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ODA PRIMARY HEALTH CARE NETWORK, INC.

Clinic/Center, Primary Care·BROOKLYN, NY·NPI: 1720177066Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$82.9M

$82,873,611

Total Claims

2.2M

Beneficiaries

1.2M

1.8 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$14.6M
-0%
2019
$14.6M
+8%
2020
$15.7M
+28%
2021
$20.1M
-50%
2022
$10.0M
-59%
2023
$4.1M
-9%
2024
$3.8M

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 28% of total spending.

99213Normal range

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

$22.9M

550K claims · 27.6%

Your Cost: $41.65/claim|Median: $37.81
1.1× median
92507Top 25%

Speech/hearing/language treatment

$6.4M

84K claims · 7.7%

Your Cost: $76.29/claim|Median: $49.45
1.5× median
90834Top 25%

Psychotherapy, 45 minutes

$5.6M

53K claims · 6.8%

Your Cost: $107.00/claim|Median: $63.65
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$3.4M

129K claims · 4.1%

Your Cost: $26.44/claim|Median: $24.34
1.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.4M

66K claims · 4.1%

Your Cost: $51.27/claim|Median: $24.49
2.1× median
94760Top 5%

Pulse oximetry, single reading, noninvasive

$3.1M

185K claims · 3.7%

Your Cost: $16.65/claim|Median: $0.79
21.1× median
D0140Top 10%

Limited oral evaluation, problem focused

$3.0M

66K claims · 3.7%

Your Cost: $46.43/claim|Median: $27.07
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$3.0M

53K claims · 3.6%

Your Cost: $56.58/claim|Median: $33.11
1.7× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$2.4M

136K claims · 2.9%

Your Cost: $17.57/claim|Median: $11.48
1.5× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.2M

45K claims · 2.6%

Your Cost: $47.69/claim|Median: $20.04
2.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.1M

72K claims · 2.5%

Your Cost: $28.91/claim|Median: $75.18
0.4× median
99214Normal range

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

$1.9M

36K claims · 2.3%

Your Cost: $53.21/claim|Median: $53.41
1.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1.3M

29K claims · 1.6%

Your Cost: $45.54/claim|Median: $38.23
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.2M

41K claims · 1.5%

Your Cost: $29.22/claim|Median: $74.82
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

34K claims · 1.4%

Your Cost: $34.75/claim|Median: $69.35
0.5× median
59409Top 5%

Vaginal delivery only

$1.1M

920 claims · 1.4%

Your Cost: $1,233.78/claim|Median: $619.91
2.0× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$1.1M

52K claims · 1.3%

Your Cost: $20.88/claim|Median: $10.51
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$1.0M

39K claims · 1.2%

Your Cost: $26.48/claim|Median: $25.06
1.1× median
92065Normal range

$802K

25K claims · 1.0%

Your Cost: $31.81/claim|Median: $30.29
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$794K

25K claims · 1.0%

Your Cost: $32.13/claim|Median: $80.15
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$767K

23K claims · 0.9%

Your Cost: $33.76/claim|Median: $72.71
0.5× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$762K

11K claims · 0.9%

Your Cost: $71.23/claim|Median: $66.00
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$570K

7,449 claims · 0.7%

Your Cost: $76.51/claim|Median: $71.00
1.1× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$540K

5,771 claims · 0.7%

Your Cost: $93.62/claim|Median: $59.25
1.6× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$527K

6,717 claims · 0.6%

Your Cost: $78.42/claim|Median: $11.35
6.9× median
D9110Normal range

$516K

9,756 claims · 0.6%

Your Cost: $52.88/claim|Median: $38.08
1.4× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$464K

5,383 claims · 0.6%

Your Cost: $86.17/claim|Median: $58.55
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$461K

14K claims · 0.6%

Your Cost: $33.48/claim|Median: $43.38
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$407K

6,102 claims · 0.5%

Your Cost: $66.62/claim|Median: $54.60
1.2× median
99401Normal range

$329K

14K claims · 0.4%

Your Cost: $23.88/claim|Median: $16.53
1.4× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$316K

4,114 claims · 0.4%

Your Cost: $76.92/claim|Median: $47.65
1.6× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$315K

7,370 claims · 0.4%

Your Cost: $42.81/claim|Median: $16.79
2.5× median
D0270Top 5%

$313K

16K claims · 0.4%

Your Cost: $19.09/claim|Median: $5.46
3.5× median
99203Normal range

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

$308K

4,975 claims · 0.4%

Your Cost: $61.87/claim|Median: $57.85
1.1× median
59430Top 10%

$306K

1,655 claims · 0.4%

Your Cost: $184.96/claim|Median: $80.32
2.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$298K

2,109 claims · 0.4%

Your Cost: $141.08/claim|Median: $99.21
1.4× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$280K

4,749 claims · 0.3%

Your Cost: $58.92/claim|Median: $52.77
1.1× median
D1120Normal range

Prophylaxis, adult

$276K

9,348 claims · 0.3%

Your Cost: $29.52/claim|Median: $33.86
0.9× median
99173Top 10%

$247K

13K claims · 0.3%

Your Cost: $18.30/claim|Median: $2.16
8.5× median
81000Top 5%

Urinalysis with microscopy, non-automated

$224K

15K claims · 0.3%

Your Cost: $14.65/claim|Median: $2.51
5.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$215K

7,206 claims · 0.3%

Your Cost: $29.86/claim|Median: $76.06
0.4× median
36415Top 25%

Collection of venous blood by venipuncture

$211K

47K claims · 0.3%

Your Cost: $4.46/claim|Median: $1.57
2.8× median
D1351Top 25%

Sealant, per tooth

$209K

5,015 claims · 0.3%

Your Cost: $41.59/claim|Median: $26.10
1.6× median
76819Top 25%

Fetal biophysical profile with non-stress test

$208K

2,675 claims · 0.3%

Your Cost: $77.78/claim|Median: $49.45
1.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$199K

1,332 claims · 0.2%

Your Cost: $149.51/claim|Median: $121.16
1.2× median
D0272Normal range

Bitewings, two radiographic images

$191K

13K claims · 0.2%

Your Cost: $14.62/claim|Median: $15.81
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$189K

7,112 claims · 0.2%

Your Cost: $26.54/claim|Median: $32.07
0.8× median
90837Top 10%

Psychotherapy, 60 minutes

$187K

1,314 claims · 0.2%

Your Cost: $142.34/claim|Median: $85.66
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$178K

30K claims · 0.2%

Your Cost: $6.00/claim|Median: $17.85
0.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$172K

1,336 claims · 0.2%

Your Cost: $128.68/claim|Median: $106.79
1.2× median

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