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Childrens Hospital of Los Angeles

Case Manager/Care Coordinator·Los Angeles, CA·NPI: 1124073366Share

Compared to Case Manager/Care Coordinator Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $136.9M is at the 75th percentile among 16 Case Manager/Care Coordinator providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$136.9M

$136,947,659

Total Claims

2.9M

Beneficiaries

2.5M

1.2 claims/patient

Avg Cost/Claim

$46

#819 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Childrens Hospital of Los Angeles is a Case Manager/Care Coordinator provider based in Los Angeles, CA. From the 2018–2024 period, this provider received $136.9M in Medicaid payments across 2.9M claims.

Why This Matters

This provider received $136.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,118 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 53% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.2M
+4%
2019
$17.9M
-28%
2020
$12.9M
+13%
2021
$14.6M
+25%
2022
$18.2M
+64%
2023
$29.9M
-12%
2024
$26.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0123) accounts for 16% of total spending.

0123Normal range

$21.9M

3K claims · 16.0%

Your Cost: $6,939.47/claim|Median: $3,178.88
2.2× median
0450Normal range

Emergency room visit

$11.8M

216K claims · 8.6%

Your Cost: $54.74/claim|Median: $44.95
1.2× median
Z7500Normal range

$8.7M

256K claims · 6.3%

Your Cost: $33.84/claim|Median: $33.71
1.0× median
70553Top 5%

MRI brain without contrast, then with contrast

$6.8M

8K claims · 5.0%

Your Cost: $833.60/claim|Median: $133.68
6.2× median
Z6020Top 1%

$5.2M

20K claims · 3.8%

Your Cost: $259.05/claim|Median: $259.05
1.0× median
0636Top 5%

$3.7M

8K claims · 2.7%

Your Cost: $470.08/claim|Median: $5.41
86.9× median
70551Top 5%

MRI brain without contrast

$3.1M

7K claims · 2.3%

Your Cost: $412.77/claim|Median: $85.39
4.8× median
Z4300Normal range

$3.0M

29K claims · 2.2%

Your Cost: $102.92/claim|Median: $72.00
1.4× median
95782Top 25%

$2.5M

3K claims · 1.8%

Your Cost: $851.15/claim|Median: $216.35
3.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$2.0M

25K claims · 1.4%

Your Cost: $76.95/claim|Median: $63.08
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$1.7M

27K claims · 1.2%

Your Cost: $62.79/claim|Median: $52.03
1.2× median
P9016Top 5%

$1.6M

3K claims · 1.2%

Your Cost: $529.54/claim|Median: $122.26
4.3× median
0360Top 25%

$1.6M

10K claims · 1.1%

Your Cost: $158.84/claim|Median: $95.40
1.7× median
0515Normal range

$1.4M

126K claims · 1.0%

Your Cost: $11.34/claim|Median: $17.73
0.6× median
Z4307Top 25%

$1.4M

37K claims · 1.0%

Your Cost: $37.86/claim|Median: $25.14
1.5× median
Z7610Normal range

$1.2M

103K claims · 0.9%

Your Cost: $12.09/claim|Median: $9.46
1.3× median
99199Top 25%

Unlisted special service, procedure, or report

$1.2M

35K claims · 0.9%

Your Cost: $35.71/claim|Median: $5.39
6.6× median
80053Top 25%

Comprehensive metabolic panel

$1.2M

104K claims · 0.9%

Your Cost: $11.93/claim|Median: $7.24
1.6× median
Z4308Top 1%

$1.2M

18K claims · 0.9%

Your Cost: $66.47/claim|Median: $25.25
2.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.1M

6K claims · 0.8%

Your Cost: $195.13/claim|Median: $54.68
3.6× median
Z4301Top 1%

$1.1M

31K claims · 0.8%

Your Cost: $36.36/claim|Median: $24.01
1.5× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.1M

3K claims · 0.8%

Your Cost: $323.16/claim|Median: $169.17
1.9× median
87799Top 25%

$1.1M

16K claims · 0.8%

Your Cost: $66.70/claim|Median: $21.87
3.0× median
Z4303Top 10%

$1.1M

25K claims · 0.8%

Your Cost: $43.52/claim|Median: $29.71
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$1.1M

4K claims · 0.8%

Your Cost: $242.40/claim|Median: $233.73
1.0× median
J0490Normal range

$1.1M

617 claims · 0.8%

Your Cost: $1,745.64/claim|Median: $1,422.77
1.2× median
J0131Top 1%

$1.0M

4K claims · 0.8%

Your Cost: $264.24/claim|Median: $5.78
45.7× median
Z4304Top 25%

$1.0M

13K claims · 0.7%

Your Cost: $76.88/claim|Median: $53.44
1.4× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$962K

6K claims · 0.7%

Your Cost: $170.07/claim|Median: $79.28
2.1× median
72148Top 5%

MRI lumbar spine without contrast

$942K

2K claims · 0.7%

Your Cost: $497.71/claim|Median: $101.03
4.9× median

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