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UNION COMMUNITY HEALTH CENTER, INC.

Clinic/Center·BRONX, NY·NPI: 1437255155Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $88.7M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$88.7M

$88,664,609

Total Claims

2.9M

Beneficiaries

1.5M

1.9 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$8.1M
+59%
2019
$12.9M
+5%
2020
$13.6M
+22%
2021
$16.6M
-14%
2022
$14.3M
-43%
2023
$8.1M
+85%
2024
$15.0M

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 18% of total spending.

99213Normal range

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

$15.8M

311K claims · 17.8%

Your Cost: $50.74/claim|Median: $37.81
1.3× median
99214Normal range

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

$9.5M

262K claims · 10.7%

Your Cost: $36.34/claim|Median: $53.41
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$9.2M

175K claims · 10.4%

Your Cost: $52.62/claim|Median: $33.11
1.6× median
90832Top 10%

Psychotherapy, 30 minutes

$3.7M

40K claims · 4.2%

Your Cost: $92.49/claim|Median: $41.28
2.2× median
92551Top 5%

Screening audiometry, pure tone, air only

$3.6M

139K claims · 4.1%

Your Cost: $25.99/claim|Median: $6.61
3.9× median
D0120Top 25%

Periodic oral evaluation, established patient

$3.6M

126K claims · 4.0%

Your Cost: $28.59/claim|Median: $24.34
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$3.3M

83K claims · 3.7%

Your Cost: $39.76/claim|Median: $24.49
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$2.9M

55K claims · 3.2%

Your Cost: $51.67/claim|Median: $25.06
2.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$2.6M

59K claims · 2.9%

Your Cost: $43.98/claim|Median: $27.07
1.6× median
36415Top 5%

Collection of venous blood by venipuncture

$2.4M

127K claims · 2.7%

Your Cost: $18.86/claim|Median: $1.57
12.0× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$1.5M

15K claims · 1.7%

Your Cost: $98.74/claim|Median: $32.55
3.0× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$1.4M

16K claims · 1.6%

Your Cost: $90.74/claim|Median: $38.23
2.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$1.4M

24K claims · 1.6%

Your Cost: $56.29/claim|Median: $43.38
1.3× median
81003Top 1%

Urinalysis, automated without microscopy

$1.4M

45K claims · 1.5%

Your Cost: $30.17/claim|Median: $1.48
20.4× median
97010Top 10%

Hot/cold packs application

$1.3M

38K claims · 1.4%

Your Cost: $33.15/claim|Median: $4.47
7.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$1.3M

14K claims · 1.4%

Your Cost: $93.29/claim|Median: $22.44
4.2× median
D1120Normal range

Prophylaxis, adult

$1.2M

48K claims · 1.3%

Your Cost: $25.02/claim|Median: $33.86
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

18K claims · 1.3%

Your Cost: $65.92/claim|Median: $71.00
0.9× median
D8670Normal range

Periodic orthodontic treatment visit

$1.0M

6,057 claims · 1.2%

Your Cost: $170.18/claim|Median: $185.01
0.9× median
92507Top 5%

Speech/hearing/language treatment

$1.0M

8,685 claims · 1.1%

Your Cost: $116.35/claim|Median: $49.45
2.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$990K

17K claims · 1.1%

Your Cost: $59.14/claim|Median: $54.60
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$966K

34K claims · 1.1%

Your Cost: $28.71/claim|Median: $32.07
0.9× median
G8510Top 1%

$941K

31K claims · 1.1%

Your Cost: $30.47/claim|Median: $1.96
15.5× median
81025Top 5%

Urine pregnancy test

$936K

30K claims · 1.1%

Your Cost: $31.39/claim|Median: $4.81
6.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$764K

15K claims · 0.9%

Your Cost: $50.35/claim|Median: $57.39
0.9× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$749K

8,883 claims · 0.8%

Your Cost: $84.33/claim|Median: $13.30
6.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$745K

19K claims · 0.8%

Your Cost: $38.33/claim|Median: $69.35
0.6× median
92015Top 1%

Determination of refractive state

$722K

13K claims · 0.8%

Your Cost: $54.81/claim|Median: $10.36
5.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$720K

19K claims · 0.8%

Your Cost: $38.21/claim|Median: $75.18
0.5× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$627K

44K claims · 0.7%

Your Cost: $14.33/claim|Median: $10.51
1.4× median
94760Top 5%

Pulse oximetry, single reading, noninvasive

$585K

16K claims · 0.7%

Your Cost: $35.81/claim|Median: $0.79
45.3× median
D1351Top 25%

Sealant, per tooth

$579K

15K claims · 0.7%

Your Cost: $39.17/claim|Median: $26.10
1.5× median
D0274Normal range

Bitewings, four radiographic images

$565K

26K claims · 0.6%

Your Cost: $21.71/claim|Median: $22.54
1.0× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$506K

4,974 claims · 0.6%

Your Cost: $101.68/claim|Median: $47.08
2.2× median
97162Top 25%

PT evaluation, moderate complexity

$504K

6,761 claims · 0.6%

Your Cost: $74.58/claim|Median: $46.10
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$440K

12K claims · 0.5%

Your Cost: $37.04/claim|Median: $72.71
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$403K

9,710 claims · 0.5%

Your Cost: $41.54/claim|Median: $76.06
0.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$373K

49K claims · 0.4%

Your Cost: $7.61/claim|Median: $16.79
0.5× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$336K

5,886 claims · 0.4%

Your Cost: $57.01/claim|Median: $27.28
2.1× median
D8660Normal range

$329K

5,420 claims · 0.4%

Your Cost: $60.70/claim|Median: $67.74
0.9× median
D1330Top 25%

$325K

23K claims · 0.4%

Your Cost: $14.37/claim|Median: $5.73
2.5× median
D0330Normal range

Panoramic radiographic image

$309K

9,748 claims · 0.3%

Your Cost: $31.66/claim|Median: $37.36
0.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$304K

21K claims · 0.3%

Your Cost: $14.31/claim|Median: $7.18
2.0× median
D9310Normal range

$285K

4,779 claims · 0.3%

Your Cost: $59.62/claim|Median: $46.20
1.3× median
D4341Normal range

Periodontal scaling, per quadrant

$276K

4,806 claims · 0.3%

Your Cost: $57.44/claim|Median: $70.00
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$239K

21K claims · 0.3%

Your Cost: $11.38/claim|Median: $14.36
0.8× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$188K

3,970 claims · 0.2%

Your Cost: $47.24/claim|Median: $11.48
4.1× median
G8431Top 5%

$165K

3,747 claims · 0.2%

Your Cost: $43.99/claim|Median: $2.37
18.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$163K

24K claims · 0.2%

Your Cost: $6.69/claim|Median: $17.85
0.4× median
97166Top 25%

OT evaluation, moderate complexity

$159K

2,091 claims · 0.2%

Your Cost: $76.04/claim|Median: $48.74
1.6× median

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