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PM PEDIATRICS OF LIVINGSTON, PLLC

Clinic/Center, Urgent Care·LIVINGSTON, NJ·NPI: 1639430515Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$40.4M

$40,446,446

Total Claims

409K

Beneficiaries

381K

1.1 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+60%
2019
$3.9M
+15%
2020
$4.5M
+77%
2021
$8.0M
+4%
2022
$8.3M
-3%
2023
$8.0M
-33%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 30% of total spending.

99213Top 5%

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

$12.2M

105K claims · 30.1%

Your Cost: $115.91/claim|Median: $37.81
3.1× median
99214Top 5%

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

$11.8M

100K claims · 29.1%

Your Cost: $117.64/claim|Median: $53.41
2.2× median
S9083Top 25%

Global fee, urgent care centers

$8.0M

61K claims · 19.7%

Your Cost: $130.58/claim|Median: $103.99
1.3× median
99203Top 5%

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

$5.4M

46K claims · 13.3%

Your Cost: $117.70/claim|Median: $57.85
2.0× median
99204Top 25%

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

$2.7M

23K claims · 6.6%

Your Cost: $116.70/claim|Median: $84.03
1.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$229K

1,908 claims · 0.6%

Your Cost: $119.85/claim|Median: $40.11
3.0× median
99212Top 5%

Office/outpatient visit, low complexity

$113K

1,153 claims · 0.3%

Your Cost: $98.06/claim|Median: $25.06
3.9× median
99215Top 25%

Office/outpatient visit, high complexity

$101K

864 claims · 0.3%

Your Cost: $117.19/claim|Median: $74.09
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

32 claims · 0.0%

Your Cost: $101.25/claim|Median: $111.09
0.9× median
87426Normal range

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

$45

1,860 claims · 0.0%

Your Cost: $0.02/claim|Median: $30.04
0.0× median
71046Normal range

Chest X-ray, 2 views

$14

200 claims · 0.0%

Your Cost: $0.07/claim|Median: $8.92
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
0.0× median
73090Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.95
73130Normal range

$0

200 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.69
73560Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.28
87804Normal range

Influenza virus detection, rapid test

$0

4,101 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.67
73610Normal range

X-ray of ankle, complete, minimum three views

$0

909 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.55
81003Normal range

Urinalysis, automated without microscopy

$0

2,817 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
12011Normal range

$0

148 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.02
81025Normal range

Urine pregnancy test

$0

119 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
J7699Normal range

$0

108 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.13
Q0162Normal range

$0

2,344 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.48
J1100Normal range

$0

142 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.52
J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$0

1,501 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
J7620Normal range

$0

1,311 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.14
94640Normal range

Pressurized or nonpressurized inhalation treatment

$0

2,091 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.88
73630Normal range

X-ray, foot, complete, minimum 3 views

$0

622 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.06
29125Normal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.04
87428Normal range

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

$0

665 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.63
73110Normal range

X-ray of wrist, complete, minimum three views

$0

461 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.64
J8540Normal range

$0

6,700 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.65
99000Normal range

$0

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
29540Normal range

$0

118 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.93
82962Normal range

Blood glucose test by monitoring device

$0

91 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.40
99024Normal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
Q4049Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.29
87807Normal range

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
73140Normal range

$0

974 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.18
73080Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.78

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