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ST VINCENT PEDIATRIC SUBSPECIALTIES

Pediatrics·INDIANAPOLIS, IN·NPI: 1013967736Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$20.8M

$20,773,076

Total Claims

501K

Beneficiaries

425K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+20%
2019
$2.3M
-5%
2020
$2.2M
+34%
2021
$2.9M
+10%
2022
$3.2M
+28%
2023
$4.1M
+2%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 28% of total spending.

99214Normal range

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

$5.9M

83K claims · 28.2%

Your Cost: $70.91/claim|Median: $53.41
1.3× median
99204Normal range

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

$1.7M

16K claims · 8.0%

Your Cost: $103.87/claim|Median: $84.03
1.2× median
99213Normal range

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

$1.6M

34K claims · 7.9%

Your Cost: $47.73/claim|Median: $37.81
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$993K

9,186 claims · 4.8%

Your Cost: $108.11/claim|Median: $74.09
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$979K

13K claims · 4.7%

Your Cost: $77.80/claim|Median: $98.15
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$936K

3,809 claims · 4.5%

Your Cost: $245.78/claim|Median: $293.45
0.8× median
99479Normal range

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

$882K

10K claims · 4.2%

Your Cost: $84.44/claim|Median: $103.70
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$818K

14K claims · 3.9%

Your Cost: $58.66/claim|Median: $58.55
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$746K

8,500 claims · 3.6%

Your Cost: $87.78/claim|Median: $106.79
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$611K

3,804 claims · 2.9%

Your Cost: $160.54/claim|Median: $151.68
1.1× median
99203Normal range

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

$484K

7,005 claims · 2.3%

Your Cost: $69.04/claim|Median: $57.85
1.2× median
99472Normal range

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

$460K

1,714 claims · 2.2%

Your Cost: $268.29/claim|Median: $307.98
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$428K

6,771 claims · 2.1%

Your Cost: $63.18/claim|Median: $62.48
1.0× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$412K

8,697 claims · 2.0%

Your Cost: $47.42/claim|Median: $47.65
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$407K

8,104 claims · 2.0%

Your Cost: $50.24/claim|Median: $37.22
1.3× median
69436Normal range

Tympanostomy, general anesthesia

$278K

2,008 claims · 1.3%

Your Cost: $138.42/claim|Median: $205.50
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$233K

1,757 claims · 1.1%

Your Cost: $132.65/claim|Median: $111.09
1.2× median
76818Normal range

$227K

2,615 claims · 1.1%

Your Cost: $86.81/claim|Median: $68.15
1.3× median
95782Normal range

$199K

2,227 claims · 1.0%

Your Cost: $89.56/claim|Median: $216.35
0.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$175K

2,102 claims · 0.8%

Your Cost: $83.04/claim|Median: $233.73
0.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$170K

3,974 claims · 0.8%

Your Cost: $42.66/claim|Median: $36.79
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$133K

2,816 claims · 0.6%

Your Cost: $47.30/claim|Median: $74.78
0.6× median
94375Normal range

$123K

4,874 claims · 0.6%

Your Cost: $25.22/claim|Median: $17.23
1.5× median
76819Normal range

Fetal biophysical profile with non-stress test

$118K

3,615 claims · 0.6%

Your Cost: $32.69/claim|Median: $49.45
0.7× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$117K

2,191 claims · 0.6%

Your Cost: $53.56/claim|Median: $12.70
4.2× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$115K

558 claims · 0.6%

Your Cost: $206.23/claim|Median: $331.68
0.6× median
95819Normal range

Electroencephalogram with sleep recording

$112K

935 claims · 0.5%

Your Cost: $120.13/claim|Median: $62.75
1.9× median
99462Normal range

$95K

3,382 claims · 0.5%

Your Cost: $27.99/claim|Median: $27.49
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$88K

1,371 claims · 0.4%

Your Cost: $64.26/claim|Median: $35.30
1.8× median
76820Normal range

$88K

3,414 claims · 0.4%

Your Cost: $25.67/claim|Median: $31.79
0.8× median
96112Normal range

Developmental test administration

$79K

1,084 claims · 0.4%

Your Cost: $72.42/claim|Median: $102.95
0.7× median
92567Normal range

$77K

11K claims · 0.4%

Your Cost: $7.13/claim|Median: $11.50
0.6× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$71K

1,682 claims · 0.3%

Your Cost: $42.45/claim|Median: $24.33
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$69K

1,783 claims · 0.3%

Your Cost: $38.53/claim|Median: $23.99
1.6× median
96040Normal range

$67K

2,282 claims · 0.3%

Your Cost: $29.14/claim|Median: $32.05
0.9× median
95816Top 25%

$54K

323 claims · 0.3%

Your Cost: $165.79/claim|Median: $56.87
2.9× median
99417Normal range

$51K

1,197 claims · 0.2%

Your Cost: $42.78/claim|Median: $34.90
1.2× median
76830Normal range

Ultrasound, transvaginal

$50K

1,352 claims · 0.2%

Your Cost: $36.62/claim|Median: $57.47
0.6× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$48K

651 claims · 0.2%

Your Cost: $73.09/claim|Median: $43.85
1.7× median
99291Top 25%

Critical care, first 30-74 minutes

$46K

273 claims · 0.2%

Your Cost: $167.29/claim|Median: $101.24
1.7× median
99217Top 25%

$45K

993 claims · 0.2%

Your Cost: $45.26/claim|Median: $31.89
1.4× median
92579Normal range

$41K

1,429 claims · 0.2%

Your Cost: $28.74/claim|Median: $30.58
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$38K

420 claims · 0.2%

Your Cost: $91.33/claim|Median: $99.21
0.9× median
99219Top 25%

$37K

406 claims · 0.2%

Your Cost: $90.03/claim|Median: $63.35
1.4× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$34K

364 claims · 0.2%

Your Cost: $94.69/claim|Median: $51.25
1.8× median
94664Normal range

$34K

3,256 claims · 0.2%

Your Cost: $10.51/claim|Median: $8.88
1.2× median
92587Normal range

$28K

2,033 claims · 0.1%

Your Cost: $13.59/claim|Median: $19.24
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$27K

1,079 claims · 0.1%

Your Cost: $25.07/claim|Median: $25.06
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$26K

3,503 claims · 0.1%

Your Cost: $7.49/claim|Median: $5.50
1.4× median
99223Top 25%

Initial hospital care, per day, high complexity

$25K

191 claims · 0.1%

Your Cost: $129.97/claim|Median: $67.32
1.9× median

Other Top Providers in Indiana

View all →

Bowen Health INC

Psychiatric Hospital

$509.3M

Centerstone of Indiana, Inc.

Community/Behavioral Health

$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

Psychiatric Unit

$231.5M

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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