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TENNESSEE VALLEY PEDIATRIC ASSOCIATESINC.

Pediatrics·TUSCUMBIA, AL·NPI: 1043323439Share

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

$20,791,275

Total Claims

510K

Beneficiaries

477K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+11%
2019
$2.6M
-14%
2020
$2.2M
+56%
2021
$3.5M
+0%
2022
$3.5M
-4%
2023
$3.3M
+6%
2024
$3.5M

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 38% of total spending.

99214Top 25%

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

$7.9M

95K claims · 38.1%

Your Cost: $83.02/claim|Median: $53.41
1.6× median
99213Top 25%

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

$4.0M

74K claims · 19.3%

Your Cost: $54.03/claim|Median: $37.81
1.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$857K

4,184 claims · 4.1%

Your Cost: $204.93/claim|Median: $169.17
1.2× median
87428Normal range

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

$782K

17K claims · 3.8%

Your Cost: $46.29/claim|Median: $39.63
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$751K

13K claims · 3.6%

Your Cost: $57.82/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$674K

12K claims · 3.2%

Your Cost: $57.32/claim|Median: $69.35
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$519K

25K claims · 2.5%

Your Cost: $20.62/claim|Median: $12.59
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$516K

40K claims · 2.5%

Your Cost: $12.76/claim|Median: $11.48
1.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$507K

19K claims · 2.4%

Your Cost: $26.80/claim|Median: $30.53
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$491K

8,530 claims · 2.4%

Your Cost: $57.55/claim|Median: $74.82
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$354K

3,054 claims · 1.7%

Your Cost: $115.81/claim|Median: $74.09
1.6× median
90670Top 10%

$279K

9,962 claims · 1.3%

Your Cost: $27.96/claim|Median: $5.94
4.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$202K

3,363 claims · 1.0%

Your Cost: $60.07/claim|Median: $80.15
0.7× median
90648Top 10%

$198K

11K claims · 1.0%

Your Cost: $18.60/claim|Median: $4.08
4.6× median
99223Top 5%

Initial hospital care, per day, high complexity

$188K

1,097 claims · 0.9%

Your Cost: $171.23/claim|Median: $67.32
2.5× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$184K

2,959 claims · 0.9%

Your Cost: $62.03/claim|Median: $17.85
3.5× median
90723Top 25%

DTaP-HepB-IPV vaccine

$167K

7,887 claims · 0.8%

Your Cost: $21.13/claim|Median: $5.78
3.7× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$145K

2,315 claims · 0.7%

Your Cost: $62.84/claim|Median: $37.22
1.7× median
87807Normal range

$128K

12K claims · 0.6%

Your Cost: $10.58/claim|Median: $10.06
1.1× median
90680Top 10%

$125K

6,035 claims · 0.6%

Your Cost: $20.77/claim|Median: $5.58
3.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$111K

1,773 claims · 0.5%

Your Cost: $62.45/claim|Median: $23.99
2.6× median
90633Top 10%

$105K

5,375 claims · 0.5%

Your Cost: $19.60/claim|Median: $3.56
5.5× median
90832Normal range

Psychotherapy, 30 minutes

$98K

3,619 claims · 0.5%

Your Cost: $27.08/claim|Median: $41.28
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$98K

1,844 claims · 0.5%

Your Cost: $53.06/claim|Median: $85.66
0.6× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$96K

1,882 claims · 0.5%

Your Cost: $51.25/claim|Median: $6.93
7.4× median
99173Normal range

$89K

23K claims · 0.4%

Your Cost: $3.91/claim|Median: $2.16
1.8× median
92551Normal range

Screening audiometry, pure tone, air only

$87K

19K claims · 0.4%

Your Cost: $4.47/claim|Median: $6.61
0.7× median
87426Normal range

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

$85K

3,267 claims · 0.4%

Your Cost: $26.00/claim|Median: $30.04
0.9× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$82K

4,232 claims · 0.4%

Your Cost: $19.29/claim|Median: $7.18
2.7× median
90651Top 25%

HPV vaccine, 9-valent

$77K

2,970 claims · 0.4%

Your Cost: $26.00/claim|Median: $8.93
2.9× median
90734Top 10%

$70K

2,751 claims · 0.3%

Your Cost: $25.45/claim|Median: $6.40
4.0× median
90716Top 10%

$65K

2,491 claims · 0.3%

Your Cost: $26.07/claim|Median: $6.18
4.2× median
90707Top 10%

MMR vaccine

$54K

2,455 claims · 0.3%

Your Cost: $22.18/claim|Median: $5.76
3.9× median
71046Top 25%

Chest X-ray, 2 views

$54K

2,749 claims · 0.3%

Your Cost: $19.70/claim|Median: $8.92
2.2× median
90671Top 25%

$50K

1,646 claims · 0.2%

Your Cost: $30.34/claim|Median: $8.59
3.5× median
90696Top 10%

DTaP-IPV vaccine

$42K

2,108 claims · 0.2%

Your Cost: $19.87/claim|Median: $5.95
3.3× median
90710Top 25%

MMRV vaccine

$41K

2,130 claims · 0.2%

Your Cost: $19.22/claim|Median: $7.00
2.7× median
99212Normal range

Office/outpatient visit, low complexity

$41K

1,410 claims · 0.2%

Your Cost: $29.02/claim|Median: $25.06
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$40K

1,278 claims · 0.2%

Your Cost: $31.25/claim|Median: $63.65
0.5× median
90700Top 10%

$40K

2,058 claims · 0.2%

Your Cost: $19.31/claim|Median: $4.56
4.2× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$40K

468 claims · 0.2%

Your Cost: $84.56/claim|Median: $62.48
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$38K

14K claims · 0.2%

Your Cost: $2.76/claim|Median: $3.67
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$31K

3,571 claims · 0.1%

Your Cost: $8.57/claim|Median: $9.10
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$30K

725 claims · 0.1%

Your Cost: $41.30/claim|Median: $77.33
0.5× median
90715Normal range

Tdap vaccine

$30K

1,518 claims · 0.1%

Your Cost: $19.68/claim|Median: $10.32
1.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$20K

2,095 claims · 0.1%

Your Cost: $9.49/claim|Median: $9.56
1.0× median
81002Top 25%

Urinalysis, non-automated without microscopy

$19K

6,755 claims · 0.1%

Your Cost: $2.79/claim|Median: $2.00
1.4× median
99051Normal range

$18K

1,232 claims · 0.1%

Your Cost: $15.00/claim|Median: $7.89
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$14K

7,291 claims · 0.1%

Your Cost: $1.91/claim|Median: $1.57
1.2× median
90647Top 5%

$13K

702 claims · 0.1%

Your Cost: $19.20/claim|Median: $4.31
4.5× median

Other Top Providers in Alabama

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Alabama Department of Mental Health and Mental Retardation

Community/Behavioral Health

$2.25B

Alabama Department of Senior Services

Home Health

$631.6M

Alabama Department of Mental Health and Mental Retardation

Community/Behavioral Health

$559.5M

State of Alabama Department of Public Health

Clinical Medical Laboratory

$373.6M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$289.1M

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Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

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$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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