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NEBRASKA PEDIATRIC PRACTICE, INC

Pediatrics·OMAHA, NE·NPI: 1144556333Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.0M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$29.0M

$29,041,802

Total Claims

584K

Beneficiaries

517K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+17%
2019
$3.5M
-8%
2020
$3.2M
+41%
2021
$4.5M
+35%
2022
$6.1M
-24%
2023
$4.6M
-8%
2024
$4.3M

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

$4.8M

71K claims · 16.4%

Your Cost: $67.19/claim|Median: $53.41
1.3× median
99213Normal range

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

$4.4M

87K claims · 15.2%

Your Cost: $50.63/claim|Median: $37.81
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.7M

15K claims · 5.7%

Your Cost: $109.91/claim|Median: $54.68
2.0× median
93303Normal range

Echocardiography, transthoracic, limited

$1.2M

13K claims · 4.0%

Your Cost: $92.52/claim|Median: $112.83
0.8× median
93325Top 25%

$1.1M

20K claims · 3.8%

Your Cost: $55.26/claim|Median: $14.61
3.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

12K claims · 3.8%

Your Cost: $88.13/claim|Median: $69.35
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$1.1M

11K claims · 3.7%

Your Cost: $96.20/claim|Median: $74.09
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.0M

11K claims · 3.5%

Your Cost: $93.88/claim|Median: $75.18
1.2× median
99204Normal range

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

$963K

10K claims · 3.3%

Your Cost: $92.24/claim|Median: $84.03
1.1× median
99472Normal range

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

$932K

3,153 claims · 3.2%

Your Cost: $295.73/claim|Median: $307.98
1.0× median
99203Normal range

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

$909K

14K claims · 3.1%

Your Cost: $62.85/claim|Median: $57.85
1.1× median
93010Top 1%

Electrocardiogram, interpretation and report only

$668K

35K claims · 2.3%

Your Cost: $19.02/claim|Median: $5.60
3.4× median
71045Top 25%

Chest X-ray, single view

$638K

37K claims · 2.2%

Your Cost: $17.41/claim|Median: $4.93
3.5× median
93320Normal range

$587K

14K claims · 2.0%

Your Cost: $43.48/claim|Median: $28.68
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$578K

5,733 claims · 2.0%

Your Cost: $100.83/claim|Median: $98.15
1.0× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$552K

7,182 claims · 1.9%

Your Cost: $76.80/claim|Median: $35.30
2.2× median
71046Top 25%

Chest X-ray, 2 views

$391K

19K claims · 1.3%

Your Cost: $20.76/claim|Median: $8.92
2.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$371K

2,045 claims · 1.3%

Your Cost: $181.45/claim|Median: $233.73
0.8× median
74018Normal range

$321K

23K claims · 1.1%

Your Cost: $13.95/claim|Median: $7.00
2.0× median
76770Normal range

Ultrasound, retroperitoneal, complete

$314K

7,471 claims · 1.1%

Your Cost: $42.08/claim|Median: $37.35
1.1× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$297K

3,094 claims · 1.0%

Your Cost: $96.04/claim|Median: $74.82
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$285K

2,296 claims · 1.0%

Your Cost: $124.17/claim|Median: $111.09
1.1× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$273K

5,319 claims · 0.9%

Your Cost: $51.36/claim|Median: $23.99
2.1× median
70553Normal range

MRI brain without contrast, then with contrast

$259K

2,302 claims · 0.9%

Your Cost: $112.59/claim|Median: $133.68
0.8× median
V2020Top 10%

Frames, purchases

$207K

4,548 claims · 0.7%

Your Cost: $45.55/claim|Median: $19.33
2.4× median
69436Normal range

Tympanostomy, general anesthesia

$201K

745 claims · 0.7%

Your Cost: $270.39/claim|Median: $205.50
1.3× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$190K

548 claims · 0.7%

Your Cost: $346.13/claim|Median: $293.45
1.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$185K

13K claims · 0.6%

Your Cost: $14.13/claim|Median: $7.18
2.0× median
92340Top 10%

Fitting of spectacles, except for aphakia

$172K

4,739 claims · 0.6%

Your Cost: $36.40/claim|Median: $19.46
1.9× median
92015Normal range

Determination of refractive state

$159K

12K claims · 0.5%

Your Cost: $12.71/claim|Median: $10.36
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$150K

1,462 claims · 0.5%

Your Cost: $102.57/claim|Median: $80.15
1.3× median
99479Normal range

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

$136K

1,293 claims · 0.5%

Your Cost: $104.85/claim|Median: $103.70
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$135K

909 claims · 0.5%

Your Cost: $148.42/claim|Median: $101.24
1.5× median
76705Normal range

Ultrasound, abdominal, limited

$124K

4,144 claims · 0.4%

Your Cost: $29.92/claim|Median: $23.81
1.3× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$122K

1,010 claims · 0.4%

Your Cost: $121.28/claim|Median: $43.85
2.8× median
43239Normal range

Upper GI endoscopy with biopsy

$121K

1,210 claims · 0.4%

Your Cost: $99.95/claim|Median: $151.68
0.7× median
95251Top 5%

$121K

3,165 claims · 0.4%

Your Cost: $38.10/claim|Median: $18.02
2.1× median
93227Top 5%

$116K

1,975 claims · 0.4%

Your Cost: $58.73/claim|Median: $18.60
3.2× median
90670Top 25%

$111K

7,214 claims · 0.4%

Your Cost: $15.33/claim|Median: $5.94
2.6× median
V2784Top 25%

Lens, polycarbonate or equal

$96K

4,164 claims · 0.3%

Your Cost: $23.06/claim|Median: $9.50
2.4× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$85K

757 claims · 0.3%

Your Cost: $112.70/claim|Median: $62.48
1.8× median
92060Normal range

$84K

2,323 claims · 0.3%

Your Cost: $36.34/claim|Median: $35.83
1.0× median
99310Top 10%

$82K

1,134 claims · 0.3%

Your Cost: $72.72/claim|Median: $21.82
3.3× median
90648Top 10%

$82K

5,547 claims · 0.3%

Your Cost: $14.81/claim|Median: $4.08
3.6× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$81K

568 claims · 0.3%

Your Cost: $143.39/claim|Median: $100.62
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$77K

1,722 claims · 0.3%

Your Cost: $44.45/claim|Median: $134.97
0.3× median
94375Normal range

$63K

2,791 claims · 0.2%

Your Cost: $22.52/claim|Median: $17.23
1.3× median
74019Normal range

$62K

3,528 claims · 0.2%

Your Cost: $17.44/claim|Median: $9.82
1.8× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$60K

6,450 claims · 0.2%

Your Cost: $9.33/claim|Median: $5.50
1.7× median
V2103Top 25%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$60K

1,910 claims · 0.2%

Your Cost: $31.36/claim|Median: $18.82
1.7× median