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MIDDLETOWN MEDICAL PC

Emergency Medicine·MIDDLETOWN, NY·NPI: 1902855828Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.3M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$49.3M

$49,277,884

Total Claims

935K

Beneficiaries

876K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+17%
2019
$3.5M
+41%
2020
$4.9M
+77%
2021
$8.7M
+18%
2022
$10.3M
+9%
2023
$11.2M
-33%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 39% of total spending.

99214Top 5%

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

$19.1M

156K claims · 38.8%

Your Cost: $122.25/claim|Median: $53.41
2.3× median
S9083Top 25%

Global fee, urgent care centers

$6.8M

51K claims · 13.7%

Your Cost: $132.69/claim|Median: $103.99
1.3× median
99213Top 10%

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

$4.4M

52K claims · 8.9%

Your Cost: $84.48/claim|Median: $37.81
2.2× median
99204Top 5%

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

$2.1M

12K claims · 4.3%

Your Cost: $181.20/claim|Median: $84.03
2.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.7M

24K claims · 3.4%

Your Cost: $70.57/claim|Median: $63.08
1.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$920K

1,571 claims · 1.9%

Your Cost: $585.93/claim|Median: $470.36
1.2× median
99203Top 5%

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

$870K

7,254 claims · 1.8%

Your Cost: $119.87/claim|Median: $57.85
2.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$829K

4,381 claims · 1.7%

Your Cost: $189.17/claim|Median: $54.68
3.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$826K

16K claims · 1.7%

Your Cost: $50.88/claim|Median: $65.64
0.8× median
87811Normal range

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

$699K

24K claims · 1.4%

Your Cost: $29.07/claim|Median: $30.53
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$614K

14K claims · 1.2%

Your Cost: $42.81/claim|Median: $39.70
1.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$491K

5,047 claims · 1.0%

Your Cost: $97.37/claim|Median: $75.18
1.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$423K

9,362 claims · 0.9%

Your Cost: $45.14/claim|Median: $24.49
1.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$407K

22K claims · 0.8%

Your Cost: $18.58/claim|Median: $15.76
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$378K

20K claims · 0.8%

Your Cost: $19.22/claim|Median: $28.46
0.7× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$366K

3,901 claims · 0.7%

Your Cost: $93.78/claim|Median: $74.82
1.3× median
36475Top 25%

$338K

226 claims · 0.7%

Your Cost: $1,495.74/claim|Median: $902.80
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$317K

16K claims · 0.6%

Your Cost: $19.86/claim|Median: $17.85
1.1× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$305K

2,593 claims · 0.6%

Your Cost: $117.63/claim|Median: $76.06
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$289K

2,926 claims · 0.6%

Your Cost: $98.65/claim|Median: $80.15
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$269K

2,985 claims · 0.5%

Your Cost: $90.06/claim|Median: $69.35
1.3× median
99497Top 5%

$260K

3,629 claims · 0.5%

Your Cost: $71.68/claim|Median: $10.99
6.5× median
37241Normal range

$253K

42 claims · 0.5%

Your Cost: $6,013.08/claim|Median: $4,600.28
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$214K

814 claims · 0.4%

Your Cost: $262.99/claim|Median: $151.68
1.7× median
G2066Top 5%

$204K

1,644 claims · 0.4%

Your Cost: $124.31/claim|Median: $14.66
8.5× median
87634Normal range

$196K

5,555 claims · 0.4%

Your Cost: $35.29/claim|Median: $48.78
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$182K

1,620 claims · 0.4%

Your Cost: $112.33/claim|Median: $72.71
1.5× median
64615Top 25%

$174K

994 claims · 0.4%

Your Cost: $174.60/claim|Median: $82.82
2.1× median
99215Top 5%

Office/outpatient visit, high complexity

$167K

866 claims · 0.3%

Your Cost: $192.98/claim|Median: $74.09
2.6× median
82306Normal range

Vitamin D, 25 hydroxy

$160K

7,831 claims · 0.3%

Your Cost: $20.39/claim|Median: $18.18
1.1× median
80061Normal range

Lipid panel

$136K

16K claims · 0.3%

Your Cost: $8.76/claim|Median: $8.41
1.0× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$131K

8,717 claims · 0.3%

Your Cost: $15.03/claim|Median: $9.70
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$130K

28K claims · 0.3%

Your Cost: $4.56/claim|Median: $4.71
1.0× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$124K

617 claims · 0.3%

Your Cost: $201.26/claim|Median: $43.07
4.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$123K

11K claims · 0.2%

Your Cost: $11.36/claim|Median: $9.87
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$121K

17K claims · 0.2%

Your Cost: $7.08/claim|Median: $5.50
1.3× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$120K

1,040 claims · 0.2%

Your Cost: $115.01/claim|Median: $25.43
4.5× median
99051Normal range

$117K

8,495 claims · 0.2%

Your Cost: $13.73/claim|Median: $7.89
1.7× median
97799Top 25%

$102K

2,066 claims · 0.2%

Your Cost: $49.49/claim|Median: $16.72
3.0× median
87804Normal range

Influenza virus detection, rapid test

$99K

13K claims · 0.2%

Your Cost: $7.71/claim|Median: $12.59
0.6× median
90833Top 10%

Psychotherapy, 30 min, add-on to E/M service

$98K

1,304 claims · 0.2%

Your Cost: $74.77/claim|Median: $38.83
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$97K

1,808 claims · 0.2%

Your Cost: $53.72/claim|Median: $25.06
2.1× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$87K

1,137 claims · 0.2%

Your Cost: $76.64/claim|Median: $23.99
3.2× median
36415Normal range

Collection of venous blood by venipuncture

$84K

52K claims · 0.2%

Your Cost: $1.63/claim|Median: $1.57
1.0× median
A4550Top 5%

$84K

303 claims · 0.2%

Your Cost: $277.34/claim|Median: $4.85
57.2× median
80053Normal range

Comprehensive metabolic panel

$83K

11K claims · 0.2%

Your Cost: $7.63/claim|Median: $7.24
1.1× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$83K

7,983 claims · 0.2%

Your Cost: $10.40/claim|Median: $8.72
1.2× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$81K

1,512 claims · 0.2%

Your Cost: $53.74/claim|Median: $13.30
4.0× median
86618Normal range

$80K

6,452 claims · 0.2%

Your Cost: $12.35/claim|Median: $12.93
1.0× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$77K

3,097 claims · 0.2%

Your Cost: $24.83/claim|Median: $21.28
1.2× median

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