Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ALICE HYDE MEDICAL CENTER

General Practice·MALONE, NY·NPI: 1568735660Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.4M is at the 25th percentile among 6 General Practice providers.

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

Total Paid

$22.4M

$22,406,284

Total Claims

471K

Beneficiaries

429K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$541K
+116%
2019
$1.2M
+181%
2020
$3.3M
+31%
2021
$4.3M
+31%
2022
$5.7M
-25%
2023
$4.3M
-25%
2024
$3.2M

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 24% of total spending.

99213Top 5%

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

$5.4M

49K claims · 24.0%

Your Cost: $110.55/claim|Median: $37.81
2.9× median
99214Top 5%

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

$2.2M

19K claims · 9.9%

Your Cost: $117.39/claim|Median: $53.41
2.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.2M

8,288 claims · 5.3%

Your Cost: $143.29/claim|Median: $42.48
3.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$934K

13K claims · 4.2%

Your Cost: $72.50/claim|Median: $63.08
1.1× median
99284Top 25%

Emergency dept visit, high complexity

$775K

6,218 claims · 3.5%

Your Cost: $124.57/claim|Median: $69.51
1.8× median
80053Top 10%

Comprehensive metabolic panel

$638K

25K claims · 2.8%

Your Cost: $25.56/claim|Median: $7.24
3.5× median
97530Top 10%

Therapeutic activities, each 15 min

$633K

6,217 claims · 2.8%

Your Cost: $101.86/claim|Median: $33.11
3.1× median
97110Top 5%

Therapeutic exercises, each 15 min

$559K

5,209 claims · 2.5%

Your Cost: $107.28/claim|Median: $24.49
4.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$497K

2,406 claims · 2.2%

Your Cost: $206.61/claim|Median: $38.92
5.3× median
36415Top 5%

Collection of venous blood by venipuncture

$472K

21K claims · 2.1%

Your Cost: $23.01/claim|Median: $1.57
14.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$392K

1,622 claims · 1.8%

Your Cost: $241.92/claim|Median: $65.76
3.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$377K

3,880 claims · 1.7%

Your Cost: $97.07/claim|Median: $100.62
1.0× median
70450Top 5%

CT head/brain without contrast

$365K

1,297 claims · 1.6%

Your Cost: $281.08/claim|Median: $45.53
6.2× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$357K

2,836 claims · 1.6%

Your Cost: $125.74/claim|Median: $74.82
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$325K

2,663 claims · 1.5%

Your Cost: $122.02/claim|Median: $85.65
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$317K

2,170 claims · 1.4%

Your Cost: $146.17/claim|Median: $37.72
3.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$303K

2,733 claims · 1.4%

Your Cost: $110.90/claim|Median: $75.18
1.5× median
99212Top 5%

Office/outpatient visit, low complexity

$298K

2,315 claims · 1.3%

Your Cost: $128.90/claim|Median: $25.06
5.1× median
82306Top 25%

Vitamin D, 25 hydroxy

$294K

9,542 claims · 1.3%

Your Cost: $30.78/claim|Median: $18.18
1.7× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$285K

2,616 claims · 1.3%

Your Cost: $109.12/claim|Median: $76.06
1.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$283K

2,385 claims · 1.3%

Your Cost: $118.69/claim|Median: $22.44
5.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$266K

2,345 claims · 1.2%

Your Cost: $113.32/claim|Median: $72.71
1.6× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$251K

2,075 claims · 1.1%

Your Cost: $120.77/claim|Median: $69.35
1.7× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$230K

955 claims · 1.0%

Your Cost: $240.49/claim|Median: $29.03
8.3× median
99215Top 25%

Office/outpatient visit, high complexity

$221K

1,651 claims · 1.0%

Your Cost: $134.13/claim|Median: $74.09
1.8× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$220K

1,791 claims · 1.0%

Your Cost: $122.61/claim|Median: $65.45
1.9× median
51798Top 1%

$206K

728 claims · 0.9%

Your Cost: $282.87/claim|Median: $6.59
42.9× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$193K

1,558 claims · 0.9%

Your Cost: $124.13/claim|Median: $80.15
1.5× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$193K

1,901 claims · 0.9%

Your Cost: $101.60/claim|Median: $54.77
1.9× median
99203Top 10%

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

$186K

1,620 claims · 0.8%

Your Cost: $114.79/claim|Median: $57.85
2.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$180K

5,990 claims · 0.8%

Your Cost: $30.13/claim|Median: $12.93
2.3× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$148K

9,873 claims · 0.7%

Your Cost: $15.00/claim|Median: $15.76
1.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$145K

3,552 claims · 0.6%

Your Cost: $40.81/claim|Median: $9.56
4.3× median
96360Top 10%

IV infusion, hydration, initial, 31 minutes to 1 hour

$115K

612 claims · 0.5%

Your Cost: $187.46/claim|Median: $61.57
3.0× median
G2025Top 10%

$114K

1,493 claims · 0.5%

Your Cost: $76.44/claim|Median: $15.63
4.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$113K

440 claims · 0.5%

Your Cost: $256.47/claim|Median: $60.19
4.3× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$107K

2,646 claims · 0.5%

Your Cost: $40.48/claim|Median: $24.95
1.6× median
81025Top 5%

Urine pregnancy test

$105K

3,088 claims · 0.5%

Your Cost: $33.97/claim|Median: $4.81
7.1× median
80061Normal range

Lipid panel

$105K

13K claims · 0.5%

Your Cost: $8.06/claim|Median: $8.41
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$103K

598 claims · 0.5%

Your Cost: $172.15/claim|Median: $54.68
3.1× median
93976Top 5%

$102K

372 claims · 0.5%

Your Cost: $274.97/claim|Median: $42.06
6.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$100K

12K claims · 0.4%

Your Cost: $8.15/claim|Median: $9.87
0.8× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$92K

940 claims · 0.4%

Your Cost: $97.92/claim|Median: $13.30
7.4× median
36416Top 1%

$84K

1,131 claims · 0.4%

Your Cost: $74.48/claim|Median: $1.31
56.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$83K

1,947 claims · 0.4%

Your Cost: $42.59/claim|Median: $39.33
1.1× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$80K

2,353 claims · 0.4%

Your Cost: $34.13/claim|Median: $16.79
2.0× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$77K

4,199 claims · 0.3%

Your Cost: $18.39/claim|Median: $3.67
5.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$73K

9,559 claims · 0.3%

Your Cost: $7.65/claim|Median: $5.50
1.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$71K

1,929 claims · 0.3%

Your Cost: $36.71/claim|Median: $35.43
1.0× median
99406Top 5%

$67K

3,239 claims · 0.3%

Your Cost: $20.76/claim|Median: $6.53
3.2× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in General Practice

Fishing Point Health Care LLC

Portsmouth, VA

$169.8M

Danbury Hospital

Danbury, CT

$123.9M

← All providersAll providers in New York →How we detect fraud →