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PEDIATRIC ACADEMIC ASSOCIATION, INC.

Pediatrics·COLUMBUS, OH·NPI: 1063419943Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.1M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$37.1M

$37,127,884

Total Claims

785K

Beneficiaries

653K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+15%
2019
$6.3M
-25%
2020
$4.7M
+5%
2021
$5.0M
+7%
2022
$5.3M
-3%
2023
$5.2M
+2%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 22% of total spending.

99472Normal range

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

$8.3M

30K claims · 22.2%

Your Cost: $276.93/claim|Median: $307.98
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$5.4M

167K claims · 14.6%

Your Cost: $32.55/claim|Median: $42.48
0.8× median
99284Normal range

Emergency dept visit, high complexity

$4.6M

84K claims · 12.5%

Your Cost: $55.42/claim|Median: $69.51
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.6M

9,325 claims · 6.9%

Your Cost: $276.43/claim|Median: $293.45
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.8M

21K claims · 4.8%

Your Cost: $82.70/claim|Median: $98.15
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.8M

21K claims · 4.7%

Your Cost: $84.55/claim|Median: $85.65
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.5M

22K claims · 4.1%

Your Cost: $68.26/claim|Median: $62.48
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$1.2M

27K claims · 3.3%

Your Cost: $46.43/claim|Median: $112.83
0.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.2M

44K claims · 3.2%

Your Cost: $26.95/claim|Median: $23.99
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.2M

39K claims · 3.1%

Your Cost: $29.37/claim|Median: $37.22
0.8× median
99479Normal range

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

$1.0M

11K claims · 2.7%

Your Cost: $88.95/claim|Median: $103.70
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$879K

23K claims · 2.4%

Your Cost: $37.60/claim|Median: $35.30
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$830K

18K claims · 2.2%

Your Cost: $46.71/claim|Median: $54.68
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$825K

108K claims · 2.2%

Your Cost: $7.61/claim|Median: $5.60
1.4× median
95720Normal range

$557K

4,196 claims · 1.5%

Your Cost: $132.86/claim|Median: $120.95
1.1× median
93320Normal range

$399K

28K claims · 1.1%

Your Cost: $14.33/claim|Median: $28.68
0.5× median
95951Normal range

$293K

2,057 claims · 0.8%

Your Cost: $142.67/claim|Median: $183.28
0.8× median
99462Normal range

$236K

7,847 claims · 0.6%

Your Cost: $30.04/claim|Median: $27.49
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$193K

3,747 claims · 0.5%

Your Cost: $51.39/claim|Median: $51.25
1.0× median
99282Normal range

Emergency dept visit, low complexity

$181K

9,448 claims · 0.5%

Your Cost: $19.20/claim|Median: $37.72
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$166K

2,693 claims · 0.4%

Your Cost: $61.83/claim|Median: $233.73
0.3× median
99291Normal range

Critical care, first 30-74 minutes

$158K

2,374 claims · 0.4%

Your Cost: $66.36/claim|Median: $101.24
0.7× median
54150Normal range

$147K

3,216 claims · 0.4%

Your Cost: $45.68/claim|Median: $84.60
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$138K

3,418 claims · 0.4%

Your Cost: $40.45/claim|Median: $43.85
0.9× median
93325Normal range

$136K

39K claims · 0.4%

Your Cost: $3.45/claim|Median: $14.61
0.2× median
99292Normal range

$134K

3,550 claims · 0.4%

Your Cost: $37.82/claim|Median: $57.64
0.7× median
93227Normal range

$108K

4,705 claims · 0.3%

Your Cost: $22.85/claim|Median: $18.60
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$98K

1,330 claims · 0.3%

Your Cost: $73.94/claim|Median: $67.32
1.1× median
99225Normal range

$92K

4,936 claims · 0.2%

Your Cost: $18.54/claim|Median: $20.96
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$88K

920 claims · 0.2%

Your Cost: $95.62/claim|Median: $151.68
0.6× median
76825Normal range

$86K

1,011 claims · 0.2%

Your Cost: $85.08/claim|Median: $103.74
0.8× median
94010Normal range

$83K

10K claims · 0.2%

Your Cost: $8.24/claim|Median: $18.11
0.5× median
95782Normal range

$80K

1,379 claims · 0.2%

Your Cost: $58.33/claim|Median: $216.35
0.3× median
99217Normal range

$80K

2,663 claims · 0.2%

Your Cost: $29.99/claim|Median: $31.89
0.9× median
99254Normal range

$76K

1,206 claims · 0.2%

Your Cost: $63.27/claim|Median: $81.43
0.8× median
95819Normal range

Electroencephalogram with sleep recording

$68K

2,425 claims · 0.2%

Your Cost: $28.06/claim|Median: $62.75
0.4× median
99226Normal range

$66K

2,344 claims · 0.2%

Your Cost: $28.17/claim|Median: $34.09
0.8× median
99219Normal range

$66K

1,251 claims · 0.2%

Your Cost: $52.77/claim|Median: $63.35
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$40K

2,497 claims · 0.1%

Your Cost: $16.13/claim|Median: $16.77
1.0× median
99255Normal range

$29K

348 claims · 0.1%

Your Cost: $84.23/claim|Median: $90.45
0.9× median
36512Normal range

$29K

452 claims · 0.1%

Your Cost: $64.15/claim|Median: $118.48
0.5× median
93244Normal range

$26K

1,594 claims · 0.1%

Your Cost: $16.22/claim|Median: $14.54
1.1× median
76827Normal range

$23K

1,012 claims · 0.1%

Your Cost: $22.97/claim|Median: $39.58
0.6× median
93304Normal range

$18K

749 claims · 0.0%

Your Cost: $24.29/claim|Median: $54.29
0.4× median
93321Normal range

$17K

2,976 claims · 0.0%

Your Cost: $5.86/claim|Median: $9.69
0.6× median
99214Normal range

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

$16K

451 claims · 0.0%

Your Cost: $35.35/claim|Median: $53.41
0.7× median
99235Normal range

$15K

201 claims · 0.0%

Your Cost: $76.58/claim|Median: $110.13
0.7× median
99464Normal range

$15K

221 claims · 0.0%

Your Cost: $65.90/claim|Median: $59.94
1.1× median
99220Normal range

$11K

169 claims · 0.0%

Your Cost: $67.11/claim|Median: $73.56
0.9× median
94060Normal range

$11K

713 claims · 0.0%

Your Cost: $15.61/claim|Median: $25.18
0.6× median

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$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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$199.9M

Phoenix Children's Hospital

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$162.4M

Texas Children's Physician Group

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$160.8M

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