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SEATTLE CHILDREN'S HOSPITAL

Specialist·SEATTLE, WA·NPI: 1003319500Share
Active Billing Period:2018-06→2024-12(79 months)

Total Paid

$19.8M

$19,800,626

Total Claims

317K

Beneficiaries

296K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+133%
2019
$2.5M
-43%
2020
$1.4M
+90%
2021
$2.7M
+38%
2022
$3.7M
+17%
2023
$4.3M
-3%
2024
$4.2M

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 21% of total spending.

99213Top 25%

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

$4.1M

74K claims · 20.8%

Your Cost: $55.59/claim|Median: $37.81
1.5× median
99214Top 25%

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

$3.0M

35K claims · 15.2%

Your Cost: $86.00/claim|Median: $53.41
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$2.7M

21K claims · 13.5%

Your Cost: $125.71/claim|Median: $74.09
1.7× median
99203Normal range

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

$2.5M

35K claims · 12.8%

Your Cost: $71.55/claim|Median: $57.85
1.2× median
99204Top 25%

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

$1.1M

8,619 claims · 5.7%

Your Cost: $130.97/claim|Median: $84.03
1.6× median
99283Normal range

Emergency dept visit, moderate complexity

$752K

16K claims · 3.8%

Your Cost: $47.21/claim|Median: $42.48
1.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$749K

4,663 claims · 3.8%

Your Cost: $160.65/claim|Median: $54.68
2.9× median
93303Normal range

Echocardiography, transthoracic, limited

$650K

4,259 claims · 3.3%

Your Cost: $152.66/claim|Median: $112.83
1.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$614K

19K claims · 3.1%

Your Cost: $33.00/claim|Median: $24.33
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$530K

16K claims · 2.7%

Your Cost: $33.02/claim|Median: $35.80
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$314K

2,334 claims · 1.6%

Your Cost: $134.37/claim|Median: $121.58
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$252K

2,851 claims · 1.3%

Your Cost: $88.25/claim|Median: $62.48
1.4× median
93325Normal range

$227K

16K claims · 1.1%

Your Cost: $13.85/claim|Median: $14.61
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$201K

1,166 claims · 1.0%

Your Cost: $172.63/claim|Median: $111.09
1.6× median
99284Normal range

Emergency dept visit, high complexity

$179K

2,172 claims · 0.9%

Your Cost: $82.50/claim|Median: $69.51
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$169K

3,309 claims · 0.9%

Your Cost: $51.01/claim|Median: $37.22
1.4× median
93320Normal range

$151K

4,248 claims · 0.8%

Your Cost: $35.54/claim|Median: $28.68
1.2× median
93304Normal range

$114K

1,463 claims · 0.6%

Your Cost: $78.11/claim|Median: $54.29
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$111K

935 claims · 0.6%

Your Cost: $118.86/claim|Median: $85.65
1.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$96K

8,029 claims · 0.5%

Your Cost: $11.97/claim|Median: $9.70
1.2× median
49452Normal range

$85K

971 claims · 0.4%

Your Cost: $87.06/claim|Median: $279.23
0.3× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$79K

472 claims · 0.4%

Your Cost: $168.19/claim|Median: $331.68
0.5× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$63K

1,294 claims · 0.3%

Your Cost: $48.64/claim|Median: $12.70
3.8× median
L2280Top 25%

$58K

154 claims · 0.3%

Your Cost: $376.48/claim|Median: $292.43
1.3× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$51K

1,343 claims · 0.3%

Your Cost: $38.10/claim|Median: $72.96
0.5× median
93321Normal range

$48K

3,134 claims · 0.2%

Your Cost: $15.38/claim|Median: $9.69
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$48K

970 claims · 0.2%

Your Cost: $49.36/claim|Median: $40.11
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$46K

7,791 claims · 0.2%

Your Cost: $5.94/claim|Median: $5.60
1.1× median
90846Normal range

Family psychotherapy without patient, 50 min

$45K

710 claims · 0.2%

Your Cost: $63.43/claim|Median: $76.61
0.8× median
88108Normal range

$38K

2,394 claims · 0.2%

Your Cost: $15.83/claim|Median: $13.54
1.2× median
69436Normal range

Tympanostomy, general anesthesia

$36K

271 claims · 0.2%

Your Cost: $132.62/claim|Median: $205.50
0.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$36K

491 claims · 0.2%

Your Cost: $72.82/claim|Median: $35.30
2.1× median
85097Top 25%

$36K

721 claims · 0.2%

Your Cost: $49.24/claim|Median: $30.47
1.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$35K

460 claims · 0.2%

Your Cost: $76.75/claim|Median: $82.43
0.9× median
92015Normal range

Determination of refractive state

$34K

3,225 claims · 0.2%

Your Cost: $10.60/claim|Median: $10.36
1.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$31K

482 claims · 0.2%

Your Cost: $63.63/claim|Median: $59.38
1.1× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$30K

533 claims · 0.1%

Your Cost: $55.42/claim|Median: $23.99
2.3× median
76825Normal range

$28K

180 claims · 0.1%

Your Cost: $155.74/claim|Median: $103.74
1.5× median
99282Normal range

Emergency dept visit, low complexity

$26K

844 claims · 0.1%

Your Cost: $30.22/claim|Median: $37.72
0.8× median
95251Normal range

$25K

1,317 claims · 0.1%

Your Cost: $19.35/claim|Median: $18.02
1.1× median
L1960Normal range

$25K

54 claims · 0.1%

Your Cost: $466.12/claim|Median: $395.95
1.2× median
L2840Normal range

$24K

449 claims · 0.1%

Your Cost: $52.63/claim|Median: $58.46
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$21K

808 claims · 0.1%

Your Cost: $26.36/claim|Median: $25.06
1.1× median
L2820Top 25%

$15K

207 claims · 0.1%

Your Cost: $74.05/claim|Median: $56.23
1.3× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$15K

458 claims · 0.1%

Your Cost: $32.75/claim|Median: $38.23
0.9× median
Q3014Top 10%

Telehealth originating site facility fee

$14K

548 claims · 0.1%

Your Cost: $25.99/claim|Median: $15.37
1.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$13K

247 claims · 0.1%

Your Cost: $53.92/claim|Median: $57.39
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$13K

219 claims · 0.1%

Your Cost: $60.09/claim|Median: $58.55
1.0× median
90849Normal range

Multiple-family group psychotherapy

$13K

660 claims · 0.1%

Your Cost: $19.76/claim|Median: $40.78
0.5× median
99462Top 25%

$13K

325 claims · 0.1%

Your Cost: $39.13/claim|Median: $27.49
1.4× median

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