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HENRY FORD HEALTH SYSTEM

Pediatrics·DETROIT, MI·NPI: 1003990318Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$25.8M

$25,760,764

Total Claims

430K

Beneficiaries

379K

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+14%
2019
$3.6M
-5%
2020
$3.4M
+9%
2021
$3.7M
+1%
2022
$3.7M
+12%
2023
$4.2M
-1%
2024
$4.1M

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 12% of total spending.

99213Normal range

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

$3.0M

73K claims · 11.6%

Your Cost: $41.16/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.9M

49K claims · 11.2%

Your Cost: $59.30/claim|Median: $53.41
1.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.7M

7,749 claims · 10.6%

Your Cost: $352.76/claim|Median: $293.45
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.6M

45K claims · 10.2%

Your Cost: $57.72/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.6M

53K claims · 10.1%

Your Cost: $49.07/claim|Median: $69.35
0.7× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$2.0M

19K claims · 7.8%

Your Cost: $106.19/claim|Median: $103.70
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.6M

28K claims · 6.3%

Your Cost: $58.26/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.0M

15K claims · 3.9%

Your Cost: $66.30/claim|Median: $80.15
0.8× median
99468Normal range

$859K

1,077 claims · 3.3%

Your Cost: $797.60/claim|Median: $679.18
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$783K

18K claims · 3.0%

Your Cost: $43.15/claim|Median: $37.22
1.2× median
99284Normal range

Emergency dept visit, high complexity

$760K

13K claims · 3.0%

Your Cost: $57.03/claim|Median: $69.51
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$758K

14K claims · 2.9%

Your Cost: $54.97/claim|Median: $62.48
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$520K

4,747 claims · 2.0%

Your Cost: $109.47/claim|Median: $98.15
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$391K

9,240 claims · 1.5%

Your Cost: $42.31/claim|Median: $23.99
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$305K

3,204 claims · 1.2%

Your Cost: $95.11/claim|Median: $74.09
1.3× median
99282Normal range

Emergency dept visit, low complexity

$265K

4,921 claims · 1.0%

Your Cost: $53.77/claim|Median: $37.72
1.4× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$233K

4,363 claims · 0.9%

Your Cost: $53.32/claim|Median: $73.46
0.7× median
99477Normal range

$211K

720 claims · 0.8%

Your Cost: $293.55/claim|Median: $276.41
1.1× median
99462Normal range

$206K

8,565 claims · 0.8%

Your Cost: $24.06/claim|Median: $27.49
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$201K

3,195 claims · 0.8%

Your Cost: $62.89/claim|Median: $42.48
1.5× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$194K

2,994 claims · 0.8%

Your Cost: $64.86/claim|Median: $81.92
0.8× median
99464Normal range

$184K

4,321 claims · 0.7%

Your Cost: $42.61/claim|Median: $59.94
0.7× median
99478Normal range

$168K

1,561 claims · 0.7%

Your Cost: $107.82/claim|Median: $106.11
1.0× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$168K

2,161 claims · 0.7%

Your Cost: $77.68/claim|Median: $51.25
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$163K

6,702 claims · 0.6%

Your Cost: $24.26/claim|Median: $25.06
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$148K

2,097 claims · 0.6%

Your Cost: $70.67/claim|Median: $85.65
0.8× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$118K

1,631 claims · 0.5%

Your Cost: $72.50/claim|Median: $83.63
0.9× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$108K

1,702 claims · 0.4%

Your Cost: $63.56/claim|Median: $79.89
0.8× median
99203Normal range

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

$83K

1,661 claims · 0.3%

Your Cost: $49.95/claim|Median: $57.85
0.9× median
99204Normal range

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

$82K

1,065 claims · 0.3%

Your Cost: $76.83/claim|Median: $84.03
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$81K

3,352 claims · 0.3%

Your Cost: $24.07/claim|Median: $16.77
1.4× median
99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$68K

176 claims · 0.3%

Your Cost: $386.30/claim|Median: $307.98
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$60K

899 claims · 0.2%

Your Cost: $66.51/claim|Median: $72.71
0.9× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$27K

595 claims · 0.1%

Your Cost: $45.41/claim|Median: $22.44
2.0× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$20K

286 claims · 0.1%

Your Cost: $70.46/claim|Median: $32.55
2.2× median
17250Normal range

$18K

832 claims · 0.1%

Your Cost: $22.08/claim|Median: $19.69
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$18K

612 claims · 0.1%

Your Cost: $29.67/claim|Median: $40.11
0.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$17K

149 claims · 0.1%

Your Cost: $111.83/claim|Median: $67.32
1.7× median
99221Normal range

Initial hospital care, straightforward/low

$15K

271 claims · 0.1%

Your Cost: $56.54/claim|Median: $39.96
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$9K

1,892 claims · 0.0%

Your Cost: $4.75/claim|Median: $5.60
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$7K

72 claims · 0.0%

Your Cost: $99.86/claim|Median: $111.09
0.9× median
93303Normal range

Echocardiography, transthoracic, limited

$6K

164 claims · 0.0%

Your Cost: $35.67/claim|Median: $112.83
0.3× median
99465Normal range

$5K

55 claims · 0.0%

Your Cost: $83.66/claim|Median: $99.16
0.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$3K

49 claims · 0.0%

Your Cost: $64.63/claim|Median: $43.85
1.5× median
98966Normal range

$2K

7,861 claims · 0.0%

Your Cost: $0.28/claim|Median: $6.84
0.0× median
G2214Normal range

$2K

70 claims · 0.0%

Your Cost: $24.60/claim|Median: $16.37
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2K

29 claims · 0.0%

Your Cost: $58.76/claim|Median: $35.30
1.7× median
93320Normal range

$2K

147 claims · 0.0%

Your Cost: $10.21/claim|Median: $28.68
0.4× median
99441Normal range

Telephone E/M by physician, 5-10 min

$1K

82 claims · 0.0%

Your Cost: $17.07/claim|Median: $13.30
1.3× median
31720Normal range

$1K

45 claims · 0.0%

Your Cost: $29.71/claim|Median: $39.83
0.7× median