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CS MEDICAL ASSOCIATES, P.C.

Clinic/Center, Rehabilitation, Substance Use Disorder·FARMINGVILLE, NY·NPI: 1992210231Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.3M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-06→2024-12(79 months)

Total Paid

$33.3M

$33,278,403

Total Claims

397K

Beneficiaries

192K

2.1 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$12K
+5137%
2019
$629K
+292%
2020
$2.5M
+86%
2021
$4.6M
+50%
2022
$6.9M
+40%
2023
$9.6M
-4%
2024
$9.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 32 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 30% of total spending.

99214Top 5%

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

$10.0M

80K claims · 29.9%

Your Cost: $123.76/claim|Median: $53.41
2.3× median
90853Top 25%

Group psychotherapy

$6.0M

107K claims · 18.0%

Your Cost: $55.89/claim|Median: $25.02
2.2× median
90834Top 5%

Psychotherapy, 45 minutes

$4.8M

34K claims · 14.4%

Your Cost: $142.94/claim|Median: $63.65
2.2× median
90832Top 10%

Psychotherapy, 30 minutes

$2.8M

26K claims · 8.3%

Your Cost: $106.37/claim|Median: $41.28
2.6× median
90833Top 25%

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

$2.0M

30K claims · 6.0%

Your Cost: $66.18/claim|Median: $38.83
1.7× median
90837Top 10%

Psychotherapy, 60 minutes

$1.7M

12K claims · 5.1%

Your Cost: $143.25/claim|Median: $85.66
1.7× median
99213Top 5%

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

$1.4M

11K claims · 4.1%

Your Cost: $125.53/claim|Median: $37.81
3.3× median
90791Top 10%

Psychiatric diagnostic evaluation

$1.0M

5,754 claims · 3.0%

Your Cost: $175.24/claim|Median: $99.21
1.8× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$766K

6,443 claims · 2.3%

Your Cost: $118.83/claim|Median: $135.70
0.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$724K

26K claims · 2.2%

Your Cost: $28.11/claim|Median: $18.95
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$403K

2,964 claims · 1.2%

Your Cost: $135.87/claim|Median: $74.09
1.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$385K

5,981 claims · 1.2%

Your Cost: $64.31/claim|Median: $55.04
1.2× median
J2315Normal range

$319K

506 claims · 1.0%

Your Cost: $630.87/claim|Median: $1,045.36
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$273K

5,187 claims · 0.8%

Your Cost: $52.67/claim|Median: $74.63
0.7× median
H0014Normal range

$188K

1,292 claims · 0.6%

Your Cost: $145.69/claim|Median: $137.81
1.1× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$117K

800 claims · 0.4%

Your Cost: $145.82/claim|Median: $72.71
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$111K

844 claims · 0.3%

Your Cost: $131.55/claim|Median: $111.09
1.2× median
80305Normal range

$106K

29K claims · 0.3%

Your Cost: $3.70/claim|Median: $7.44
0.5× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$85K

579 claims · 0.3%

Your Cost: $146.70/claim|Median: $76.06
1.9× median
98968Top 10%

$66K

583 claims · 0.2%

Your Cost: $113.77/claim|Median: $28.39
4.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$60K

4,745 claims · 0.2%

Your Cost: $12.65/claim|Median: $9.56
1.3× median
99204Top 25%

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

$32K

262 claims · 0.1%

Your Cost: $120.28/claim|Median: $84.03
1.4× median
H0049Top 10%

$18K

452 claims · 0.1%

Your Cost: $40.86/claim|Median: $9.27
4.4× median
H0002Top 25%

Behavioral health screening

$14K

102 claims · 0.0%

Your Cost: $133.89/claim|Median: $38.77
3.5× median
99406Top 25%

$9K

987 claims · 0.0%

Your Cost: $9.40/claim|Median: $6.53
1.4× median
90882Normal range

Environmental intervention

$8K

135 claims · 0.0%

Your Cost: $59.51/claim|Median: $45.05
1.3× median
36415Top 10%

Collection of venous blood by venipuncture

$7K

1,226 claims · 0.0%

Your Cost: $5.84/claim|Median: $1.57
3.7× median
99409Normal range

$5K

113 claims · 0.0%

Your Cost: $40.06/claim|Median: $34.77
1.2× median
98967Top 5%

$4K

35 claims · 0.0%

Your Cost: $105.10/claim|Median: $18.97
5.5× median
80354Normal range

$3K

3,436 claims · 0.0%

Your Cost: $0.79/claim|Median: $5.61
0.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$1K

393 claims · 0.0%

Your Cost: $3.73/claim|Median: $9.70
0.4× median
82075Normal range

Alcohol (ethanol) breath test

$566

220 claims · 0.0%

Your Cost: $2.57/claim|Median: $16.59
0.2× median

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