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MOUNTAIN VIEW PEDIATRICS PA

Pediatrics·MORGANTON, NC·NPI: 1134118292Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.6M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$22.6M

$22,642,044

Total Claims

1.3M

Beneficiaries

818K

1.5 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+9%
2019
$2.8M
-25%
2020
$2.1M
+65%
2021
$3.4M
+27%
2022
$4.3M
-9%
2023
$3.9M
-9%
2024
$3.6M

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 23% of total spending.

99213Top 25%

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

$5.2M

86K claims · 22.8%

Your Cost: $59.95/claim|Median: $37.81
1.6× median
99199Normal range

Unlisted special service, procedure, or report

$3.6M

681K claims · 16.0%

Your Cost: $5.33/claim|Median: $5.39
1.0× median
99214Top 25%

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

$2.6M

29K claims · 11.5%

Your Cost: $89.46/claim|Median: $53.41
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

18K claims · 6.5%

Your Cost: $82.44/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

17K claims · 6.3%

Your Cost: $86.38/claim|Median: $75.18
1.1× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.4M

15K claims · 6.1%

Your Cost: $90.03/claim|Median: $74.82
1.2× median
90471Top 25%

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

$945K

50K claims · 4.2%

Your Cost: $19.02/claim|Median: $9.80
1.9× median
90472Top 10%

Immunization administration, each additional vaccine

$900K

29K claims · 4.0%

Your Cost: $30.58/claim|Median: $11.79
2.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$818K

8,442 claims · 3.6%

Your Cost: $96.89/claim|Median: $80.15
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$647K

10K claims · 2.9%

Your Cost: $62.74/claim|Median: $65.64
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$501K

17K claims · 2.2%

Your Cost: $28.81/claim|Median: $28.46
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$453K

13K claims · 2.0%

Your Cost: $33.98/claim|Median: $57.30
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$385K

8,021 claims · 1.7%

Your Cost: $47.96/claim|Median: $39.70
1.2× median
99401Top 25%

$343K

11K claims · 1.5%

Your Cost: $30.40/claim|Median: $16.53
1.8× median
99051Top 10%

$253K

10K claims · 1.1%

Your Cost: $25.19/claim|Median: $7.89
3.2× median
96110Normal range

Developmental screening, per standardized instrument

$234K

23K claims · 1.0%

Your Cost: $10.00/claim|Median: $9.10
1.1× median
D1206Normal range

Topical application of fluoride varnish

$200K

13K claims · 0.9%

Your Cost: $15.02/claim|Median: $18.12
0.8× median
90474Top 10%

$163K

8,448 claims · 0.7%

Your Cost: $19.34/claim|Median: $8.42
2.3× median
87070Top 25%

Bacterial culture, any source except blood or urine

$157K

16K claims · 0.7%

Your Cost: $10.07/claim|Median: $5.89
1.7× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$127K

3,231 claims · 0.6%

Your Cost: $39.28/claim|Median: $30.53
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$81K

14K claims · 0.4%

Your Cost: $5.59/claim|Median: $3.67
1.5× median
90651Top 25%

HPV vaccine, 9-valent

$70K

2,788 claims · 0.3%

Your Cost: $25.09/claim|Median: $8.93
2.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$61K

706 claims · 0.3%

Your Cost: $86.98/claim|Median: $73.46
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$50K

1,445 claims · 0.2%

Your Cost: $34.41/claim|Median: $25.06
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$47K

3,439 claims · 0.2%

Your Cost: $13.59/claim|Median: $11.48
1.2× median
80061Top 25%

Lipid panel

$41K

2,696 claims · 0.2%

Your Cost: $15.14/claim|Median: $8.41
1.8× median
96161Normal range

$36K

10K claims · 0.2%

Your Cost: $3.53/claim|Median: $2.49
1.4× median
92551Normal range

Screening audiometry, pure tone, air only

$34K

30K claims · 0.2%

Your Cost: $1.13/claim|Median: $6.61
0.2× median
87804Normal range

Influenza virus detection, rapid test

$31K

2,341 claims · 0.1%

Your Cost: $13.36/claim|Median: $12.59
1.1× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$30K

489 claims · 0.1%

Your Cost: $61.42/claim|Median: $36.70
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$27K

1,411 claims · 0.1%

Your Cost: $18.84/claim|Median: $12.93
1.5× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$26K

541 claims · 0.1%

Your Cost: $47.90/claim|Median: $33.72
1.4× median
83655Top 25%

$24K

1,874 claims · 0.1%

Your Cost: $12.78/claim|Median: $10.49
1.2× median
0071ATop 10%

$23K

395 claims · 0.1%

Your Cost: $57.53/claim|Median: $38.71
1.5× median
0072ATop 10%

$22K

339 claims · 0.1%

Your Cost: $63.75/claim|Median: $39.57
1.6× median
94010Normal range

$22K

905 claims · 0.1%

Your Cost: $23.85/claim|Median: $18.11
1.3× median
90734Top 25%

$20K

1,099 claims · 0.1%

Your Cost: $18.35/claim|Median: $6.40
2.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$20K

16K claims · 0.1%

Your Cost: $1.23/claim|Median: $7.18
0.2× median
99173Normal range

$18K

30K claims · 0.1%

Your Cost: $0.58/claim|Median: $2.16
0.3× median
85018Normal range

$17K

7,611 claims · 0.1%

Your Cost: $2.22/claim|Median: $1.71
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$15K

1,669 claims · 0.1%

Your Cost: $9.00/claim|Median: $4.71
1.9× median
87634Normal range

$15K

513 claims · 0.1%

Your Cost: $28.91/claim|Median: $48.78
0.6× median
87807Top 25%

$14K

1,098 claims · 0.1%

Your Cost: $12.46/claim|Median: $10.06
1.2× median
96160Normal range

Patient-focused health risk assessment

$13K

3,884 claims · 0.1%

Your Cost: $3.28/claim|Median: $2.10
1.6× median
90620Normal range

$9K

831 claims · 0.0%

Your Cost: $11.20/claim|Median: $6.49
1.7× median
69210Top 10%

$9K

201 claims · 0.0%

Your Cost: $43.25/claim|Median: $21.74
2.0× median
90619Normal range

$8K

819 claims · 0.0%

Your Cost: $9.77/claim|Median: $8.36
1.2× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$8K

815 claims · 0.0%

Your Cost: $9.57/claim|Median: $5.50
1.7× median
G2211Normal range

$7K

1,604 claims · 0.0%

Your Cost: $4.17/claim|Median: $2.40
1.7× median
0003ATop 5%

COVID-19 vaccine admin, Pfizer, 3rd dose

$6K

97 claims · 0.0%

Your Cost: $62.61/claim|Median: $36.49
1.7× median

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Laboratory Corporation of America Holdings

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$264.3M

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