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CATAWBA PEDIATRIC ASSOCIATES, P.A.

Pediatrics·HICKORY, NC·NPI: 1104804459Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.2M is at the below 25th percentile among 14 Pediatrics providers.

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

Total Paid

$20.2M

$20,167,378

Total Claims

990K

Beneficiaries

720K

1.4 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+18%
2019
$2.1M
-0%
2020
$2.1M
+52%
2021
$3.1M
+29%
2022
$4.0M
-5%
2023
$3.8M
-15%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 22% of total spending.

99213Top 25%

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

$4.5M

70K claims · 22.1%

Your Cost: $63.73/claim|Median: $37.81
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$2.8M

474K claims · 13.9%

Your Cost: $5.93/claim|Median: $5.39
1.1× median
99214Top 25%

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

$2.2M

25K claims · 11.1%

Your Cost: $90.05/claim|Median: $53.41
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.6M

18K claims · 8.1%

Your Cost: $90.78/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.6M

18K claims · 8.0%

Your Cost: $87.19/claim|Median: $69.35
1.3× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

37K claims · 7.7%

Your Cost: $41.97/claim|Median: $17.85
2.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.2M

13K claims · 5.8%

Your Cost: $90.90/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$747K

7,682 claims · 3.7%

Your Cost: $97.23/claim|Median: $80.15
1.2× median
99401Top 10%

$743K

23K claims · 3.7%

Your Cost: $32.24/claim|Median: $16.53
2.0× median
87428Normal range

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

$540K

9,815 claims · 2.7%

Your Cost: $54.98/claim|Median: $39.63
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$355K

11K claims · 1.8%

Your Cost: $33.40/claim|Median: $57.30
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$310K

12K claims · 1.5%

Your Cost: $26.15/claim|Median: $28.46
0.9× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$292K

12K claims · 1.4%

Your Cost: $24.11/claim|Median: $26.72
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$240K

60K claims · 1.2%

Your Cost: $3.99/claim|Median: $3.67
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$225K

5,916 claims · 1.1%

Your Cost: $37.96/claim|Median: $25.06
1.5× median
99051Top 25%

$170K

7,115 claims · 0.8%

Your Cost: $23.95/claim|Median: $7.89
3.0× median
D1206Normal range

Topical application of fluoride varnish

$156K

11K claims · 0.8%

Your Cost: $14.73/claim|Median: $18.12
0.8× median
87804Normal range

Influenza virus detection, rapid test

$139K

11K claims · 0.7%

Your Cost: $13.09/claim|Median: $12.59
1.0× median
92587Normal range

$113K

16K claims · 0.6%

Your Cost: $7.18/claim|Median: $19.24
0.4× median
90471Top 25%

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

$105K

5,521 claims · 0.5%

Your Cost: $18.97/claim|Median: $9.80
1.9× median
85027Top 25%

Complete blood count (CBC), automated

$77K

11K claims · 0.4%

Your Cost: $7.04/claim|Median: $3.72
1.9× median
96110Normal range

Developmental screening, per standardized instrument

$59K

7,517 claims · 0.3%

Your Cost: $7.84/claim|Median: $9.10
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

3,928 claims · 0.2%

Your Cost: $12.77/claim|Median: $11.48
1.1× median
90651Normal range

HPV vaccine, 9-valent

$48K

2,483 claims · 0.2%

Your Cost: $19.31/claim|Median: $8.93
2.2× median
96161Normal range

$38K

11K claims · 0.2%

Your Cost: $3.52/claim|Median: $2.49
1.4× median
83655Top 25%

$29K

2,195 claims · 0.1%

Your Cost: $13.34/claim|Median: $10.49
1.3× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$28K

495 claims · 0.1%

Your Cost: $57.08/claim|Median: $36.70
1.6× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$26K

507 claims · 0.1%

Your Cost: $51.56/claim|Median: $33.72
1.5× median
90734Normal range

$25K

1,781 claims · 0.1%

Your Cost: $14.07/claim|Median: $6.40
2.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

17K claims · 0.1%

Your Cost: $1.23/claim|Median: $7.18
0.2× median
87081Normal range

Culture screening for pathogenic organisms

$20K

3,044 claims · 0.1%

Your Cost: $6.55/claim|Median: $5.09
1.3× median
80061Top 25%

Lipid panel

$19K

1,276 claims · 0.1%

Your Cost: $14.93/claim|Median: $8.41
1.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$15K

773 claims · 0.1%

Your Cost: $19.02/claim|Median: $12.93
1.5× median
0072ATop 25%

$14K

273 claims · 0.1%

Your Cost: $51.50/claim|Median: $39.57
1.3× median
0071ATop 25%

$13K

281 claims · 0.1%

Your Cost: $47.84/claim|Median: $38.71
1.2× median
87807Normal range

$12K

1,062 claims · 0.1%

Your Cost: $11.33/claim|Median: $10.06
1.1× median
90480Top 25%

$12K

302 claims · 0.1%

Your Cost: $39.78/claim|Median: $25.29
1.6× median
90620Top 25%

$9K

457 claims · 0.0%

Your Cost: $20.38/claim|Median: $6.49
3.1× median
99173Normal range

$7K

17K claims · 0.0%

Your Cost: $0.38/claim|Median: $2.16
0.2× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$6K

561 claims · 0.0%

Your Cost: $10.35/claim|Median: $5.50
1.9× median
87634Normal range

$3K

143 claims · 0.0%

Your Cost: $21.57/claim|Median: $48.78
0.4× median
85007Top 25%

$3K

766 claims · 0.0%

Your Cost: $3.88/claim|Median: $1.77
2.2× median
G9919Normal range

$3K

326 claims · 0.0%

Your Cost: $8.45/claim|Median: $8.66
1.0× median
82947Top 25%

Blood glucose level test

$3K

626 claims · 0.0%

Your Cost: $4.39/claim|Median: $2.38
1.8× median
96111Normal range

$3K

50 claims · 0.0%

Your Cost: $54.66/claim|Median: $86.72
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$3K

1,093 claims · 0.0%

Your Cost: $2.49/claim|Median: $1.57
1.6× median
99177Normal range

$2K

8,332 claims · 0.0%

Your Cost: $0.28/claim|Median: $3.74
0.1× median
0124ATop 10%

$2K

35 claims · 0.0%

Your Cost: $61.29/claim|Median: $34.32
1.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$2K

30 claims · 0.0%

Your Cost: $62.25/claim|Median: $62.48
1.0× median
0054ANormal range

$2K

44 claims · 0.0%

Your Cost: $39.89/claim|Median: $35.83
1.1× median

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$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

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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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