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CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

General Practice·MIDDLETOWN, NY·NPI: 1952376410Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.1M is at the 25th percentile among 6 General Practice providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$34.1M

$34,141,354

Total Claims

538K

Beneficiaries

503K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$10.9M
-48%
2019
$5.7M
+12%
2020
$6.4M
-43%
2021
$3.7M
-24%
2022
$2.8M
-76%
2023
$673K
+495%
2024
$4.0M

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 29% of total spending.

99214Top 5%

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

$10.1M

83K claims · 29.4%

Your Cost: $121.67/claim|Median: $53.41
2.3× median
99213Top 10%

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

$7.9M

93K claims · 23.0%

Your Cost: $84.48/claim|Median: $37.81
2.2× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$1.4M

11K claims · 4.0%

Your Cost: $128.82/claim|Median: $35.80
3.6× median
99204Top 5%

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

$773K

3,790 claims · 2.3%

Your Cost: $204.08/claim|Median: $84.03
2.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$771K

30K claims · 2.3%

Your Cost: $25.76/claim|Median: $17.85
1.4× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$710K

6,115 claims · 2.1%

Your Cost: $116.07/claim|Median: $58.55
2.0× median
99203Top 5%

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

$709K

5,439 claims · 2.1%

Your Cost: $130.35/claim|Median: $57.85
2.3× median
76819Top 10%

Fetal biophysical profile with non-stress test

$595K

6,347 claims · 1.7%

Your Cost: $93.78/claim|Median: $49.45
1.9× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$591K

4,550 claims · 1.7%

Your Cost: $129.88/claim|Median: $97.61
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$576K

6,125 claims · 1.7%

Your Cost: $94.01/claim|Median: $75.18
1.3× median
77067Top 5%

Screening mammography, bilateral, including CAD

$445K

2,868 claims · 1.3%

Your Cost: $155.05/claim|Median: $39.33
3.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$386K

6,330 claims · 1.1%

Your Cost: $60.94/claim|Median: $24.49
2.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$377K

4,135 claims · 1.1%

Your Cost: $91.12/claim|Median: $74.82
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$376K

4,418 claims · 1.1%

Your Cost: $85.00/claim|Median: $69.35
1.2× median
S9083Top 10%

Global fee, urgent care centers

$361K

2,429 claims · 1.1%

Your Cost: $148.43/claim|Median: $103.99
1.4× median
76830Top 5%

Ultrasound, transvaginal

$351K

2,717 claims · 1.0%

Your Cost: $129.07/claim|Median: $57.47
2.2× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$336K

12K claims · 1.0%

Your Cost: $28.99/claim|Median: $19.06
1.5× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$279K

1,394 claims · 0.8%

Your Cost: $199.91/claim|Median: $106.79
1.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$260K

2,508 claims · 0.8%

Your Cost: $103.61/claim|Median: $80.15
1.3× median
76820Top 25%

$240K

5,176 claims · 0.7%

Your Cost: $46.45/claim|Median: $31.79
1.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$232K

1,667 claims · 0.7%

Your Cost: $139.27/claim|Median: $72.71
1.9× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$222K

1,639 claims · 0.7%

Your Cost: $135.57/claim|Median: $58.16
2.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$169K

4,112 claims · 0.5%

Your Cost: $41.00/claim|Median: $23.39
1.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$168K

4,101 claims · 0.5%

Your Cost: $40.98/claim|Median: $24.95
1.6× median
87801Top 10%

Infectious agent detection, amplified probe, multiple organisms

$161K

1,798 claims · 0.5%

Your Cost: $89.74/claim|Median: $38.79
2.3× median
76813Top 10%

Ultrasound for fetal nuchal translucency measurement

$149K

1,191 claims · 0.4%

Your Cost: $125.42/claim|Median: $70.87
1.8× median
99215Top 5%

Office/outpatient visit, high complexity

$148K

832 claims · 0.4%

Your Cost: $177.57/claim|Median: $74.09
2.4× median
59400Top 5%

Routine obstetric care, vaginal delivery, including postpartum

$143K

45 claims · 0.4%

Your Cost: $3,184.35/claim|Median: $1,482.45
2.1× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$141K

624 claims · 0.4%

Your Cost: $226.35/claim|Median: $54.68
4.1× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$136K

1,095 claims · 0.4%

Your Cost: $124.09/claim|Median: $47.08
2.6× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$134K

1,289 claims · 0.4%

Your Cost: $104.23/claim|Median: $47.65
2.2× median
73721Top 25%

MRI joint of lower extremity without contrast

$134K

445 claims · 0.4%

Your Cost: $300.60/claim|Median: $127.34
2.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$132K

912 claims · 0.4%

Your Cost: $144.75/claim|Median: $76.06
1.9× median
76536Top 5%

$132K

1,054 claims · 0.4%

Your Cost: $124.83/claim|Median: $44.06
2.8× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$126K

1,205 claims · 0.4%

Your Cost: $104.35/claim|Median: $74.78
1.4× median
80053Top 25%

Comprehensive metabolic panel

$119K

10K claims · 0.3%

Your Cost: $11.56/claim|Median: $7.24
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$116K

1,609 claims · 0.3%

Your Cost: $72.12/claim|Median: $63.65
1.1× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$114K

6,426 claims · 0.3%

Your Cost: $17.80/claim|Median: $9.87
1.8× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$110K

1,228 claims · 0.3%

Your Cost: $89.82/claim|Median: $40.11
2.2× median
87481Top 10%

$105K

1,432 claims · 0.3%

Your Cost: $73.20/claim|Median: $22.38
3.3× median
80061Top 25%

Lipid panel

$102K

7,118 claims · 0.3%

Your Cost: $14.37/claim|Median: $8.41
1.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$98K

1,134 claims · 0.3%

Your Cost: $86.41/claim|Median: $23.99
3.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$97K

12K claims · 0.3%

Your Cost: $8.46/claim|Median: $4.71
1.8× median
95004Top 25%

Percutaneous allergy skin tests, each

$97K

428 claims · 0.3%

Your Cost: $226.50/claim|Median: $134.97
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$96K

36K claims · 0.3%

Your Cost: $2.63/claim|Median: $1.57
1.7× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$94K

2,598 claims · 0.3%

Your Cost: $36.16/claim|Median: $25.57
1.4× median
U0003Top 25%

Infectious disease detection (COVID-19)

$85K

1,096 claims · 0.2%

Your Cost: $77.81/claim|Median: $63.08
1.2× median
99223Top 1%

Initial hospital care, per day, high complexity

$84K

354 claims · 0.2%

Your Cost: $238.03/claim|Median: $67.32
3.5× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$78K

1,975 claims · 0.2%

Your Cost: $39.74/claim|Median: $21.08
1.9× median
71046Top 10%

Chest X-ray, 2 views

$78K

2,211 claims · 0.2%

Your Cost: $35.48/claim|Median: $8.92
4.0× median

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