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ESSEN MEDICAL URGICARE, PLLC

Clinic/Center, Urgent Care·BRONX, NY·NPI: 1841607298Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$41.9M

$41,898,721

Total Claims

616K

Beneficiaries

570K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+32%
2019
$3.6M
+77%
2020
$6.3M
+71%
2021
$10.8M
-26%
2022
$8.1M
-31%
2023
$5.6M
-12%
2024
$4.9M

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 30% of total spending.

99213Top 5%

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

$12.7M

137K claims · 30.3%

Your Cost: $92.83/claim|Median: $37.81
2.5× median
S9083Normal range

Global fee, urgent care centers

$8.0M

119K claims · 19.2%

Your Cost: $67.58/claim|Median: $103.99
0.6× median
99212Top 10%

Office/outpatient visit, low complexity

$7.9M

94K claims · 18.9%

Your Cost: $84.16/claim|Median: $25.06
3.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$3.8M

43K claims · 9.1%

Your Cost: $89.62/claim|Median: $12.93
6.9× median
99203Top 25%

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

$3.1M

36K claims · 7.4%

Your Cost: $86.98/claim|Median: $57.85
1.5× median
99214Top 25%

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

$2.5M

25K claims · 5.9%

Your Cost: $97.13/claim|Median: $53.41
1.8× median
87426Normal range

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

$1.2M

92K claims · 2.9%

Your Cost: $13.30/claim|Median: $30.04
0.4× median
99204Normal range

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

$1.0M

11K claims · 2.5%

Your Cost: $94.39/claim|Median: $84.03
1.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$572K

7,458 claims · 1.4%

Your Cost: $76.76/claim|Median: $40.11
1.9× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$535K

12K claims · 1.3%

Your Cost: $43.70/claim|Median: $22.44
1.9× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$144K

4,456 claims · 0.3%

Your Cost: $32.27/claim|Median: $13.30
2.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$74K

2,077 claims · 0.2%

Your Cost: $35.64/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$73K

2,090 claims · 0.2%

Your Cost: $35.03/claim|Median: $25.93
1.4× median
90471Normal range

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

$57K

4,054 claims · 0.1%

Your Cost: $14.15/claim|Median: $9.80
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$36K

363 claims · 0.1%

Your Cost: $99.75/claim|Median: $74.09
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$30K

299 claims · 0.1%

Your Cost: $100.87/claim|Median: $111.09
0.9× median
0013ANormal range

$20K

524 claims · 0.0%

Your Cost: $37.80/claim|Median: $35.38
1.1× median
87804Normal range

Influenza virus detection, rapid test

$15K

3,916 claims · 0.0%

Your Cost: $3.77/claim|Median: $12.59
0.3× median
90756Normal range

Influenza virus vaccine, quadrivalent

$10K

2,089 claims · 0.0%

Your Cost: $4.80/claim|Median: $14.34
0.3× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$10K

121 claims · 0.0%

Your Cost: $79.53/claim|Median: $27.38
2.9× median
87430Normal range

$6K

1,991 claims · 0.0%

Your Cost: $3.08/claim|Median: $9.41
0.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$5K

195 claims · 0.0%

Your Cost: $25.35/claim|Median: $32.55
0.8× median
90658Normal range

$4K

567 claims · 0.0%

Your Cost: $7.23/claim|Median: $8.96
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$4K

890 claims · 0.0%

Your Cost: $4.19/claim|Median: $9.56
0.4× median
99050Normal range

$3K

859 claims · 0.0%

Your Cost: $4.05/claim|Median: $11.81
0.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

90 claims · 0.0%

Your Cost: $37.47/claim|Median: $33.72
1.1× median
H0033Normal range

Oral medication administration, direct observation

$3K

545 claims · 0.0%

Your Cost: $5.53/claim|Median: $31.37
0.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$3K

68 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$2K

360 claims · 0.0%

Your Cost: $6.62/claim|Median: $17.67
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$2K

1,488 claims · 0.0%

Your Cost: $1.39/claim|Median: $11.48
0.1× median
81025Normal range

Urine pregnancy test

$2K

1,505 claims · 0.0%

Your Cost: $1.26/claim|Median: $4.81
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$1K

1,675 claims · 0.0%

Your Cost: $0.79/claim|Median: $1.57
0.5× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

2,514 claims · 0.0%

Your Cost: $0.48/claim|Median: $2.00
0.2× median
0071ANormal range

$976

37 claims · 0.0%

Your Cost: $26.39/claim|Median: $38.71
0.7× median
86580Normal range

Tuberculosis (TB) skin test

$816

311 claims · 0.0%

Your Cost: $2.62/claim|Median: $4.46
0.6× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$656

20 claims · 0.0%

Your Cost: $32.80/claim|Median: $36.49
0.9× median
86804Normal range

$579

122 claims · 0.0%

Your Cost: $4.74/claim|Median: $7.89
0.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$575

178 claims · 0.0%

Your Cost: $3.23/claim|Median: $10.88
0.3× median
0072ANormal range

$498

12 claims · 0.0%

Your Cost: $41.50/claim|Median: $39.57
1.0× median
90707Top 25%

MMR vaccine

$497

30 claims · 0.0%

Your Cost: $16.58/claim|Median: $5.76
2.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$462

12 claims · 0.0%

Your Cost: $38.48/claim|Median: $39.70
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$301

187 claims · 0.0%

Your Cost: $1.61/claim|Median: $5.60
0.3× median
90654Normal range

$257

101 claims · 0.0%

Your Cost: $2.55/claim|Median: $4.14
0.6× median
82947Normal range

Blood glucose level test

$173

188 claims · 0.0%

Your Cost: $0.92/claim|Median: $2.38
0.4× median
99072Normal range

$131

893 claims · 0.0%

Your Cost: $0.15/claim|Median: $0.54
0.3× median
81000Normal range

Urinalysis with microscopy, non-automated

$106

93 claims · 0.0%

Your Cost: $1.14/claim|Median: $2.51
0.5× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$97

553 claims · 0.0%

Your Cost: $0.18/claim|Median: $0.91
0.2× median
J7620Normal range

$45

364 claims · 0.0%

Your Cost: $0.12/claim|Median: $0.14
0.9× median
J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$41

101 claims · 0.0%

Your Cost: $0.41/claim|Median: $1.04
0.4× median
J7644Normal range

$31

244 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.20
0.6× median

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