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WEST MIDTOWN MANAGEMENT GROUP INC

Clinic/Center, Multi-Specialty·NEW YORK, NY·NPI: 1609805993Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.1M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$35.1M

$35,082,172

Total Claims

437K

Beneficiaries

97K

4.5 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2019
$2.4M
+223%
2020
$7.7M
-21%
2021
$6.1M
+19%
2022
$7.2M
-8%
2023
$6.6M
-23%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 57% of total spending.

G2067Top 5%

Medication-assisted treatment, opioid use disorder, per month

$20.0M

89K claims · 57.0%

Your Cost: $223.35/claim|Median: $73.29
3.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$8.4M

276K claims · 24.0%

Your Cost: $30.45/claim|Median: $18.95
1.6× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$2.7M

26K claims · 7.6%

Your Cost: $103.30/claim|Median: $40.58
2.5× median
99212Top 5%

Office/outpatient visit, low complexity

$1.5M

12K claims · 4.2%

Your Cost: $127.25/claim|Median: $25.06
5.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$784K

17K claims · 2.2%

Your Cost: $46.25/claim|Median: $74.63
0.6× median
99213Top 5%

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

$707K

5,930 claims · 2.0%

Your Cost: $119.19/claim|Median: $37.81
3.2× median
G0397Normal range

$419K

3,018 claims · 1.2%

Your Cost: $138.76/claim|Median: $142.31
1.0× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$163K

2,788 claims · 0.5%

Your Cost: $58.42/claim|Median: $47.35
1.2× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$147K

1,190 claims · 0.4%

Your Cost: $123.32/claim|Median: $76.06
1.6× median
H0002Top 10%

Behavioral health screening

$119K

689 claims · 0.3%

Your Cost: $173.21/claim|Median: $38.77
4.5× median
90853Top 25%

Group psychotherapy

$50K

894 claims · 0.1%

Your Cost: $55.95/claim|Median: $25.02
2.2× median
H0033Normal range

Oral medication administration, direct observation

$30K

1,087 claims · 0.1%

Your Cost: $27.54/claim|Median: $31.37
0.9× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$26K

235 claims · 0.1%

Your Cost: $112.55/claim|Median: $87.82
1.3× median
90832Top 10%

Psychotherapy, 30 minutes

$20K

181 claims · 0.1%

Your Cost: $108.06/claim|Median: $41.28
2.6× median
99214Top 5%

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

$17K

133 claims · 0.0%

Your Cost: $125.21/claim|Median: $53.41
2.3× median
J0592Top 5%

$16K

189 claims · 0.0%

Your Cost: $83.27/claim|Median: $11.48
7.3× median
H0014Normal range

$13K

96 claims · 0.0%

Your Cost: $137.98/claim|Median: $137.81
1.0× median
G2078Top 25%

$12K

286 claims · 0.0%

Your Cost: $40.81/claim|Median: $27.04
1.5× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$7K

83 claims · 0.0%

Your Cost: $86.26/claim|Median: $22.44
3.8× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$5K

44 claims · 0.0%

Your Cost: $115.45/claim|Median: $76.22
1.5× median
90834Top 5%

Psychotherapy, 45 minutes

$3K

18 claims · 0.0%

Your Cost: $145.39/claim|Median: $63.65
2.3× median
90833Top 25%

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

$812

12 claims · 0.0%

Your Cost: $67.63/claim|Median: $38.83
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.39

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