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BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA

Pediatrics·TULSA, OK·NPI: 1134163942Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.2M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$43.2M

$43,155,949

Total Claims

623K

Beneficiaries

604K

1.0 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+15%
2019
$7.0M
-11%
2020
$6.2M
+17%
2021
$7.3M
-12%
2022
$6.4M
+2%
2023
$6.5M
-45%
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 21% of total spending.

99213Top 5%

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

$8.9M

77K claims · 20.7%

Your Cost: $116.08/claim|Median: $37.81
3.1× median
99214Top 5%

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

$5.3M

33K claims · 12.3%

Your Cost: $159.54/claim|Median: $53.41
3.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$4.6M

34K claims · 10.6%

Your Cost: $134.64/claim|Median: $69.35
1.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$3.6M

27K claims · 8.4%

Your Cost: $137.18/claim|Median: $75.18
1.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$2.6M

19K claims · 5.9%

Your Cost: $136.40/claim|Median: $74.82
1.8× median
99232Top 1%

Subsequent hospital care, per day, moderate complexity

$2.1M

18K claims · 4.8%

Your Cost: $116.51/claim|Median: $23.99
4.9× median
99222Top 1%

Initial hospital care, per day, moderate complexity

$1.9M

8,845 claims · 4.4%

Your Cost: $215.29/claim|Median: $51.25
4.2× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$1.8M

15K claims · 4.2%

Your Cost: $117.50/claim|Median: $37.22
3.2× median
90472Top 10%

Immunization administration, each additional vaccine

$1.4M

46K claims · 3.4%

Your Cost: $31.68/claim|Median: $11.79
2.7× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$1.4M

9,176 claims · 3.2%

Your Cost: $151.25/claim|Median: $80.15
1.9× median
90471Top 25%

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

$1.3M

72K claims · 3.0%

Your Cost: $17.96/claim|Median: $9.80
1.8× median
99204Top 1%

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

$1.1M

4,607 claims · 2.6%

Your Cost: $242.89/claim|Median: $84.03
2.9× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$971K

6,358 claims · 2.2%

Your Cost: $152.71/claim|Median: $62.48
2.4× median
99215Top 5%

Office/outpatient visit, high complexity

$856K

3,213 claims · 2.0%

Your Cost: $266.46/claim|Median: $74.09
3.6× median
99223Top 1%

Initial hospital care, per day, high complexity

$563K

1,817 claims · 1.3%

Your Cost: $309.84/claim|Median: $67.32
4.6× median
99233Top 1%

Subsequent hospital care, per day, high complexity

$479K

2,963 claims · 1.1%

Your Cost: $161.79/claim|Median: $35.30
4.6× median
93303Top 25%

Echocardiography, transthoracic, limited

$455K

2,455 claims · 1.1%

Your Cost: $185.17/claim|Median: $112.83
1.6× median
54150Top 25%

$294K

1,869 claims · 0.7%

Your Cost: $157.55/claim|Median: $84.60
1.9× median
99235Top 5%

$257K

965 claims · 0.6%

Your Cost: $266.36/claim|Median: $110.13
2.4× median
95251Top 5%

$244K

4,638 claims · 0.6%

Your Cost: $52.59/claim|Median: $18.02
2.9× median
99239Top 1%

Hospital discharge day management, more than 30 minutes

$211K

1,234 claims · 0.5%

Your Cost: $170.95/claim|Median: $43.85
3.9× median
93304Top 25%

$197K

1,117 claims · 0.5%

Your Cost: $175.99/claim|Median: $54.29
3.2× median
90474Top 25%

$186K

10K claims · 0.4%

Your Cost: $17.80/claim|Median: $8.42
2.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$184K

21K claims · 0.4%

Your Cost: $8.92/claim|Median: $3.67
2.4× median
99381Top 5%

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

$171K

1,144 claims · 0.4%

Your Cost: $149.88/claim|Median: $73.46
2.0× median
99384Top 5%

Preventive visit, new patient, adolescent (12-17 yr)

$155K

710 claims · 0.4%

Your Cost: $218.93/claim|Median: $83.63
2.6× median
93320Top 25%

$151K

2,957 claims · 0.4%

Your Cost: $51.18/claim|Median: $28.68
1.8× median
99462Top 5%

$133K

2,010 claims · 0.3%

Your Cost: $66.38/claim|Median: $27.49
2.4× median
99212Top 10%

Office/outpatient visit, low complexity

$130K

1,853 claims · 0.3%

Your Cost: $70.21/claim|Median: $25.06
2.8× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$129K

376 claims · 0.3%

Your Cost: $342.16/claim|Median: $111.09
3.1× median
99203Top 5%

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

$124K

761 claims · 0.3%

Your Cost: $162.64/claim|Median: $57.85
2.8× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$113K

709 claims · 0.3%

Your Cost: $159.26/claim|Median: $81.92
1.9× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$110K

13K claims · 0.3%

Your Cost: $8.81/claim|Median: $5.50
1.6× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$94K

1,434 claims · 0.2%

Your Cost: $65.71/claim|Median: $24.33
2.7× median
99219Top 5%

$93K

500 claims · 0.2%

Your Cost: $186.68/claim|Median: $63.35
2.9× median
96110Normal range

Developmental screening, per standardized instrument

$90K

7,475 claims · 0.2%

Your Cost: $12.00/claim|Median: $9.10
1.3× median
93325Normal range

$77K

3,866 claims · 0.2%

Your Cost: $19.79/claim|Median: $14.61
1.4× median
83655Normal range

$61K

5,307 claims · 0.1%

Your Cost: $11.42/claim|Median: $10.49
1.1× median
96161Top 25%

$53K

11K claims · 0.1%

Your Cost: $4.99/claim|Median: $2.49
2.0× median
99382Top 5%

Preventive visit, new patient, early childhood (1-4 yr)

$41K

266 claims · 0.1%

Your Cost: $153.72/claim|Median: $79.89
1.9× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$38K

377 claims · 0.1%

Your Cost: $99.80/claim|Median: $12.70
7.9× median
43239Normal range

Upper GI endoscopy with biopsy

$37K

220 claims · 0.1%

Your Cost: $169.85/claim|Median: $151.68
1.1× median
87428Normal range

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

$37K

1,266 claims · 0.1%

Your Cost: $29.29/claim|Median: $39.63
0.7× median
99463Top 1%

$35K

196 claims · 0.1%

Your Cost: $180.58/claim|Median: $78.46
2.3× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$35K

1,367 claims · 0.1%

Your Cost: $25.38/claim|Median: $9.70
2.6× median
88720Normal range

$24K

5,187 claims · 0.1%

Your Cost: $4.71/claim|Median: $3.88
1.2× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$23K

124 claims · 0.1%

Your Cost: $188.58/claim|Median: $72.71
2.6× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$20K

1,404 claims · 0.0%

Your Cost: $14.31/claim|Median: $11.48
1.2× median
99217Top 5%

$20K

188 claims · 0.0%

Your Cost: $105.43/claim|Median: $31.89
3.3× median
93321Top 25%

$18K

595 claims · 0.0%

Your Cost: $29.76/claim|Median: $9.69
3.1× median

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State of Oklahoma Dept of Human Services

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State of Oklahoma Dept. of Human Services

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$187.3M

Chickasaw Nation Division of Health

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$161.9M

180 Medical INC

Durable Medical Equipment & Medical Supplies, Cust

$157.9M

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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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