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THE INSTITUTE FOR FAMILY HEALTH

Family Medicine·NEW YORK, NY·NPI: 1972877017Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.8M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$80.8M

$80,802,427

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$9.6M
-1%
2019
$9.4M
+16%
2020
$10.9M
+23%
2021
$13.4M
+6%
2022
$14.2M
-4%
2023
$13.7M
-30%
2024
$9.6M

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 26% of total spending.

99213Top 25%

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

$21.0M

296K claims · 25.9%

Your Cost: $70.85/claim|Median: $37.81
1.9× median
90832Top 5%

Psychotherapy, 30 minutes

$17.6M

122K claims · 21.8%

Your Cost: $144.20/claim|Median: $41.28
3.5× median
90834Top 5%

Psychotherapy, 45 minutes

$13.0M

85K claims · 16.0%

Your Cost: $152.38/claim|Median: $63.65
2.4× median
99499Top 5%

Unlisted evaluation and management service

$10.5M

90K claims · 13.0%

Your Cost: $117.35/claim|Median: $30.88
3.8× median
99214Normal range

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

$3.9M

58K claims · 4.8%

Your Cost: $67.54/claim|Median: $53.41
1.3× median
D7999Normal range

$2.9M

111K claims · 3.6%

Your Cost: $26.39/claim|Median: $981.06
0.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$2.1M

13K claims · 2.6%

Your Cost: $165.83/claim|Median: $99.21
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$1.5M

26K claims · 1.9%

Your Cost: $60.43/claim|Median: $25.06
2.4× median
D1110Normal range

Prophylaxis, adult cleaning

$679K

20K claims · 0.8%

Your Cost: $34.18/claim|Median: $43.38
0.8× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$603K

3,317 claims · 0.7%

Your Cost: $181.75/claim|Median: $108.91
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$470K

22K claims · 0.6%

Your Cost: $21.12/claim|Median: $24.34
0.9× median
D1120Normal range

Prophylaxis, adult

$399K

12K claims · 0.5%

Your Cost: $32.32/claim|Median: $33.86
1.0× median
D0274Normal range

Bitewings, four radiographic images

$342K

19K claims · 0.4%

Your Cost: $18.51/claim|Median: $22.54
0.8× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$288K

4,817 claims · 0.4%

Your Cost: $59.86/claim|Median: $22.44
2.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$274K

31K claims · 0.3%

Your Cost: $8.93/claim|Median: $10.51
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$270K

14K claims · 0.3%

Your Cost: $18.95/claim|Median: $17.85
1.1× median
90471Normal range

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

$235K

30K claims · 0.3%

Your Cost: $7.86/claim|Median: $9.80
0.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$211K

2,374 claims · 0.3%

Your Cost: $88.77/claim|Median: $74.82
1.2× median
90839Top 10%

Psychotherapy for crisis, first 60 min

$198K

1,236 claims · 0.2%

Your Cost: $160.31/claim|Median: $83.98
1.9× median
90674Normal range

$196K

12K claims · 0.2%

Your Cost: $16.05/claim|Median: $15.16
1.1× median
G9005Top 25%

Coordinated care fee, risk-adjusted, ESRD

$194K

593 claims · 0.2%

Your Cost: $327.78/claim|Median: $47.08
7.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$188K

2,152 claims · 0.2%

Your Cost: $87.35/claim|Median: $75.18
1.2× median
G0108Top 25%

Diabetes self-management training, individual

$176K

3,112 claims · 0.2%

Your Cost: $56.47/claim|Median: $35.89
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$169K

1,861 claims · 0.2%

Your Cost: $90.58/claim|Median: $80.15
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$161K

8,038 claims · 0.2%

Your Cost: $20.09/claim|Median: $32.07
0.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$155K

1,839 claims · 0.2%

Your Cost: $84.37/claim|Median: $69.35
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$151K

1,060 claims · 0.2%

Your Cost: $142.13/claim|Median: $74.09
1.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$144K

2,858 claims · 0.2%

Your Cost: $50.51/claim|Median: $71.00
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$142K

1,698 claims · 0.2%

Your Cost: $83.86/claim|Median: $72.71
1.2× median
D1351Top 10%

Sealant, per tooth

$132K

2,592 claims · 0.2%

Your Cost: $51.00/claim|Median: $26.10
2.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$115K

19K claims · 0.1%

Your Cost: $6.12/claim|Median: $7.33
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$115K

10K claims · 0.1%

Your Cost: $11.46/claim|Median: $14.36
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$107K

3,159 claims · 0.1%

Your Cost: $33.95/claim|Median: $54.60
0.6× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$102K

2,341 claims · 0.1%

Your Cost: $43.70/claim|Median: $13.30
3.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$100K

1,084 claims · 0.1%

Your Cost: $92.67/claim|Median: $76.06
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$92K

2,237 claims · 0.1%

Your Cost: $41.01/claim|Median: $23.99
1.7× median
D0140Normal range

Limited oral evaluation, problem focused

$89K

8,298 claims · 0.1%

Your Cost: $10.75/claim|Median: $27.07
0.4× median
3074FTop 25%

$82K

85K claims · 0.1%

Your Cost: $0.96/claim|Median: $0.11
8.7× median
D1206Top 25%

Topical application of fluoride varnish

$74K

2,988 claims · 0.1%

Your Cost: $24.69/claim|Median: $18.12
1.4× median
D0272Normal range

Bitewings, two radiographic images

$69K

5,484 claims · 0.1%

Your Cost: $12.67/claim|Median: $15.81
0.8× median
90677Top 10%

$67K

411 claims · 0.1%

Your Cost: $163.08/claim|Median: $12.96
12.6× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$67K

2,056 claims · 0.1%

Your Cost: $32.48/claim|Median: $33.85
1.0× median
91322Normal range

$60K

574 claims · 0.1%

Your Cost: $104.81/claim|Median: $76.28
1.4× median
0064ANormal range

$60K

1,609 claims · 0.1%

Your Cost: $37.06/claim|Median: $34.17
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$57K

10K claims · 0.1%

Your Cost: $5.63/claim|Median: $5.50
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$54K

41K claims · 0.1%

Your Cost: $1.32/claim|Median: $1.57
0.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$52K

2,082 claims · 0.1%

Your Cost: $25.01/claim|Median: $25.93
1.0× median
59426Normal range

Antepartum care only, high risk, additional visits

$52K

1,179 claims · 0.1%

Your Cost: $43.91/claim|Median: $122.30
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$48K

2,585 claims · 0.1%

Your Cost: $18.73/claim|Median: $6.93
2.7× median
D0330Normal range

Panoramic radiographic image

$47K

2,581 claims · 0.1%

Your Cost: $18.30/claim|Median: $37.36
0.5× median

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