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UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER.

Clinic/Center·NEW YORK, NY·NPI: 1417986340Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.3M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$21.3M

$21,269,905

Total Claims

191K

Beneficiaries

95K

2.0 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$396K
+460%
2019
$2.2M
+76%
2020
$3.9M
+20%
2021
$4.7M
-17%
2022
$3.9M
-5%
2023
$3.7M
-31%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S5102 (Day care services, adult; per 15 min)) accounts for 56% of total spending.

S5102Top 10%

Day care services, adult; per 15 min

$12.0M

66K claims · 56.4%

Your Cost: $182.89/claim|Median: $81.10
2.3× median
99213Top 5%

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

$2.8M

28K claims · 13.4%

Your Cost: $101.79/claim|Median: $37.81
2.7× median
99214Top 10%

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

$2.1M

18K claims · 9.7%

Your Cost: $113.14/claim|Median: $53.41
2.1× median
90832Top 5%

Psychotherapy, 30 minutes

$1.6M

12K claims · 7.3%

Your Cost: $132.39/claim|Median: $41.28
3.2× median
90834Top 5%

Psychotherapy, 45 minutes

$1.3M

8,921 claims · 5.9%

Your Cost: $141.10/claim|Median: $63.65
2.2× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$376K

6,370 claims · 1.8%

Your Cost: $58.95/claim|Median: $38.83
1.5× median
99212Top 10%

Office/outpatient visit, low complexity

$291K

3,256 claims · 1.4%

Your Cost: $89.26/claim|Median: $25.06
3.6× median
D1110Top 25%

Prophylaxis, adult cleaning

$146K

2,069 claims · 0.7%

Your Cost: $70.57/claim|Median: $43.38
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$97K

643 claims · 0.5%

Your Cost: $150.94/claim|Median: $99.21
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$64K

1,390 claims · 0.3%

Your Cost: $45.83/claim|Median: $46.33
1.0× median
3008FTop 25%

$61K

15K claims · 0.3%

Your Cost: $4.13/claim|Median: $0.06
68.8× median
D0120Normal range

Periodic oral evaluation, established patient

$55K

1,989 claims · 0.3%

Your Cost: $27.90/claim|Median: $24.34
1.1× median
99204Top 25%

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

$54K

472 claims · 0.3%

Your Cost: $114.69/claim|Median: $84.03
1.4× median
D7311Top 25%

$46K

343 claims · 0.2%

Your Cost: $133.99/claim|Median: $91.31
1.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$39K

523 claims · 0.2%

Your Cost: $74.10/claim|Median: $71.00
1.0× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$36K

2,330 claims · 0.2%

Your Cost: $15.60/claim|Median: $10.51
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$35K

998 claims · 0.2%

Your Cost: $35.37/claim|Median: $27.07
1.3× median
D0274Normal range

Bitewings, four radiographic images

$32K

1,098 claims · 0.1%

Your Cost: $28.77/claim|Median: $22.54
1.3× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$29K

536 claims · 0.1%

Your Cost: $54.07/claim|Median: $13.30
4.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$22K

424 claims · 0.1%

Your Cost: $52.24/claim|Median: $54.60
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$22K

669 claims · 0.1%

Your Cost: $32.18/claim|Median: $32.07
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$19K

183 claims · 0.1%

Your Cost: $105.96/claim|Median: $74.09
1.4× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$18K

299 claims · 0.1%

Your Cost: $58.59/claim|Median: $22.44
2.6× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$17K

1,025 claims · 0.1%

Your Cost: $16.95/claim|Median: $7.33
2.3× median
90853Top 5%

Group psychotherapy

$12K

134 claims · 0.1%

Your Cost: $88.41/claim|Median: $25.02
3.5× median
99203Top 25%

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

$11K

124 claims · 0.1%

Your Cost: $88.82/claim|Median: $57.85
1.5× median
90471Top 25%

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

$9K

565 claims · 0.0%

Your Cost: $16.77/claim|Median: $9.80
1.7× median
0001FNormal range

$9K

14K claims · 0.0%

Your Cost: $0.67/claim|Median: $0.48
1.4× median
D1320Normal range

$7K

512 claims · 0.0%

Your Cost: $14.35/claim|Median: $14.84
1.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$6K

62 claims · 0.0%

Your Cost: $102.77/claim|Median: $76.06
1.4× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$5K

81 claims · 0.0%

Your Cost: $62.81/claim|Median: $56.18
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

234 claims · 0.0%

Your Cost: $12.41/claim|Median: $33.85
0.4× median
99051Normal range

$3K

445 claims · 0.0%

Your Cost: $5.89/claim|Median: $7.89
0.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$2K

13 claims · 0.0%

Your Cost: $180.08/claim|Median: $108.91
1.7× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

124 claims · 0.0%

Your Cost: $18.05/claim|Median: $7.18
2.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$2K

23 claims · 0.0%

Your Cost: $84.51/claim|Median: $84.26
1.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$2K

17 claims · 0.0%

Your Cost: $112.87/claim|Median: $72.71
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$2K

1,226 claims · 0.0%

Your Cost: $1.53/claim|Median: $1.57
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

224 claims · 0.0%

Your Cost: $8.20/claim|Median: $25.93
0.3× median
D0270Top 5%

$2K

103 claims · 0.0%

Your Cost: $17.32/claim|Median: $5.46
3.2× median
D0470Top 10%

$2K

22 claims · 0.0%

Your Cost: $72.52/claim|Median: $34.50
2.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$2K

26 claims · 0.0%

Your Cost: $61.25/claim|Median: $57.39
1.1× median
99000Normal range

$2K

1,123 claims · 0.0%

Your Cost: $1.42/claim|Median: $2.30
0.6× median
90674Top 25%

$1K

53 claims · 0.0%

Your Cost: $23.61/claim|Median: $15.16
1.6× median
0013ANormal range

$1K

40 claims · 0.0%

Your Cost: $25.92/claim|Median: $35.38
0.7× median
90658Normal range

$1K

75 claims · 0.0%

Your Cost: $13.44/claim|Median: $8.96
1.5× median
86803Normal range

Hepatitis C antibody

$793

101 claims · 0.0%

Your Cost: $7.85/claim|Median: $10.17
0.8× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$711

52 claims · 0.0%

Your Cost: $13.67/claim|Median: $18.03
0.8× median
90682Normal range

$701

18 claims · 0.0%

Your Cost: $38.92/claim|Median: $34.72
1.1× median
0134ANormal range

$500

13 claims · 0.0%

Your Cost: $38.47/claim|Median: $33.54
1.1× median

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