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RBK PEDIATRICS PC

Pediatrics·COMMACK, NY·NPI: 1417983024Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.1M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$22.1M

$22,117,392

Total Claims

616K

Beneficiaries

589K

1.0 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+35%
2019
$2.2M
+13%
2020
$2.5M
+33%
2021
$3.3M
+32%
2022
$4.4M
-6%
2023
$4.1M
-5%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Top 5%

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

$7.0M

56K claims · 31.7%

Your Cost: $125.22/claim|Median: $53.41
2.3× median
99213Top 10%

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

$5.1M

60K claims · 23.1%

Your Cost: $85.72/claim|Median: $37.81
2.3× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.5M

15K claims · 6.7%

Your Cost: $100.50/claim|Median: $69.35
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.4M

41K claims · 6.3%

Your Cost: $34.10/claim|Median: $17.85
1.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.3M

11K claims · 5.7%

Your Cost: $109.18/claim|Median: $75.18
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.1M

10K claims · 5.0%

Your Cost: $109.20/claim|Median: $74.82
1.5× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$653K

5,588 claims · 3.0%

Your Cost: $116.85/claim|Median: $80.15
1.5× median
92587Normal range

$628K

25K claims · 2.8%

Your Cost: $25.31/claim|Median: $19.24
1.3× median
U0002Normal range

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

$560K

13K claims · 2.5%

Your Cost: $42.07/claim|Median: $34.62
1.2× median
87804Normal range

Influenza virus detection, rapid test

$461K

32K claims · 2.1%

Your Cost: $14.31/claim|Median: $12.59
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$382K

39K claims · 1.7%

Your Cost: $9.73/claim|Median: $9.10
1.1× median
87426Normal range

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

$280K

9,474 claims · 1.3%

Your Cost: $29.55/claim|Median: $30.04
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$192K

13K claims · 0.9%

Your Cost: $14.57/claim|Median: $6.93
2.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$182K

21K claims · 0.8%

Your Cost: $8.83/claim|Median: $11.48
0.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$168K

16K claims · 0.8%

Your Cost: $10.26/claim|Median: $6.61
1.6× median
99215Top 5%

Office/outpatient visit, high complexity

$142K

769 claims · 0.6%

Your Cost: $184.76/claim|Median: $74.09
2.5× median
G2211Top 10%

$120K

7,924 claims · 0.5%

Your Cost: $15.14/claim|Median: $2.40
6.3× median
83655Top 25%

$99K

8,126 claims · 0.4%

Your Cost: $12.24/claim|Median: $10.49
1.2× median
90671Top 25%

$88K

953 claims · 0.4%

Your Cost: $92.07/claim|Median: $8.59
10.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$74K

13K claims · 0.3%

Your Cost: $5.61/claim|Median: $4.71
1.2× median
99051Normal range

$59K

16K claims · 0.3%

Your Cost: $3.62/claim|Median: $7.89
0.5× median
81000Top 25%

Urinalysis with microscopy, non-automated

$59K

16K claims · 0.3%

Your Cost: $3.64/claim|Median: $2.51
1.4× median
87070Normal range

Bacterial culture, any source except blood or urine

$51K

7,686 claims · 0.2%

Your Cost: $6.64/claim|Median: $5.89
1.1× median
99173Top 25%

$49K

11K claims · 0.2%

Your Cost: $4.43/claim|Median: $2.16
2.1× median
92552Top 10%

Pure tone audiometry, air only, each ear

$48K

1,485 claims · 0.2%

Your Cost: $32.07/claim|Median: $12.63
2.5× median
86580Top 25%

Tuberculosis (TB) skin test

$41K

4,808 claims · 0.2%

Your Cost: $8.44/claim|Median: $4.46
1.9× median
99354Normal range

$39K

1,046 claims · 0.2%

Your Cost: $37.26/claim|Median: $54.96
0.7× median
G8510Normal range

$38K

4,815 claims · 0.2%

Your Cost: $7.99/claim|Median: $1.96
4.1× median
87276Top 10%

$30K

2,072 claims · 0.1%

Your Cost: $14.25/claim|Median: $11.29
1.3× median
G0136Top 10%

$28K

1,626 claims · 0.1%

Your Cost: $17.39/claim|Median: $6.33
2.7× median
99212Top 25%

Office/outpatient visit, low complexity

$25K

468 claims · 0.1%

Your Cost: $53.66/claim|Median: $25.06
2.1× median
87275Normal range

$24K

2,055 claims · 0.1%

Your Cost: $11.91/claim|Median: $10.59
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$19K

533 claims · 0.1%

Your Cost: $36.44/claim|Median: $33.72
1.1× median
90677Top 25%

$19K

309 claims · 0.1%

Your Cost: $62.71/claim|Median: $12.96
4.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$17K

450 claims · 0.1%

Your Cost: $37.41/claim|Median: $36.70
1.0× median
0071ANormal range

$17K

407 claims · 0.1%

Your Cost: $40.97/claim|Median: $38.71
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$16K

15K claims · 0.1%

Your Cost: $1.05/claim|Median: $1.57
0.7× median
99406Normal range

$16K

6,399 claims · 0.1%

Your Cost: $2.44/claim|Median: $6.53
0.4× median
0072ANormal range

$15K

378 claims · 0.1%

Your Cost: $38.95/claim|Median: $39.57
1.0× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$14K

121 claims · 0.1%

Your Cost: $117.81/claim|Median: $72.71
1.6× median
90619Top 25%

$14K

437 claims · 0.1%

Your Cost: $31.14/claim|Median: $8.36
3.7× median
G9920Normal range

$13K

1,011 claims · 0.1%

Your Cost: $13.07/claim|Median: $6.56
2.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$10K

5,352 claims · 0.0%

Your Cost: $1.93/claim|Median: $2.00
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

4,268 claims · 0.0%

Your Cost: $1.72/claim|Median: $3.67
0.5× median
99417Normal range

$7K

268 claims · 0.0%

Your Cost: $25.40/claim|Median: $34.90
0.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$6K

225 claims · 0.0%

Your Cost: $26.79/claim|Median: $13.30
2.0× median
90670Normal range

$6K

5,128 claims · 0.0%

Your Cost: $1.11/claim|Median: $5.94
0.2× median
G0444Normal range

Annual depression screening, fifteen minutes

$5K

846 claims · 0.0%

Your Cost: $6.37/claim|Median: $4.23
1.5× median
99177Normal range

$5K

4,396 claims · 0.0%

Your Cost: $1.21/claim|Median: $3.74
0.3× median
99204Top 25%

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

$5K

37 claims · 0.0%

Your Cost: $140.72/claim|Median: $84.03
1.7× median