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UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.

Pediatrics·MEMPHIS, TN·NPI: 1093024101Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.7M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$63.7M

$63,722,273

Total Claims

1.5M

Beneficiaries

1.2M

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$9.8M
+9%
2019
$10.6M
-18%
2020
$8.7M
+12%
2021
$9.7M
-11%
2022
$8.7M
+4%
2023
$9.0M
-20%
2024
$7.2M

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 14% of total spending.

99214Top 25%

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

$9.2M

115K claims · 14.4%

Your Cost: $79.95/claim|Median: $53.41
1.5× median
99213Top 25%

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

$7.8M

145K claims · 12.3%

Your Cost: $54.02/claim|Median: $37.81
1.4× median
99204Top 25%

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

$4.2M

35K claims · 6.6%

Your Cost: $121.82/claim|Median: $84.03
1.4× median
99472Top 25%

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

$2.6M

7,208 claims · 4.1%

Your Cost: $366.86/claim|Median: $307.98
1.2× median
99203Top 25%

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

$2.6M

31K claims · 4.1%

Your Cost: $84.72/claim|Median: $57.85
1.5× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$1.8M

24K claims · 2.8%

Your Cost: $74.82/claim|Median: $35.30
2.1× median
93303Normal range

Echocardiography, transthoracic, limited

$1.7M

15K claims · 2.7%

Your Cost: $114.15/claim|Median: $112.83
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1.7M

17K claims · 2.7%

Your Cost: $102.88/claim|Median: $74.09
1.4× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.5M

28K claims · 2.4%

Your Cost: $54.79/claim|Median: $23.99
2.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

18K claims · 2.3%

Your Cost: $83.06/claim|Median: $75.18
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

11K claims · 1.7%

Your Cost: $103.89/claim|Median: $54.68
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

13K claims · 1.7%

Your Cost: $85.94/claim|Median: $74.82
1.1× median
93304Normal range

$1.1M

22K claims · 1.7%

Your Cost: $48.85/claim|Median: $54.29
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.0M

7,389 claims · 1.6%

Your Cost: $141.87/claim|Median: $121.58
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$967K

13K claims · 1.5%

Your Cost: $72.72/claim|Median: $69.35
1.0× median
95004Normal range

Percutaneous allergy skin tests, each

$887K

7,524 claims · 1.4%

Your Cost: $117.92/claim|Median: $134.97
0.9× median
93325Normal range

$862K

51K claims · 1.4%

Your Cost: $16.86/claim|Median: $14.61
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$858K

4,822 claims · 1.3%

Your Cost: $177.98/claim|Median: $101.24
1.8× median
69436Normal range

Tympanostomy, general anesthesia

$845K

4,345 claims · 1.3%

Your Cost: $194.38/claim|Median: $205.50
0.9× median
71045Top 25%

Chest X-ray, single view

$793K

92K claims · 1.2%

Your Cost: $8.60/claim|Median: $4.93
1.7× median
99243Top 25%

Office or other outpatient consultation, low complexity

$767K

7,362 claims · 1.2%

Your Cost: $104.19/claim|Median: $82.43
1.3× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$759K

25K claims · 1.2%

Your Cost: $30.71/claim|Median: $16.77
1.8× median
95812Normal range

$730K

13K claims · 1.1%

Your Cost: $56.36/claim|Median: $104.99
0.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$699K

12K claims · 1.1%

Your Cost: $57.15/claim|Median: $37.22
1.5× median
92060Normal range

$654K

15K claims · 1.0%

Your Cost: $44.23/claim|Median: $35.83
1.2× median
90471Normal range

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

$621K

48K claims · 1.0%

Your Cost: $12.82/claim|Median: $9.80
1.3× median
70450Normal range

CT head/brain without contrast

$607K

15K claims · 1.0%

Your Cost: $41.77/claim|Median: $45.53
0.9× median
93320Normal range

$606K

16K claims · 1.0%

Your Cost: $37.61/claim|Median: $28.68
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$594K

17K claims · 0.9%

Your Cost: $34.74/claim|Median: $25.06
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$587K

6,259 claims · 0.9%

Your Cost: $93.86/claim|Median: $80.15
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$548K

42K claims · 0.9%

Your Cost: $13.12/claim|Median: $9.10
1.4× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$512K

1,899 claims · 0.8%

Your Cost: $269.46/claim|Median: $331.68
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$482K

36K claims · 0.8%

Your Cost: $13.41/claim|Median: $11.79
1.1× median
71046Normal range

Chest X-ray, 2 views

$472K

43K claims · 0.7%

Your Cost: $10.97/claim|Median: $8.92
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$460K

2,848 claims · 0.7%

Your Cost: $161.45/claim|Median: $233.73
0.7× median
54360Normal range

$414K

727 claims · 0.6%

Your Cost: $568.83/claim|Median: $609.21
0.9× median
93321Normal range

$399K

30K claims · 0.6%

Your Cost: $13.27/claim|Median: $9.69
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$392K

3,089 claims · 0.6%

Your Cost: $127.04/claim|Median: $111.09
1.1× median
70553Normal range

MRI brain without contrast, then with contrast

$392K

3,667 claims · 0.6%

Your Cost: $106.82/claim|Median: $133.68
0.8× median
54161Normal range

$391K

2,918 claims · 0.6%

Your Cost: $134.14/claim|Median: $252.63
0.5× median
76770Normal range

Ultrasound, retroperitoneal, complete

$362K

10K claims · 0.6%

Your Cost: $35.00/claim|Median: $37.35
0.9× median
97530Normal range

Therapeutic activities, each 15 min

$323K

7,197 claims · 0.5%

Your Cost: $44.93/claim|Median: $33.11
1.4× median
92508Top 25%

Treatment of speech/language disorder, group, 2+ patients

$298K

14K claims · 0.5%

Your Cost: $21.65/claim|Median: $13.22
1.6× median
70551Normal range

MRI brain without contrast

$296K

3,918 claims · 0.5%

Your Cost: $75.52/claim|Median: $85.39
0.9× median
93010Top 25%

Electrocardiogram, interpretation and report only

$286K

34K claims · 0.4%

Your Cost: $8.38/claim|Median: $5.60
1.5× median
74018Normal range

$253K

28K claims · 0.4%

Your Cost: $8.90/claim|Median: $7.00
1.3× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$250K

2,519 claims · 0.4%

Your Cost: $99.44/claim|Median: $51.25
1.9× median
74019Normal range

$226K

20K claims · 0.4%

Your Cost: $11.51/claim|Median: $9.82
1.2× median
31622Normal range

$214K

2,088 claims · 0.3%

Your Cost: $102.55/claim|Median: $107.57
1.0× median
54300Normal range

$203K

338 claims · 0.3%

Your Cost: $601.03/claim|Median: $588.34
1.0× median

Other Top Providers in Tennessee

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Department of Intellectual and Developmental Disabilities, State of Tn

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$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

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$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

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Saltzman Tanis Pittell Levin and Jacobson

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$201.3M

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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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