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PREMIER HEALTHCARE, INC.

Clinic/Center, Developmental Disabilities·NEW YORK, NY·NPI: 1760436190Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.6M is at the below 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.6M

$20,575,596

Total Claims

252K

Beneficiaries

143K

1.8 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+6%
2019
$6.8M
-28%
2020
$4.9M
-88%
2021
$585K
+2%
2022
$595K
+13%
2023
$675K
-2%
2024
$663K

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 37% of total spending.

99213Top 5%

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

$7.6M

75K claims · 37.1%

Your Cost: $102.47/claim|Median: $37.81
2.7× median
99214Top 25%

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

$4.4M

46K claims · 21.4%

Your Cost: $96.00/claim|Median: $53.41
1.8× median
99212Top 5%

Office/outpatient visit, low complexity

$2.4M

18K claims · 11.8%

Your Cost: $132.62/claim|Median: $25.06
5.3× median
D0120Top 5%

Periodic oral evaluation, established patient

$2.2M

36K claims · 10.7%

Your Cost: $60.71/claim|Median: $24.34
2.5× median
D0190Top 5%

$603K

8,458 claims · 2.9%

Your Cost: $71.31/claim|Median: $12.78
5.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$579K

24K claims · 2.8%

Your Cost: $23.82/claim|Median: $72.71
0.3× median
11719Top 1%

$491K

3,811 claims · 2.4%

Your Cost: $128.95/claim|Median: $1.95
66.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$331K

8,887 claims · 1.6%

Your Cost: $37.24/claim|Median: $76.06
0.5× median
D4341Top 25%

Periodontal scaling, per quadrant

$262K

1,846 claims · 1.3%

Your Cost: $141.92/claim|Median: $70.00
2.0× median
G0127Top 1%

Trimming of dystrophic nails, any number

$231K

1,829 claims · 1.1%

Your Cost: $126.05/claim|Median: $2.87
43.9× median
90791Normal range

Psychiatric diagnostic evaluation

$132K

1,114 claims · 0.6%

Your Cost: $118.16/claim|Median: $99.21
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$127K

2,643 claims · 0.6%

Your Cost: $47.95/claim|Median: $43.38
1.1× median
97763Top 5%

$121K

911 claims · 0.6%

Your Cost: $133.07/claim|Median: $34.99
3.8× median
36415Top 5%

Collection of venous blood by venipuncture

$108K

5,085 claims · 0.5%

Your Cost: $21.17/claim|Median: $1.57
13.5× median
D0140Top 10%

Limited oral evaluation, problem focused

$88K

1,673 claims · 0.4%

Your Cost: $52.84/claim|Median: $27.07
2.0× median
11720Top 1%

$71K

621 claims · 0.3%

Your Cost: $114.79/claim|Median: $4.64
24.7× median
99203Top 5%

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

$66K

537 claims · 0.3%

Your Cost: $123.83/claim|Median: $57.85
2.1× median
D9997Top 25%

$64K

888 claims · 0.3%

Your Cost: $72.47/claim|Median: $33.57
2.2× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$64K

372 claims · 0.3%

Your Cost: $172.01/claim|Median: $108.91
1.6× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$59K

2,459 claims · 0.3%

Your Cost: $23.94/claim|Median: $14.34
1.7× median
95812Top 25%

$49K

176 claims · 0.2%

Your Cost: $276.00/claim|Median: $104.99
2.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$42K

310 claims · 0.2%

Your Cost: $134.84/claim|Median: $40.11
3.4× median
97110Top 5%

Therapeutic exercises, each 15 min

$36K

320 claims · 0.2%

Your Cost: $111.87/claim|Median: $24.49
4.6× median
11721Top 1%

$33K

308 claims · 0.2%

Your Cost: $106.74/claim|Median: $8.56
12.5× median
S0281Normal range

$23K

940 claims · 0.1%

Your Cost: $24.82/claim|Median: $92.97
0.3× median
92550Top 5%

$23K

323 claims · 0.1%

Your Cost: $70.86/claim|Median: $14.15
5.0× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$22K

771 claims · 0.1%

Your Cost: $29.11/claim|Median: $7.33
4.0× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$22K

268 claims · 0.1%

Your Cost: $82.26/claim|Median: $14.36
5.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$21K

449 claims · 0.1%

Your Cost: $47.83/claim|Median: $32.07
1.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$20K

711 claims · 0.1%

Your Cost: $28.35/claim|Median: $33.85
0.8× median
D9995Top 10%

$15K

423 claims · 0.1%

Your Cost: $34.73/claim|Median: $13.12
2.6× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$14K

525 claims · 0.1%

Your Cost: $26.87/claim|Median: $10.51
2.6× median
95700Normal range

$14K

93 claims · 0.1%

Your Cost: $151.23/claim|Median: $154.31
1.0× median
0064ANormal range

$14K

376 claims · 0.1%

Your Cost: $36.06/claim|Median: $34.17
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$13K

559 claims · 0.1%

Your Cost: $23.34/claim|Median: $12.93
1.8× median
90471Normal range

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

$13K

1,225 claims · 0.1%

Your Cost: $10.23/claim|Median: $9.80
1.0× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$12K

243 claims · 0.1%

Your Cost: $50.83/claim|Median: $22.44
2.3× median
92015Top 1%

Determination of refractive state

$12K

92 claims · 0.1%

Your Cost: $131.31/claim|Median: $10.36
12.7× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$11K

647 claims · 0.1%

Your Cost: $17.75/claim|Median: $25.93
0.7× median
D4910Normal range

$10K

153 claims · 0.1%

Your Cost: $67.49/claim|Median: $75.56
0.9× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$8K

117 claims · 0.0%

Your Cost: $72.31/claim|Median: $32.55
2.2× median
87426Normal range

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

$8K

562 claims · 0.0%

Your Cost: $13.73/claim|Median: $30.04
0.5× median
D0274Normal range

Bitewings, four radiographic images

$7K

365 claims · 0.0%

Your Cost: $20.09/claim|Median: $22.54
0.9× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$7K

191 claims · 0.0%

Your Cost: $36.99/claim|Median: $34.62
1.1× median
D9945Normal range

$7K

66 claims · 0.0%

Your Cost: $100.69/claim|Median: $143.72
0.7× median
97760Top 25%

$7K

88 claims · 0.0%

Your Cost: $75.46/claim|Median: $30.29
2.5× median
99215Normal range

Office/outpatient visit, high complexity

$5K

71 claims · 0.0%

Your Cost: $75.10/claim|Median: $74.09
1.0× median
95719Top 25%

$5K

24 claims · 0.0%

Your Cost: $191.49/claim|Median: $124.17
1.5× median
D2140Top 1%

Amalgam, one surface, primary or permanent

$4K

28 claims · 0.0%

Your Cost: $148.96/claim|Median: $52.77
2.8× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$4K

48 claims · 0.0%

Your Cost: $85.57/claim|Median: $27.38
3.1× median

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$172.9M

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$172.1M

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$169.7M

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