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

BEST HEALTHCARE, INC

Clinic/Center·MONROE, NY·NPI: 1609923671Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.0M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$31.0M

$31,048,536

Total Claims

475K

Beneficiaries

443K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+22%
2019
$3.7M
+19%
2020
$4.5M
+14%
2021
$5.1M
-14%
2022
$4.4M
+15%
2023
$5.1M
+3%
2024
$5.2M

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 39% of total spending.

99213Top 5%

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

$12.2M

114K claims · 39.3%

Your Cost: $106.54/claim|Median: $37.81
2.8× median
96110Top 1%

Developmental screening, per standardized instrument

$3.2M

23K claims · 10.3%

Your Cost: $142.27/claim|Median: $9.10
15.6× median
99214Top 10%

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

$3.1M

28K claims · 10.1%

Your Cost: $114.06/claim|Median: $53.41
2.1× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$2.3M

20K claims · 7.5%

Your Cost: $117.93/claim|Median: $75.18
1.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.8M

15K claims · 5.8%

Your Cost: $119.59/claim|Median: $74.82
1.6× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$1.7M

45K claims · 5.4%

Your Cost: $36.79/claim|Median: $28.46
1.3× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.2M

10K claims · 3.9%

Your Cost: $116.14/claim|Median: $69.35
1.7× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$1.0M

8,437 claims · 3.3%

Your Cost: $121.63/claim|Median: $80.15
1.5× median
99173Top 1%

$804K

12K claims · 2.6%

Your Cost: $68.13/claim|Median: $2.16
31.5× median
99381Top 10%

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

$464K

3,943 claims · 1.5%

Your Cost: $117.67/claim|Median: $73.46
1.6× median
36416Top 1%

$399K

11K claims · 1.3%

Your Cost: $37.06/claim|Median: $1.31
28.3× median
99051Normal range

$359K

28K claims · 1.2%

Your Cost: $12.65/claim|Median: $7.89
1.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$267K

2,407 claims · 0.9%

Your Cost: $111.12/claim|Median: $97.61
1.1× median
69210Top 5%

$220K

2,235 claims · 0.7%

Your Cost: $98.37/claim|Median: $21.74
4.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$203K

26K claims · 0.7%

Your Cost: $7.93/claim|Median: $11.48
0.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$198K

9,491 claims · 0.6%

Your Cost: $20.83/claim|Median: $12.93
1.6× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$187K

1,538 claims · 0.6%

Your Cost: $121.76/claim|Median: $72.71
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$104K

909 claims · 0.3%

Your Cost: $113.88/claim|Median: $25.06
4.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$98K

1,391 claims · 0.3%

Your Cost: $70.21/claim|Median: $63.08
1.1× median
87081Normal range

Culture screening for pathogenic organisms

$94K

27K claims · 0.3%

Your Cost: $3.44/claim|Median: $5.09
0.7× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$89K

750 claims · 0.3%

Your Cost: $118.06/claim|Median: $13.30
8.9× median
90633Top 10%

$83K

5,130 claims · 0.3%

Your Cost: $16.15/claim|Median: $3.56
4.5× median
90670Normal range

$78K

6,549 claims · 0.3%

Your Cost: $11.98/claim|Median: $5.94
2.0× median
90723Top 25%

DTaP-HepB-IPV vaccine

$72K

5,360 claims · 0.2%

Your Cost: $13.41/claim|Median: $5.78
2.3× median
90710Top 25%

MMRV vaccine

$70K

4,259 claims · 0.2%

Your Cost: $16.45/claim|Median: $7.00
2.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$65K

5,267 claims · 0.2%

Your Cost: $12.44/claim|Median: $17.85
0.7× median
90697Top 25%

$58K

2,641 claims · 0.2%

Your Cost: $21.90/claim|Median: $7.24
3.0× median
87804Normal range

Influenza virus detection, rapid test

$49K

6,455 claims · 0.2%

Your Cost: $7.58/claim|Median: $12.59
0.6× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$44K

378 claims · 0.1%

Your Cost: $117.67/claim|Median: $22.44
5.2× median
90734Top 25%

$43K

2,587 claims · 0.1%

Your Cost: $16.78/claim|Median: $6.40
2.6× median
90696Top 25%

DTaP-IPV vaccine

$43K

2,494 claims · 0.1%

Your Cost: $17.21/claim|Median: $5.95
2.9× median
99000Top 1%

$41K

1,206 claims · 0.1%

Your Cost: $34.19/claim|Median: $2.30
14.9× median
90700Top 10%

$36K

2,045 claims · 0.1%

Your Cost: $17.73/claim|Median: $4.56
3.9× median
90715Normal range

Tdap vaccine

$36K

2,002 claims · 0.1%

Your Cost: $18.04/claim|Median: $10.32
1.7× median
90648Normal range

$31K

3,574 claims · 0.1%

Your Cost: $8.81/claim|Median: $4.08
2.2× median
90677Normal range

$30K

1,200 claims · 0.1%

Your Cost: $25.13/claim|Median: $12.96
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$29K

2,416 claims · 0.1%

Your Cost: $12.09/claim|Median: $7.18
1.7× median
90671Normal range

$19K

887 claims · 0.1%

Your Cost: $21.07/claim|Median: $8.59
2.5× median
90744Top 10%

$17K

990 claims · 0.1%

Your Cost: $16.77/claim|Median: $5.00
3.4× median
85018Normal range

$16K

12K claims · 0.1%

Your Cost: $1.37/claim|Median: $1.71
0.8× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$16K

719 claims · 0.1%

Your Cost: $21.99/claim|Median: $15.76
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$15K

3,073 claims · 0.0%

Your Cost: $4.89/claim|Median: $4.71
1.0× median
90698Top 25%

$13K

803 claims · 0.0%

Your Cost: $16.33/claim|Median: $6.32
2.6× median
90716Top 25%

$11K

741 claims · 0.0%

Your Cost: $14.65/claim|Median: $6.18
2.4× median
90733Normal range

$10K

389 claims · 0.0%

Your Cost: $25.64/claim|Median: $9.55
2.7× median
36410Top 5%

$10K

318 claims · 0.0%

Your Cost: $29.92/claim|Median: $5.72
5.2× median
90707Normal range

MMR vaccine

$9K

1,359 claims · 0.0%

Your Cost: $6.97/claim|Median: $5.76
1.2× median
81003Normal range

Urinalysis, automated without microscopy

$9K

4,750 claims · 0.0%

Your Cost: $1.89/claim|Median: $1.48
1.3× median
90685Normal range

$5K

540 claims · 0.0%

Your Cost: $9.92/claim|Median: $5.96
1.7× median
17110Top 5%

Destruction of benign lesions, up to fourteen

$5K

21 claims · 0.0%

Your Cost: $219.79/claim|Median: $59.25
3.7× median