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TENNESSEE PEDIATRICS P.C.

Pediatrics·HENDERSONVILLE, TN·NPI: 1013182260Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.0M is at the below 25th percentile among 14 Pediatrics providers.

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

Total Paid

$19.0M

$18,977,101

Total Claims

750K

Beneficiaries

632K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+14%
2019
$2.9M
-12%
2020
$2.6M
+8%
2021
$2.8M
+3%
2022
$2.9M
-4%
2023
$2.8M
-11%
2024
$2.5M

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 31% of total spending.

99213Normal range

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

$5.9M

143K claims · 30.9%

Your Cost: $40.96/claim|Median: $37.81
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.9M

78K claims · 15.4%

Your Cost: $37.42/claim|Median: $17.85
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.1M

33K claims · 11.2%

Your Cost: $64.01/claim|Median: $75.18
0.9× median
96110Top 25%

Developmental screening, per standardized instrument

$1.8M

89K claims · 9.5%

Your Cost: $20.26/claim|Median: $9.10
2.2× median
99214Normal range

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

$1.6M

26K claims · 8.4%

Your Cost: $62.07/claim|Median: $53.41
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

26K claims · 8.2%

Your Cost: $58.90/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.3M

21K claims · 6.7%

Your Cost: $61.65/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$553K

8,230 claims · 2.9%

Your Cost: $67.23/claim|Median: $80.15
0.8× median
87804Normal range

Influenza virus detection, rapid test

$252K

26K claims · 1.3%

Your Cost: $9.82/claim|Median: $12.59
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$182K

24K claims · 1.0%

Your Cost: $7.68/claim|Median: $11.48
0.7× median
99173Normal range

$137K

33K claims · 0.7%

Your Cost: $4.13/claim|Median: $2.16
1.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$76K

20K claims · 0.4%

Your Cost: $3.80/claim|Median: $3.67
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$55K

2,042 claims · 0.3%

Your Cost: $26.86/claim|Median: $25.06
1.1× median
90670Normal range

$45K

16K claims · 0.2%

Your Cost: $2.81/claim|Median: $5.94
0.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$41K

2,176 claims · 0.2%

Your Cost: $18.88/claim|Median: $30.04
0.6× median
92552Normal range

Pure tone audiometry, air only, each ear

$38K

2,617 claims · 0.2%

Your Cost: $14.60/claim|Median: $12.63
1.2× median
90471Normal range

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

$36K

2,857 claims · 0.2%

Your Cost: $12.72/claim|Median: $9.80
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$35K

765 claims · 0.2%

Your Cost: $46.35/claim|Median: $37.22
1.2× median
85018Normal range

$33K

19K claims · 0.2%

Your Cost: $1.76/claim|Median: $1.71
1.0× median
36416Normal range

$29K

29K claims · 0.2%

Your Cost: $1.02/claim|Median: $1.31
0.8× median
92587Normal range

$28K

1,418 claims · 0.1%

Your Cost: $19.78/claim|Median: $19.24
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$27K

31K claims · 0.1%

Your Cost: $0.87/claim|Median: $6.93
0.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$24K

526 claims · 0.1%

Your Cost: $45.37/claim|Median: $62.48
0.7× median
90651Normal range

HPV vaccine, 9-valent

$23K

2,124 claims · 0.1%

Your Cost: $10.84/claim|Median: $8.93
1.2× median
3008FNormal range

$19K

22K claims · 0.1%

Your Cost: $0.86/claim|Median: $0.06
14.4× median
83655Normal range

$18K

2,085 claims · 0.1%

Your Cost: $8.73/claim|Median: $10.49
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$17K

19K claims · 0.1%

Your Cost: $0.87/claim|Median: $7.18
0.1× median
99383Normal range

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

$15K

266 claims · 0.1%

Your Cost: $57.45/claim|Median: $81.92
0.7× median
80061Normal range

Lipid panel

$12K

1,317 claims · 0.1%

Your Cost: $8.83/claim|Median: $8.41
1.0× median
90734Normal range

$9K

1,342 claims · 0.0%

Your Cost: $7.01/claim|Median: $6.40
1.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$9K

11K claims · 0.0%

Your Cost: $0.82/claim|Median: $5.78
0.1× median
87807Normal range

$7K

1,088 claims · 0.0%

Your Cost: $6.83/claim|Median: $10.06
0.7× median
99384Normal range

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

$7K

113 claims · 0.0%

Your Cost: $57.76/claim|Median: $83.63
0.7× median
90710Normal range

MMRV vaccine

$6K

455 claims · 0.0%

Your Cost: $13.89/claim|Median: $7.00
2.0× median
87070Normal range

Bacterial culture, any source except blood or urine

$6K

1,895 claims · 0.0%

Your Cost: $3.32/claim|Median: $5.89
0.6× median
90633Normal range

$6K

5,523 claims · 0.0%

Your Cost: $1.04/claim|Median: $3.56
0.3× median
96160Top 25%

Patient-focused health risk assessment

$5K

778 claims · 0.0%

Your Cost: $6.19/claim|Median: $2.10
2.9× median
99203Normal range

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

$5K

103 claims · 0.0%

Your Cost: $45.90/claim|Median: $57.85
0.8× median
90677Normal range

$5K

2,118 claims · 0.0%

Your Cost: $2.19/claim|Median: $12.96
0.2× median
92551Normal range

Screening audiometry, pure tone, air only

$4K

635 claims · 0.0%

Your Cost: $6.45/claim|Median: $6.61
1.0× median
90647Normal range

$4K

11K claims · 0.0%

Your Cost: $0.37/claim|Median: $4.31
0.1× median
99462Normal range

$3K

127 claims · 0.0%

Your Cost: $26.20/claim|Median: $27.49
1.0× median
96161Top 10%

$3K

346 claims · 0.0%

Your Cost: $8.88/claim|Median: $2.49
3.6× median
99177Normal range

$3K

479 claims · 0.0%

Your Cost: $6.03/claim|Median: $3.74
1.6× median
90381Top 10%

$3K

25 claims · 0.0%

Your Cost: $114.35/claim|Median: $9.69
11.8× median
99215Normal range

Office/outpatient visit, high complexity

$3K

33 claims · 0.0%

Your Cost: $85.19/claim|Median: $74.09
1.1× median
90707Normal range

MMR vaccine

$3K

1,113 claims · 0.0%

Your Cost: $2.33/claim|Median: $5.76
0.4× median
54150Top 25%

$2K

17 claims · 0.0%

Your Cost: $132.21/claim|Median: $84.60
1.6× median
0071ANormal range

$2K

97 claims · 0.0%

Your Cost: $20.21/claim|Median: $38.71
0.5× median
90681Normal range

$2K

2,690 claims · 0.0%

Your Cost: $0.68/claim|Median: $5.74
0.1× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

Similar Providers

Other top providers in Pediatrics

Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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