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EASTERN CAROLINA PEDIATRICS PA

Pediatrics·WILSON, NC·NPI: 1073693347Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.6M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$24.6M

$24,563,704

Total Claims

1.4M

Beneficiaries

988K

1.4 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+11%
2019
$2.9M
-11%
2020
$2.6M
+33%
2021
$3.5M
+24%
2022
$4.3M
+1%
2023
$4.3M
+1%
2024
$4.3M

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 19% of total spending.

99214Top 25%

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

$4.6M

51K claims · 18.7%

Your Cost: $90.27/claim|Median: $53.41
1.7× median
99213Top 25%

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

$4.5M

76K claims · 18.4%

Your Cost: $59.16/claim|Median: $37.81
1.6× median
99199Normal range

Unlisted special service, procedure, or report

$4.4M

734K claims · 17.9%

Your Cost: $6.00/claim|Median: $5.39
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.9M

22K claims · 7.5%

Your Cost: $85.17/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.8M

20K claims · 7.3%

Your Cost: $88.14/claim|Median: $75.18
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.3M

15K claims · 5.3%

Your Cost: $87.69/claim|Median: $74.82
1.2× median
90472Top 5%

Immunization administration, each additional vaccine

$1.2M

33K claims · 4.7%

Your Cost: $35.27/claim|Median: $11.79
3.0× median
90471Top 10%

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

$928K

47K claims · 3.8%

Your Cost: $19.64/claim|Median: $9.80
2.0× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$902K

9,490 claims · 3.7%

Your Cost: $95.10/claim|Median: $80.15
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$540K

16K claims · 2.2%

Your Cost: $34.09/claim|Median: $57.30
0.6× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$452K

3,485 claims · 1.8%

Your Cost: $129.81/claim|Median: $100.62
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$283K

30K claims · 1.2%

Your Cost: $9.51/claim|Median: $9.10
1.0× median
D1206Normal range

Topical application of fluoride varnish

$229K

15K claims · 0.9%

Your Cost: $14.92/claim|Median: $18.12
0.8× median
90474Top 10%

$222K

11K claims · 0.9%

Your Cost: $19.67/claim|Median: $8.42
2.3× median
87804Normal range

Influenza virus detection, rapid test

$194K

14K claims · 0.8%

Your Cost: $13.51/claim|Median: $12.59
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$145K

16K claims · 0.6%

Your Cost: $8.86/claim|Median: $4.71
1.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$101K

1,748 claims · 0.4%

Your Cost: $57.86/claim|Median: $37.22
1.6× median
99051Top 10%

$93K

3,765 claims · 0.4%

Your Cost: $24.62/claim|Median: $7.89
3.1× median
90651Normal range

HPV vaccine, 9-valent

$92K

4,327 claims · 0.4%

Your Cost: $21.31/claim|Median: $8.93
2.4× median
83655Top 25%

$77K

5,699 claims · 0.3%

Your Cost: $13.57/claim|Median: $10.49
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$76K

5,651 claims · 0.3%

Your Cost: $13.40/claim|Median: $11.48
1.2× median
99401Top 10%

$67K

1,992 claims · 0.3%

Your Cost: $33.43/claim|Median: $16.53
2.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$65K

2,310 claims · 0.3%

Your Cost: $27.92/claim|Median: $28.46
1.0× median
96161Normal range

$47K

14K claims · 0.2%

Your Cost: $3.45/claim|Median: $2.49
1.4× median
71046Top 25%

Chest X-ray, 2 views

$44K

1,938 claims · 0.2%

Your Cost: $22.88/claim|Median: $8.92
2.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$42K

626 claims · 0.2%

Your Cost: $67.77/claim|Median: $62.48
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$41K

24K claims · 0.2%

Your Cost: $1.68/claim|Median: $6.61
0.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$40K

9,713 claims · 0.2%

Your Cost: $4.15/claim|Median: $3.67
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$40K

1,112 claims · 0.2%

Your Cost: $35.57/claim|Median: $25.06
1.4× median
90734Top 25%

$37K

2,101 claims · 0.1%

Your Cost: $17.45/claim|Median: $6.40
2.7× median
99203Top 25%

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

$28K

317 claims · 0.1%

Your Cost: $87.70/claim|Median: $57.85
1.5× median
80053Normal range

Comprehensive metabolic panel

$23K

2,383 claims · 0.1%

Your Cost: $9.79/claim|Median: $7.24
1.4× median
36415Normal range

Collection of venous blood by venipuncture

$18K

6,960 claims · 0.1%

Your Cost: $2.56/claim|Median: $1.57
1.6× median
90620Top 25%

$17K

945 claims · 0.1%

Your Cost: $18.32/claim|Median: $6.49
2.8× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$13K

34K claims · 0.1%

Your Cost: $0.39/claim|Median: $0.79
0.5× median
99173Normal range

$12K

21K claims · 0.0%

Your Cost: $0.58/claim|Median: $2.16
0.3× median
87807Top 25%

$11K

845 claims · 0.0%

Your Cost: $13.19/claim|Median: $10.06
1.3× median
80061Top 10%

Lipid panel

$10K

620 claims · 0.0%

Your Cost: $15.70/claim|Median: $8.41
1.9× median
90619Normal range

$6K

1,354 claims · 0.0%

Your Cost: $4.09/claim|Median: $8.36
0.5× median
90715Normal range

Tdap vaccine

$5K

1,160 claims · 0.0%

Your Cost: $4.43/claim|Median: $10.32
0.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$5K

1,418 claims · 0.0%

Your Cost: $3.57/claim|Median: $2.03
1.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$5K

491 claims · 0.0%

Your Cost: $9.66/claim|Median: $10.88
0.9× median
99177Normal range

$5K

11K claims · 0.0%

Your Cost: $0.43/claim|Median: $3.74
0.1× median
99204Top 25%

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

$4K

26 claims · 0.0%

Your Cost: $136.01/claim|Median: $84.03
1.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$3K

213 claims · 0.0%

Your Cost: $15.94/claim|Median: $9.56
1.7× median
G9919Normal range

$3K

125 claims · 0.0%

Your Cost: $21.78/claim|Median: $8.66
2.5× median
69210Top 10%

$2K

55 claims · 0.0%

Your Cost: $44.08/claim|Median: $21.74
2.0× median
96380Normal range

$2K

131 claims · 0.0%

Your Cost: $13.46/claim|Median: $16.33
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

4,589 claims · 0.0%

Your Cost: $0.37/claim|Median: $7.18
0.1× median
99462Normal range

$1K

44 claims · 0.0%

Your Cost: $30.02/claim|Median: $27.49
1.1× median

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$324.3M

Laboratory Corporation of America Holdings

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$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

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$199.9M

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$162.4M

Texas Children's Physician Group

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$160.8M

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