Compared to Pediatrics Peers
Total spending distribution among 14 providers in this specialty
This provider's total spending of $25.8M is at the 25th percentile among 14 Pediatrics providers.
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
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.
$3.0M
73K claims
$41.16
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$3.0M
73K claims · 11.6%
$2.9M
49K claims
$59.30
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$2.9M
49K claims · 11.2%
$2.7M
7,749 claims
$352.76
$293.45
Subsequent intensive care, very low birth weight infant
$2.7M
7,749 claims · 10.6%
$2.6M
45K claims
$57.72
$75.18
Preventive medicine, established patient, age 1-4
$2.6M
45K claims · 10.2%
$2.6M
53K claims
$49.07
$69.35
Preventive medicine, established patient, infant (under 1)
$2.6M
53K claims · 10.1%
$2.0M
19K claims
$106.19
$103.70
Subsequent intensive care, 2,501-5,000 grams
$2.0M
19K claims · 7.8%
$1.6M
28K claims
$58.26
$74.82
Preventive medicine, established patient, age 5-11
$1.6M
28K claims · 6.3%
$1.0M
15K claims
$66.30
$80.15
Preventive medicine, established patient, age 12-17
$1.0M
15K claims · 3.9%
$859K
1,077 claims · 3.3%
$783K
18K claims
$43.15
$37.22
Hospital discharge day management, 30 minutes or less
$783K
18K claims · 3.0%
$760K
13K claims
$57.03
$69.51
Emergency dept visit, high complexity
$760K
13K claims · 3.0%
$758K
14K claims
$54.97
$62.48
Initial hospital or birthing center care, newborn, per day
$758K
14K claims · 2.9%
$520K
4,747 claims
$109.47
$98.15
Subsequent intensive care, very low birth weight infant
$520K
4,747 claims · 2.0%
$391K
9,240 claims
$42.31
$23.99
Subsequent hospital care, per day, moderate complexity
$391K
9,240 claims · 1.5%
$305K
3,204 claims
$95.11
$74.09
Office/outpatient visit, high complexity
$305K
3,204 claims · 1.2%
$265K
4,921 claims
$53.77
$37.72
Emergency dept visit, low complexity
$265K
4,921 claims · 1.0%
$233K
4,363 claims
$53.32
$73.46
Preventive visit, new patient, infant (<1 yr)
$233K
4,363 claims · 0.9%
$211K
720 claims · 0.8%
$206K
8,565 claims · 0.8%
$201K
3,195 claims
$62.89
$42.48
Emergency dept visit, moderate complexity
$201K
3,195 claims · 0.8%
$194K
2,994 claims
$64.86
$81.92
Preventive visit, new patient, late childhood (5-11 yr)
$194K
2,994 claims · 0.8%
$184K
4,321 claims · 0.7%
$168K
1,561 claims · 0.7%
$168K
2,161 claims
$77.68
$51.25
Initial hospital care, per day, moderate complexity
$168K
2,161 claims · 0.7%
$163K
6,702 claims
$24.26
$25.06
Office/outpatient visit, low complexity
$163K
6,702 claims · 0.6%
$148K
2,097 claims
$70.67
$85.65
Emergency dept visit, high/urgent complexity
$148K
2,097 claims · 0.6%
$118K
1,631 claims
$72.50
$83.63
Preventive visit, new patient, adolescent (12-17 yr)
$118K
1,631 claims · 0.5%
$108K
1,702 claims
$63.56
$79.89
Preventive visit, new patient, early childhood (1-4 yr)
$108K
1,702 claims · 0.4%
$83K
1,661 claims
$49.95
$57.85
Office/outpatient visit, new patient, low-mod complexity
$83K
1,661 claims · 0.3%
$82K
1,065 claims
$76.83
$84.03
Office/outpatient visit, new patient, mod-high complexity
$82K
1,065 claims · 0.3%
$81K
3,352 claims
$24.07
$16.77
Subsequent hospital care, per day, low complexity
$81K
3,352 claims · 0.3%
$68K
176 claims
$386.30
$307.98
Subsequent pediatric critical care, per day, age 2-5
$68K
176 claims · 0.3%
$60K
899 claims
$66.51
$72.71
Preventive medicine, established patient, age 18-39
$60K
899 claims · 0.2%
$27K
595 claims
$45.41
$22.44
Telephone E/M by physician, 11-20 minutes
$27K
595 claims · 0.1%
Telephone E/M by physician, 21-30 min
$20K
286 claims · 0.1%
$18K
832 claims · 0.1%
$18K
612 claims
$29.67
$40.11
Office/outpatient visit, new patient, low complexity
$18K
612 claims · 0.1%
$17K
149 claims
$111.83
$67.32
Initial hospital care, per day, high complexity
$17K
149 claims · 0.1%
$15K
271 claims
$56.54
$39.96
Initial hospital care, straightforward/low
$15K
271 claims · 0.1%
$9K
1,892 claims
$4.75
$5.60
Electrocardiogram, interpretation and report only
$9K
1,892 claims · 0.0%
$7K
72 claims
$99.86
$111.09
Office/outpatient visit, new patient, high complexity
$7K
72 claims · 0.0%
$6K
164 claims
$35.67
$112.83
Echocardiography, transthoracic, limited
$6K
164 claims · 0.0%
$5K
55 claims · 0.0%
$3K
49 claims
$64.63
$43.85
Hospital discharge day management, more than 30 minutes
$3K
49 claims · 0.0%
$2K
7,861 claims · 0.0%
$2K
70 claims · 0.0%
$2K
29 claims
$58.76
$35.30
Subsequent hospital care, per day, high complexity
$2K
29 claims · 0.0%
$2K
147 claims · 0.0%
$1K
82 claims
$17.07
$13.30
Telephone E/M by physician, 5-10 min
$1K
82 claims · 0.0%
$1K
45 claims · 0.0%
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