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NORTH SHORE LIJ, URGENT CARE, P.C.

Clinic/Center, Urgent Care·ROCKVILLE CENTRE, NY·NPI: 1679970891Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$111.6M

$111,591,052

Total Claims

777K

Beneficiaries

745K

1.0 claims/patient

Avg Cost/Claim

$144

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+57%
2019
$6.1M
+53%
2020
$9.4M
+149%
2021
$23.4M
+3%
2022
$24.0M
-5%
2023
$22.7M
-3%
2024
$22.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 45 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 44% of total spending.

99213Top 1%

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

$48.9M

251K claims · 43.8%

Your Cost: $194.73/claim|Median: $37.81
5.2× median
99214Top 5%

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

$20.7M

114K claims · 18.5%

Your Cost: $181.78/claim|Median: $53.41
3.4× median
99203Top 5%

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

$16.6M

88K claims · 14.9%

Your Cost: $189.62/claim|Median: $57.85
3.3× median
99212Top 5%

Office/outpatient visit, low complexity

$8.1M

46K claims · 7.3%

Your Cost: $176.73/claim|Median: $25.06
7.1× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$7.9M

44K claims · 7.1%

Your Cost: $180.78/claim|Median: $40.11
4.5× median
S9083Top 25%

Global fee, urgent care centers

$3.0M

24K claims · 2.7%

Your Cost: $125.30/claim|Median: $103.99
1.2× median
99204Top 1%

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

$2.7M

12K claims · 2.4%

Your Cost: $231.31/claim|Median: $84.03
2.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.9M

117K claims · 1.7%

Your Cost: $16.01/claim|Median: $39.70
0.4× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$763K

5,793 claims · 0.7%

Your Cost: $131.65/claim|Median: $27.38
4.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$394K

39K claims · 0.4%

Your Cost: $10.17/claim|Median: $30.53
0.3× median
99215Top 5%

Office/outpatient visit, high complexity

$230K

965 claims · 0.2%

Your Cost: $238.74/claim|Median: $74.09
3.2× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$84K

353 claims · 0.1%

Your Cost: $237.10/claim|Median: $111.09
2.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$81K

8,640 claims · 0.1%

Your Cost: $9.35/claim|Median: $11.48
0.8× median
87804Normal range

Influenza virus detection, rapid test

$63K

5,471 claims · 0.1%

Your Cost: $11.55/claim|Median: $12.59
0.9× median
71046Normal range

Chest X-ray, 2 views

$60K

4,345 claims · 0.1%

Your Cost: $13.85/claim|Median: $8.92
1.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$35K

312 claims · 0.0%

Your Cost: $113.30/claim|Median: $12.93
8.8× median
81025Normal range

Urine pregnancy test

$16K

3,383 claims · 0.0%

Your Cost: $4.66/claim|Median: $4.81
1.0× median
90674Top 5%

$14K

251 claims · 0.0%

Your Cost: $54.42/claim|Median: $15.16
3.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$13K

1,078 claims · 0.0%

Your Cost: $12.31/claim|Median: $9.70
1.3× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$13K

263 claims · 0.0%

Your Cost: $48.17/claim|Median: $9.80
4.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$9K

458 claims · 0.0%

Your Cost: $19.68/claim|Median: $9.56
2.1× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$7K

136 claims · 0.0%

Your Cost: $54.46/claim|Median: $10.88
5.0× median
81003Normal range

Urinalysis, automated without microscopy

$7K

5,496 claims · 0.0%

Your Cost: $1.33/claim|Median: $1.48
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

141 claims · 0.0%

Your Cost: $38.18/claim|Median: $33.85
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$3K

1,793 claims · 0.0%

Your Cost: $1.87/claim|Median: $1.57
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

137 claims · 0.0%

Your Cost: $19.14/claim|Median: $25.93
0.7× median
90715Normal range

Tdap vaccine

$2K

128 claims · 0.0%

Your Cost: $16.87/claim|Median: $10.32
1.6× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$2K

84 claims · 0.0%

Your Cost: $22.73/claim|Median: $13.55
1.7× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$1K

56 claims · 0.0%

Your Cost: $21.10/claim|Median: $12.06
1.7× median
90661Top 10%

$1K

34 claims · 0.0%

Your Cost: $33.46/claim|Median: $14.37
2.3× median
73110Normal range

X-ray of wrist, complete, minimum three views

$608

27 claims · 0.0%

Your Cost: $22.53/claim|Median: $12.64
1.8× median
73130Top 25%

$423

12 claims · 0.0%

Your Cost: $35.24/claim|Median: $10.69
3.3× median
73140Top 25%

$362

13 claims · 0.0%

Your Cost: $27.88/claim|Median: $11.18
2.5× median
82962Normal range

Blood glucose test by monitoring device

$185

100 claims · 0.0%

Your Cost: $1.85/claim|Median: $1.40
1.3× median
90756Normal range

Influenza virus vaccine, quadrivalent

$155

15 claims · 0.0%

Your Cost: $10.33/claim|Median: $14.34
0.7× median
87807Normal range

$105

12 claims · 0.0%

Your Cost: $8.73/claim|Median: $10.06
0.9× median
99000Normal range

$77

1,537 claims · 0.0%

Your Cost: $0.05/claim|Median: $2.30
0.0× median
J1100Normal range

$50

54 claims · 0.0%

Your Cost: $0.93/claim|Median: $0.52
1.8× median
J7613Top 25%

Albuterol inhalation solution, concentrated, per milligram

$10

26 claims · 0.0%

Your Cost: $0.40/claim|Median: $0.08
5.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $91.47
99459Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.55
99429Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.58
G8482Normal range

$0

63 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
Q4049Normal range

$0

355 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.29
99080Normal range

$0

1,575 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.15

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