17.85
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.7M

16K claims · 5.0%

Your Cost: $104.70/claim|Median: $75.18
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.5M

14K claims · 4.5%

Your Cost: $104.88/claim|Median: $74.82
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$809K

8,427 claims · 2.4%

Your Cost: $95.99/claim|Median: $69.35
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$714K

6,157 claims · 2.1%

Your Cost: $115.97/claim|Median: $80.15
1.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$468K

11K claims · 1.4%

Your Cost: $44.34/claim|Median: $39.63
1.1× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$434K

12K claims · 1.3%

Your Cost: $36.79/claim|Median: $30.04
1.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$293K

2,666 claims · 0.9%

Your Cost: $109.97/claim|Median: $100.62
1.1× median
96160Normal range

Patient-focused health risk assessment

$235K

74K claims · 0.7%

Your Cost: $3.16/claim|Median: $2.10
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$208K

4,090 claims · 0.6%

Your Cost: $50.83/claim|Median: $25.06
2.0× median
92552Top 25%

Pure tone audiometry, air only, each ear

$187K

6,870 claims · 0.6%

Your Cost: $27.26/claim|Median: $12.63
2.2× median
92551Normal range

Screening audiometry, pure tone, air only

$177K

21K claims · 0.5%

Your Cost: $8.57/claim|Median: $6.61
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$162K

22K claims · 0.5%

Your Cost: $7.22/claim|Median: $11.48
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$162K

29K claims · 0.5%

Your Cost: $5.53/claim|Median: $3.67
1.5× median
87804Normal range

Influenza virus detection, rapid test

$162K

11K claims · 0.5%

Your Cost: $14.08/claim|Median: $12.59
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$112K

18K claims · 0.3%

Your Cost: $6.24/claim|Median: $9.10
0.7× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$85K

2,098 claims · 0.2%

Your Cost: $40.28/claim|Median: $34.62
1.2× median
99051Normal range

$76K

18K claims · 0.2%

Your Cost: $4.13/claim|Median: $7.89
0.5× median
99215Top 5%

Office/outpatient visit, high complexity

$73K

399 claims · 0.2%

Your Cost: $182.09/claim|Median: $74.09
2.5× median
92587Normal range

$69K

2,891 claims · 0.2%

Your Cost: $23.99/claim|Median: $19.24
1.2× median
90832Top 25%

Psychotherapy, 30 minutes

$64K

791 claims · 0.2%

Your Cost: $81.45/claim|Median: $41.28
2.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$44K

2,362 claims · 0.1%

Your Cost: $18.70/claim|Median: $28.46
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$43K

11K claims · 0.1%

Your Cost: $4.04/claim|Median: $4.71
0.9× median
99173Normal range

$42K

20K claims · 0.1%

Your Cost: $2.06/claim|Median: $2.16
1.0× median
95004Normal range

Percutaneous allergy skin tests, each

$42K

419 claims · 0.1%

Your Cost: $100.02/claim|Median: $134.97
0.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$40K

2,162 claims · 0.1%

Your Cost: $18.38/claim|Median: $6.93
2.7× median
90471Top 25%

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

$39K

2,107 claims · 0.1%

Your Cost: $18.63/claim|Median: $9.80
1.9× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$39K

3,266 claims · 0.1%

Your Cost: $11.80/claim|Median: $17.67
0.7× median
0072ANormal range

$37K

909 claims · 0.1%

Your Cost: $41.05/claim|Median: $39.57
1.0× median
0071ATop 25%

$37K

883 claims · 0.1%

Your Cost: $42.05/claim|Median: $38.71
1.1× median
87070Normal range

Bacterial culture, any source except blood or urine

$33K

5,729 claims · 0.1%

Your Cost: $5.72/claim|Median: $5.89
1.0× median
87184Normal range

$31K

6,984 claims · 0.1%

Your Cost: $4.45/claim|Median: $4.02
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$27K

13K claims · 0.1%

Your Cost: $2.13/claim|Median: $2.00
1.1× median
85018Normal range

$23K

11K claims · 0.1%

Your Cost: $2.09/claim|Median: $1.71
1.2× median
95018Normal range

$23K

411 claims · 0.1%

Your Cost: $55.25/claim|Median: $38.71
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

515 claims · 0.1%

Your Cost: $41.46/claim|Median: $36.70
1.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$21K

503 claims · 0.1%

Your Cost: $41.48/claim|Median: $33.72
1.2× median
92567Normal range

$20K

1,739 claims · 0.1%

Your Cost: $11.65/claim|Median: $11.50
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$18K

546 claims · 0.1%

Your Cost: $32.94/claim|Median: $30.53
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$15K

8,779 claims · 0.0%

Your Cost: $1.67/claim|Median: $1.48
1.1× median
99204Top 10%

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

$13K

82 claims · 0.0%

Your Cost: $155.74/claim|Median: $84.03
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

21K claims · 0.0%

Your Cost: $0.53/claim|Median: $7.18
0.1× median
83655Normal range

$11K

890 claims · 0.0%

Your Cost: $12.10/claim|Median: $10.49
1.2× median
G8510Top 10%

$8K

573 claims · 0.0%

Your Cost: $14.07/claim|Median: $1.96
7.2× median
80061Normal range

Lipid panel

$6K

1,143 claims · 0.0%

Your Cost: $5.44/claim|Median: $8.41
0.6× median
99429Normal range

$5K

521 claims · 0.0%

Your Cost: $10.15/claim|Median: $28.58
0.4× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$5K

235 claims · 0.0%

Your Cost: $21.59/claim|Median: $144.04
0.1× median
99177Normal range

$4K

3,290 claims · 0.0%

Your Cost: $1.09/claim|Median: $3.74
0.3× median