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UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

Surgery·NEWARK, NJ·NPI: 1639189236Share

Compared to Surgery Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.8M is at the 25th percentile among 8 Surgery providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$41.8M

$41,803,725

Total Claims

309K

Beneficiaries

285K

1.1 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+6%
2019
$5.9M
-36%
2020
$3.8M
+58%
2021
$6.0M
+8%
2022
$6.5M
+40%
2023
$9.0M
-45%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 37% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$15.5M

77K claims · 37.0%

Your Cost: $199.98/claim|Median: $85.65
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$6.3M

40K claims · 15.2%

Your Cost: $159.60/claim|Median: $69.51
2.3× median
99213Top 5%

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

$4.1M

40K claims · 9.8%

Your Cost: $103.63/claim|Median: $37.81
2.7× median
31237Top 25%

$2.7M

7,666 claims · 6.5%

Your Cost: $352.70/claim|Median: $211.06
1.7× median
31231Normal range

Nasal endoscopy, diagnostic

$2.1M

14K claims · 5.0%

Your Cost: $149.71/claim|Median: $98.77
1.5× median
99214Top 5%

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

$2.1M

12K claims · 4.9%

Your Cost: $166.22/claim|Median: $53.41
3.1× median
99203Top 5%

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

$1.7M

11K claims · 4.1%

Your Cost: $158.35/claim|Median: $57.85
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.2M

12K claims · 2.8%

Your Cost: $94.54/claim|Median: $42.48
2.2× median
99204Top 1%

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

$868K

3,630 claims · 2.1%

Your Cost: $239.16/claim|Median: $84.03
2.8× median
31579Top 25%

$734K

3,470 claims · 1.8%

Your Cost: $211.58/claim|Median: $120.24
1.8× median
31575Top 25%

$688K

5,507 claims · 1.6%

Your Cost: $124.98/claim|Median: $68.78
1.8× median
99291Top 10%

Critical care, first 30-74 minutes

$575K

2,290 claims · 1.4%

Your Cost: $250.97/claim|Median: $101.24
2.5× median
92504Top 5%

$487K

11K claims · 1.2%

Your Cost: $43.87/claim|Median: $16.07
2.7× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$440K

9,263 claims · 1.1%

Your Cost: $47.50/claim|Median: $43.07
1.1× median
30140Normal range

$313K

774 claims · 0.7%

Your Cost: $403.89/claim|Median: $240.99
1.7× median
99243Top 1%

Office or other outpatient consultation, low complexity

$293K

1,367 claims · 0.7%

Your Cost: $214.42/claim|Median: $82.43
2.6× median
30520Normal range

$252K

532 claims · 0.6%

Your Cost: $473.52/claim|Median: $369.78
1.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$205K

2,889 claims · 0.5%

Your Cost: $70.93/claim|Median: $23.99
3.0× median
99244Top 1%

Office or other outpatient consultation, moderate complexity

$175K

549 claims · 0.4%

Your Cost: $319.27/claim|Median: $121.58
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$167K

2,819 claims · 0.4%

Your Cost: $59.17/claim|Median: $25.06
2.4× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$105K

292 claims · 0.3%

Your Cost: $360.19/claim|Median: $331.68
1.1× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$103K

297 claims · 0.2%

Your Cost: $345.79/claim|Median: $111.09
3.1× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$82K

803 claims · 0.2%

Your Cost: $102.29/claim|Median: $35.30
2.9× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$79K

685 claims · 0.2%

Your Cost: $115.36/claim|Median: $51.25
2.3× median
69210Top 10%

$73K

1,614 claims · 0.2%

Your Cost: $45.13/claim|Median: $21.74
2.1× median
99215Top 10%

Office/outpatient visit, high complexity

$60K

349 claims · 0.1%

Your Cost: $171.09/claim|Median: $74.09
2.3× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$54K

2,123 claims · 0.1%

Your Cost: $25.43/claim|Median: $25.43
1.0× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$53K

1,031 claims · 0.1%

Your Cost: $51.78/claim|Median: $16.77
3.1× median
99221Top 10%

Initial hospital care, straightforward/low

$45K

526 claims · 0.1%

Your Cost: $85.86/claim|Median: $39.96
2.1× median
99223Top 10%

Initial hospital care, per day, high complexity

$35K

230 claims · 0.1%

Your Cost: $153.90/claim|Median: $67.32
2.3× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$33K

1,166 claims · 0.1%

Your Cost: $28.47/claim|Median: $49.03
0.6× median
54161Normal range

$28K

94 claims · 0.1%

Your Cost: $297.76/claim|Median: $252.63
1.2× median
93922Normal range

$26K

1,695 claims · 0.1%

Your Cost: $15.52/claim|Median: $26.06
0.6× median
30465Normal range

$24K

25 claims · 0.1%

Your Cost: $964.92/claim|Median: $952.07
1.0× median
52000Normal range

$20K

163 claims · 0.0%

Your Cost: $124.67/claim|Median: $89.88
1.4× median
30802Top 25%

$18K

91 claims · 0.0%

Your Cost: $201.64/claim|Median: $110.05
1.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$16K

208 claims · 0.0%

Your Cost: $78.29/claim|Median: $40.11
2.0× median
30801Top 10%

$16K

137 claims · 0.0%

Your Cost: $113.82/claim|Median: $70.23
1.6× median
69436Normal range

Tympanostomy, general anesthesia

$15K

72 claims · 0.0%

Your Cost: $211.59/claim|Median: $205.50
1.0× median
95004Top 5%

Percutaneous allergy skin tests, each

$10K

26 claims · 0.0%

Your Cost: $401.69/claim|Median: $134.97
3.0× median
93925Normal range

$10K

431 claims · 0.0%

Your Cost: $22.54/claim|Median: $54.12
0.4× median
31615Normal range

$9K

56 claims · 0.0%

Your Cost: $169.17/claim|Median: $95.99
1.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$7K

13 claims · 0.0%

Your Cost: $541.65/claim|Median: $151.68
3.6× median
31622Normal range

$6K

26 claims · 0.0%

Your Cost: $220.31/claim|Median: $107.57
2.0× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$5K

58 claims · 0.0%

Your Cost: $77.71/claim|Median: $37.22
2.1× median
29581Top 25%

$5K

39 claims · 0.0%

Your Cost: $115.39/claim|Median: $41.19
2.8× median
99282Normal range

Emergency dept visit, low complexity

$4K

84 claims · 0.0%

Your Cost: $51.48/claim|Median: $37.72
1.4× median
93923Normal range

$3K

102 claims · 0.0%

Your Cost: $27.74/claim|Median: $38.08
0.7× median
93926Normal range

$3K

156 claims · 0.0%

Your Cost: $16.32/claim|Median: $26.21
0.6× median
29125Normal range

$2K

32 claims · 0.0%

Your Cost: $71.44/claim|Median: $28.04
2.5× median

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