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PM PEDIATRICS OF BAYSIDE, PLLC

Specialist·BAYSIDE, NY·NPI: 1861700353Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$43.8M

$43,777,281

Total Claims

350K

Beneficiaries

337K

1.0 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+31%
2019
$4.3M
+4%
2020
$4.5M
+79%
2021
$8.0M
+7%
2022
$8.6M
-5%
2023
$8.1M
-14%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 30% of total spending.

S9083Normal range

Global fee, urgent care centers

$13.1M

107K claims · 30.0%

Your Cost: $122.44/claim|Median: $103.99
1.2× median
99214Top 5%

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

$12.3M

90K claims · 28.1%

Your Cost: $136.61/claim|Median: $53.41
2.6× median
99213Top 5%

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

$10.8M

80K claims · 24.7%

Your Cost: $134.65/claim|Median: $37.81
3.6× median
99203Top 5%

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

$4.7M

37K claims · 10.7%

Your Cost: $126.04/claim|Median: $57.85
2.2× median
99204Top 25%

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

$2.5M

20K claims · 5.8%

Your Cost: $128.64/claim|Median: $84.03
1.5× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$91K

670 claims · 0.2%

Your Cost: $136.32/claim|Median: $40.11
3.4× median
99215Top 25%

Office/outpatient visit, high complexity

$90K

658 claims · 0.2%

Your Cost: $136.97/claim|Median: $74.09
1.8× median
99212Top 5%

Office/outpatient visit, low complexity

$87K

692 claims · 0.2%

Your Cost: $125.32/claim|Median: $25.06
5.0× median
99051Normal range

$56K

11K claims · 0.1%

Your Cost: $5.28/claim|Median: $7.89
0.7× median
87426Normal range

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

$12K

334 claims · 0.0%

Your Cost: $34.67/claim|Median: $30.04
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$8K

65 claims · 0.0%

Your Cost: $123.31/claim|Median: $111.09
1.1× median
87804Normal range

Influenza virus detection, rapid test

$798

149 claims · 0.0%

Your Cost: $5.35/claim|Median: $12.59
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$405

167 claims · 0.0%

Your Cost: $2.43/claim|Median: $11.48
0.2× median
87428Normal range

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

$373

15 claims · 0.0%

Your Cost: $24.89/claim|Median: $39.63
0.6× median
99072Normal range

$0

1,663 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
J7699Normal range

$0

235 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.13
Q4049Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.29
99000Normal range

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
99080Normal range

$0

577 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.15
J3535Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.68

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