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YECHIEL ZAGELBAUM

Pediatrics·BROOKLYN, NY·NPI: 1558452730Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $70.6M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$70.6M

$70,626,015

Total Claims

2.1M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$6.5M
+3%
2019
$6.7M
+34%
2020
$9.0M
+49%
2021
$13.4M
-6%
2022
$12.7M
-4%
2023
$12.2M
-17%
2024
$10.1M

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 50% of total spending.

99213Top 10%

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

$35.4M

419K claims · 50.1%

Your Cost: $84.46/claim|Median: $37.81
2.2× median
99214Top 10%

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

$7.1M

67K claims · 10.1%

Your Cost: $106.45/claim|Median: $53.41
2.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$5.2M

55K claims · 7.4%

Your Cost: $94.69/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$3.0M

32K claims · 4.2%

Your Cost: $94.27/claim|Median: $74.82
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$2.1M

38K claims · 2.9%

Your Cost: $54.82/claim|Median: $25.06
2.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.7M

19K claims · 2.4%

Your Cost: $88.87/claim|Median: $69.35
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1.3M

255K claims · 1.9%

Your Cost: $5.25/claim|Median: $11.48
0.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.3M

13K claims · 1.8%

Your Cost: $99.93/claim|Median: $80.15
1.2× median
99203Top 10%

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

$1.2M

11K claims · 1.7%

Your Cost: $104.50/claim|Median: $57.85
1.8× median
87070Normal range

Bacterial culture, any source except blood or urine

$1.2M

249K claims · 1.7%

Your Cost: $4.79/claim|Median: $5.89
0.8× median
99050Normal range

$983K

100K claims · 1.4%

Your Cost: $9.83/claim|Median: $11.81
0.8× median
92587Normal range

$968K

42K claims · 1.4%

Your Cost: $23.07/claim|Median: $19.24
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$962K

62K claims · 1.4%

Your Cost: $15.40/claim|Median: $17.85
0.9× median
87184Normal range

$956K

249K claims · 1.4%

Your Cost: $3.83/claim|Median: $4.02
1.0× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$906K

9,358 claims · 1.3%

Your Cost: $96.82/claim|Median: $73.46
1.3× median
87804Normal range

Influenza virus detection, rapid test

$674K

63K claims · 1.0%

Your Cost: $10.62/claim|Median: $12.59
0.8× median
13152Normal range

$671K

1,484 claims · 0.9%

Your Cost: $451.99/claim|Median: $486.94
0.9× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$643K

5,864 claims · 0.9%

Your Cost: $109.71/claim|Median: $59.25
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$466K

79K claims · 0.7%

Your Cost: $5.89/claim|Median: $6.61
0.9× median
99204Top 25%

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

$408K

3,004 claims · 0.6%

Your Cost: $135.82/claim|Median: $84.03
1.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$385K

35K claims · 0.5%

Your Cost: $10.92/claim|Median: $6.93
1.6× median
87811Normal range

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

$293K

13K claims · 0.4%

Your Cost: $23.15/claim|Median: $30.53
0.8× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$256K

2,472 claims · 0.4%

Your Cost: $103.42/claim|Median: $79.89
1.3× median
10060Normal range

Incision and drainage of abscess, simple

$256K

2,420 claims · 0.4%

Your Cost: $105.64/claim|Median: $75.72
1.4× median
87426Normal range

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

$255K

11K claims · 0.4%

Your Cost: $23.45/claim|Median: $30.04
0.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$219K

2,165 claims · 0.3%

Your Cost: $100.94/claim|Median: $72.71
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$182K

3,656 claims · 0.3%

Your Cost: $49.69/claim|Median: $40.11
1.2× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$172K

1,582 claims · 0.2%

Your Cost: $108.62/claim|Median: $81.92
1.3× median
10120Normal range

$151K

1,017 claims · 0.2%

Your Cost: $148.00/claim|Median: $89.15
1.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$144K

43K claims · 0.2%

Your Cost: $3.36/claim|Median: $4.71
0.7× median
17111Top 25%

$125K

1,129 claims · 0.2%

Your Cost: $110.43/claim|Median: $80.28
1.4× median
69210Top 25%

$113K

2,925 claims · 0.2%

Your Cost: $38.48/claim|Median: $21.74
1.8× median
13132Top 25%

$108K

318 claims · 0.2%

Your Cost: $339.47/claim|Median: $119.51
2.8× median
90677Top 25%

$90K

1,888 claims · 0.1%

Your Cost: $47.86/claim|Median: $12.96
3.7× median
90697Top 25%

$77K

3,841 claims · 0.1%

Your Cost: $20.14/claim|Median: $7.24
2.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$64K

1,250 claims · 0.1%

Your Cost: $51.22/claim|Median: $37.22
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$62K

1,283 claims · 0.1%

Your Cost: $48.42/claim|Median: $62.48
0.8× median
11000Top 10%

$61K

1,949 claims · 0.1%

Your Cost: $31.13/claim|Median: $8.34
3.7× median
97597Normal range

$60K

3,647 claims · 0.1%

Your Cost: $16.37/claim|Median: $21.22
0.8× median
99215Top 5%

Office/outpatient visit, high complexity

$37K

218 claims · 0.1%

Your Cost: $171.63/claim|Median: $74.09
2.3× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$37K

317 claims · 0.1%

Your Cost: $115.48/claim|Median: $83.63
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$32K

160 claims · 0.0%

Your Cost: $201.97/claim|Median: $134.97
1.5× median
90471Top 25%

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

$32K

2,054 claims · 0.0%

Your Cost: $15.52/claim|Median: $9.80
1.6× median
81000Normal range

Urinalysis with microscopy, non-automated

$28K

10K claims · 0.0%

Your Cost: $2.76/claim|Median: $2.51
1.1× median
96160Top 1%

Patient-focused health risk assessment

$25K

571 claims · 0.0%

Your Cost: $44.21/claim|Median: $2.10
21.1× median
36410Normal range

$24K

3,905 claims · 0.0%

Your Cost: $6.17/claim|Median: $5.72
1.1× median
99401Top 5%

$17K

444 claims · 0.0%

Your Cost: $38.17/claim|Median: $16.53
2.3× median
90670Normal range

$13K

9,855 claims · 0.0%

Your Cost: $1.34/claim|Median: $5.94
0.2× median
99462Normal range

$12K

508 claims · 0.0%

Your Cost: $24.48/claim|Median: $27.49
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

5,099 claims · 0.0%

Your Cost: $2.20/claim|Median: $7.18
0.3× median

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Assistcarehome Healthcare Services

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Texas Children's Physician Group

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