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CENTRAL IOWA HOSPITAL CORPORATION

Pediatrics·DES MOINES, IA·NPI: 1144309188Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$25.4M

$25,400,348

Total Claims

487K

Beneficiaries

452K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+35%
2019
$4.4M
-28%
2020
$3.2M
+14%
2021
$3.6M
+5%
2022
$3.8M
-0%
2023
$3.8M
-12%
2024
$3.3M

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 16% of total spending.

99214Normal range

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

$4.2M

99K claims · 16.5%

Your Cost: $42.38/claim|Median: $53.41
0.8× median
99284Normal range

Emergency dept visit, high complexity

$3.8M

46K claims · 15.0%

Your Cost: $83.68/claim|Median: $69.51
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$2.0M

38K claims · 8.0%

Your Cost: $54.02/claim|Median: $42.48
1.3× median
99213Normal range

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

$1.8M

60K claims · 7.2%

Your Cost: $30.47/claim|Median: $37.81
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

18K claims · 5.1%

Your Cost: $73.97/claim|Median: $75.18
1.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

9,204 claims · 4.7%

Your Cost: $130.44/claim|Median: $85.65
1.5× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.2M

28K claims · 4.6%

Your Cost: $41.76/claim|Median: $17.85
2.3× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.0M

11K claims · 4.1%

Your Cost: $98.52/claim|Median: $98.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.0M

16K claims · 4.1%

Your Cost: $66.63/claim|Median: $69.35
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$968K

3,536 claims · 3.8%

Your Cost: $273.63/claim|Median: $293.45
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$859K

11K claims · 3.4%

Your Cost: $75.02/claim|Median: $74.82
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$686K

10K claims · 2.7%

Your Cost: $67.80/claim|Median: $74.09
0.9× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$659K

7,035 claims · 2.6%

Your Cost: $93.72/claim|Median: $103.70
0.9× median
96112Normal range

Developmental test administration

$438K

4,863 claims · 1.7%

Your Cost: $90.07/claim|Median: $102.95
0.9× median
99204Normal range

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

$436K

5,398 claims · 1.7%

Your Cost: $80.80/claim|Median: $84.03
1.0× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$350K

9,251 claims · 1.4%

Your Cost: $37.86/claim|Median: $3.67
10.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$301K

5,312 claims · 1.2%

Your Cost: $56.61/claim|Median: $37.22
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$272K

2,925 claims · 1.1%

Your Cost: $92.93/claim|Median: $111.09
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$208K

2,679 claims · 0.8%

Your Cost: $77.51/claim|Median: $80.15
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$201K

3,173 claims · 0.8%

Your Cost: $63.48/claim|Median: $62.48
1.0× median
99472Normal range

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

$187K

599 claims · 0.7%

Your Cost: $311.68/claim|Median: $307.98
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$141K

13K claims · 0.6%

Your Cost: $11.23/claim|Median: $6.93
1.6× median
95251Top 1%

$136K

1,674 claims · 0.5%

Your Cost: $81.40/claim|Median: $18.02
4.5× median
95813Normal range

$135K

1,881 claims · 0.5%

Your Cost: $71.84/claim|Median: $121.48
0.6× median
54150Normal range

$132K

1,435 claims · 0.5%

Your Cost: $91.68/claim|Median: $84.60
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$125K

2,653 claims · 0.5%

Your Cost: $47.28/claim|Median: $23.99
2.0× median
T1013Top 25%

Sign language or oral interpretive services, per 15 minutes

$121K

2,766 claims · 0.5%

Your Cost: $43.79/claim|Median: $17.67
2.5× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$119K

1,643 claims · 0.5%

Your Cost: $72.34/claim|Median: $43.85
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$100K

13K claims · 0.4%

Your Cost: $7.98/claim|Median: $7.18
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$88K

740 claims · 0.3%

Your Cost: $118.87/claim|Median: $99.21
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$79K

1,841 claims · 0.3%

Your Cost: $43.13/claim|Median: $41.28
1.0× median
99203Normal range

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

$73K

1,483 claims · 0.3%

Your Cost: $49.41/claim|Median: $57.85
0.9× median
96111Normal range

$70K

868 claims · 0.3%

Your Cost: $80.96/claim|Median: $86.72
0.9× median
96110Top 5%

Developmental screening, per standardized instrument

$61K

1,171 claims · 0.2%

Your Cost: $52.48/claim|Median: $9.10
5.8× median
99468Normal range

$59K

97 claims · 0.2%

Your Cost: $603.63/claim|Median: $679.18
0.9× median
94010Normal range

$58K

4,471 claims · 0.2%

Your Cost: $13.04/claim|Median: $18.11
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$58K

440 claims · 0.2%

Your Cost: $131.88/claim|Median: $101.24
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$53K

577 claims · 0.2%

Your Cost: $92.53/claim|Median: $108.91
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$43K

362 claims · 0.2%

Your Cost: $119.38/claim|Median: $151.68
0.8× median
96113Top 5%

Developmental test admin, each additional 30 min

$40K

87 claims · 0.2%

Your Cost: $462.26/claim|Median: $77.06
6.0× median
90834Normal range

Psychotherapy, 45 minutes

$39K

661 claims · 0.2%

Your Cost: $59.35/claim|Median: $63.65
0.9× median
90677Normal range

$38K

833 claims · 0.2%

Your Cost: $46.11/claim|Median: $12.96
3.6× median
G0108Normal range

Diabetes self-management training, individual

$37K

1,651 claims · 0.1%

Your Cost: $22.33/claim|Median: $35.89
0.6× median
01922Normal range

$36K

174 claims · 0.1%

Your Cost: $209.14/claim|Median: $166.77
1.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$28K

223 claims · 0.1%

Your Cost: $124.60/claim|Median: $67.32
1.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$24K

384 claims · 0.1%

Your Cost: $63.14/claim|Median: $35.30
1.8× median
99471Normal range

$23K

34 claims · 0.1%

Your Cost: $679.42/claim|Median: $680.99
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$21K

996 claims · 0.1%

Your Cost: $21.01/claim|Median: $25.06
0.8× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$20K

480 claims · 0.1%

Your Cost: $41.76/claim|Median: $72.96
0.6× median
99462Normal range

$20K

608 claims · 0.1%

Your Cost: $32.40/claim|Median: $27.49
1.2× median

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