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MEDALLIANCE MEDICAL HEALTH SERVICES INC

Clinic/Center·BRONX, NY·NPI: 1558356741Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $32.6M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$32.6M

$32,583,524

Total Claims

483K

Beneficiaries

373K

1.3 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+26%
2019
$4.3M
+1%
2020
$4.4M
+40%
2021
$6.2M
-7%
2022
$5.8M
-12%
2023
$5.0M
-33%
2024
$3.4M

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 27% of total spending.

99213Top 10%

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

$8.9M

106K claims · 27.5%

Your Cost: $84.34/claim|Median: $37.81
2.2× median
99214Top 10%

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

$4.5M

40K claims · 13.7%

Your Cost: $112.14/claim|Median: $53.41
2.1× median
36478Normal range

$2.9M

3,113 claims · 8.9%

Your Cost: $927.51/claim|Median: $864.49
1.1× median
99203Top 10%

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

$1.7M

16K claims · 5.2%

Your Cost: $103.55/claim|Median: $57.85
1.8× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

21K claims · 3.3%

Your Cost: $52.14/claim|Median: $33.11
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$808K

27K claims · 2.5%

Your Cost: $29.78/claim|Median: $24.49
1.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$803K

4,094 claims · 2.5%

Your Cost: $196.23/claim|Median: $54.68
3.6× median
99204Top 25%

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

$769K

6,108 claims · 2.4%

Your Cost: $125.86/claim|Median: $84.03
1.5× median
20552Top 10%

$758K

8,386 claims · 2.3%

Your Cost: $90.36/claim|Median: $23.11
3.9× median
99212Top 25%

Office/outpatient visit, low complexity

$730K

14K claims · 2.2%

Your Cost: $51.39/claim|Median: $25.06
2.1× median
95819Top 25%

Electroencephalogram with sleep recording

$641K

3,154 claims · 2.0%

Your Cost: $203.13/claim|Median: $62.75
3.2× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$555K

5,328 claims · 1.7%

Your Cost: $104.09/claim|Median: $43.07
2.4× median
97161Normal range

Physical therapy evaluation, low complexity

$550K

8,819 claims · 1.7%

Your Cost: $62.37/claim|Median: $47.89
1.3× median
11900Top 10%

$459K

2,861 claims · 1.4%

Your Cost: $160.30/claim|Median: $31.25
5.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$421K

20K claims · 1.3%

Your Cost: $21.12/claim|Median: $16.79
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$415K

4,097 claims · 1.3%

Your Cost: $101.18/claim|Median: $74.09
1.4× median
93351Top 25%

$331K

1,590 claims · 1.0%

Your Cost: $207.98/claim|Median: $140.02
1.5× median
36475Normal range

$322K

277 claims · 1.0%

Your Cost: $1,161.76/claim|Median: $902.80
1.3× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$313K

3,040 claims · 1.0%

Your Cost: $102.89/claim|Median: $49.03
2.1× median
52000Top 1%

$302K

286 claims · 0.9%

Your Cost: $1,057.66/claim|Median: $89.88
11.8× median
11102Top 5%

$290K

1,096 claims · 0.9%

Your Cost: $264.93/claim|Median: $48.69
5.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$289K

4,030 claims · 0.9%

Your Cost: $71.66/claim|Median: $40.11
1.8× median
17110Top 5%

Destruction of benign lesions, up to fourteen

$288K

1,629 claims · 0.9%

Your Cost: $176.51/claim|Median: $59.25
3.0× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$280K

1,644 claims · 0.9%

Your Cost: $170.27/claim|Median: $29.03
5.9× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$273K

4,027 claims · 0.8%

Your Cost: $67.77/claim|Median: $25.43
2.7× median
92551Top 5%

Screening audiometry, pure tone, air only

$200K

6,578 claims · 0.6%

Your Cost: $30.35/claim|Median: $6.61
4.6× median
95923Top 25%

$194K

2,469 claims · 0.6%

Your Cost: $78.72/claim|Median: $44.24
1.8× median
93922Top 25%

$166K

2,606 claims · 0.5%

Your Cost: $63.74/claim|Median: $26.06
2.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$159K

1,870 claims · 0.5%

Your Cost: $84.85/claim|Median: $76.06
1.1× median
95708Normal range

$142K

629 claims · 0.4%

Your Cost: $226.34/claim|Median: $226.10
1.0× median
97014Normal range

Electrical stimulation, unattended

$132K

12K claims · 0.4%

Your Cost: $10.91/claim|Median: $8.83
1.2× median
97164Top 25%

PT re-evaluation

$130K

2,398 claims · 0.4%

Your Cost: $54.38/claim|Median: $32.66
1.7× median
97010Top 25%

Hot/cold packs application

$126K

7,363 claims · 0.4%

Your Cost: $17.08/claim|Median: $4.47
3.8× median
93923Top 10%

$125K

1,076 claims · 0.4%

Your Cost: $116.25/claim|Median: $38.08
3.1× median
92546Normal range

$124K

2,121 claims · 0.4%

Your Cost: $58.41/claim|Median: $52.33
1.1× median
11056Top 1%

Paring or cutting of benign hyperkeratotic lesions, two to four

$122K

795 claims · 0.4%

Your Cost: $152.85/claim|Median: $11.01
13.9× median
37225Top 1%

$107K

13 claims · 0.3%

Your Cost: $8,208.08/claim|Median: $1,075.53
7.6× median
93886Normal range

$107K

890 claims · 0.3%

Your Cost: $119.75/claim|Median: $83.25
1.4× median
93925Normal range

$103K

1,040 claims · 0.3%

Your Cost: $98.91/claim|Median: $54.12
1.8× median
37229Top 5%

$103K

18 claims · 0.3%

Your Cost: $5,704.20/claim|Median: $1,090.93
5.2× median
20553Top 10%

$102K

1,068 claims · 0.3%

Your Cost: $95.12/claim|Median: $29.47
3.2× median
10040Top 5%

$98K

439 claims · 0.3%

Your Cost: $223.94/claim|Median: $70.50
3.2× median
92537Top 5%

$92K

1,851 claims · 0.3%

Your Cost: $49.67/claim|Median: $24.39
2.0× median
96132Normal range

$90K

1,325 claims · 0.3%

Your Cost: $68.08/claim|Median: $70.53
1.0× median
93924Top 25%

$89K

789 claims · 0.3%

Your Cost: $113.06/claim|Median: $56.65
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$82K

632 claims · 0.3%

Your Cost: $130.52/claim|Median: $111.09
1.2× median
92540Normal range

$80K

1,237 claims · 0.2%

Your Cost: $64.87/claim|Median: $59.84
1.1× median
95951Top 5%

$72K

71 claims · 0.2%

Your Cost: $1,014.11/claim|Median: $183.28
5.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$69K

7,128 claims · 0.2%

Your Cost: $9.72/claim|Median: $9.70
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$64K

717 claims · 0.2%

Your Cost: $89.13/claim|Median: $72.71
1.2× median

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