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JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA

Family Medicine·JACKSONVILLE, NC·NPI: 1164519070Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.6M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$44.6M

$44,551,101

Total Claims

2.9M

Beneficiaries

1.8M

1.7 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+26%
2019
$4.5M
-7%
2020
$4.2M
+73%
2021
$7.2M
+22%
2022
$8.8M
-7%
2023
$8.2M
-3%
2024
$8.0M

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 28% of total spending.

99213Top 25%

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

$12.6M

225K claims · 28.2%

Your Cost: $55.79/claim|Median: $37.81
1.5× median
99199Normal range

Unlisted special service, procedure, or report

$8.9M

1.8M claims · 20.0%

Your Cost: $5.06/claim|Median: $5.39
0.9× median
99214Normal range

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

$7.6M

101K claims · 17.1%

Your Cost: $75.12/claim|Median: $53.41
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.9M

35K claims · 6.4%

Your Cost: $83.10/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.4M

28K claims · 5.3%

Your Cost: $85.32/claim|Median: $75.18
1.1× median
90472Top 5%

Immunization administration, each additional vaccine

$1.6M

42K claims · 3.5%

Your Cost: $37.01/claim|Median: $11.79
3.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.5M

18K claims · 3.4%

Your Cost: $85.54/claim|Median: $74.82
1.1× median
90471Top 25%

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

$1.2M

70K claims · 2.8%

Your Cost: $17.65/claim|Median: $9.80
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$762K

8,361 claims · 1.7%

Your Cost: $91.16/claim|Median: $80.15
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$463K

53K claims · 1.0%

Your Cost: $8.77/claim|Median: $9.10
1.0× median
99204Top 25%

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

$429K

3,602 claims · 1.0%

Your Cost: $119.23/claim|Median: $84.03
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$403K

32K claims · 0.9%

Your Cost: $12.51/claim|Median: $11.48
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$386K

12K claims · 0.9%

Your Cost: $32.93/claim|Median: $57.30
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$349K

4,646 claims · 0.8%

Your Cost: $75.05/claim|Median: $62.48
1.2× median
95004Normal range

Percutaneous allergy skin tests, each

$303K

2,003 claims · 0.7%

Your Cost: $151.23/claim|Median: $134.97
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$281K

4,761 claims · 0.6%

Your Cost: $59.00/claim|Median: $37.22
1.6× median
99203Normal range

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

$277K

3,611 claims · 0.6%

Your Cost: $76.82/claim|Median: $57.85
1.3× median
87426Normal range

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

$234K

7,019 claims · 0.5%

Your Cost: $33.27/claim|Median: $30.04
1.1× median
87804Normal range

Influenza virus detection, rapid test

$208K

17K claims · 0.5%

Your Cost: $12.16/claim|Median: $12.59
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$192K

53K claims · 0.4%

Your Cost: $3.65/claim|Median: $3.67
1.0× median
87428Normal range

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

$172K

3,401 claims · 0.4%

Your Cost: $50.43/claim|Median: $39.63
1.3× median
D1206Normal range

Topical application of fluoride varnish

$161K

11K claims · 0.4%

Your Cost: $14.17/claim|Median: $18.12
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$147K

4,119 claims · 0.3%

Your Cost: $35.57/claim|Median: $25.06
1.4× median
99462Normal range

$112K

3,421 claims · 0.3%

Your Cost: $32.76/claim|Median: $27.49
1.2× median
83655Top 25%

$92K

6,728 claims · 0.2%

Your Cost: $13.70/claim|Median: $10.49
1.3× median
99381Normal range

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

$70K

801 claims · 0.2%

Your Cost: $87.77/claim|Median: $73.46
1.2× median
85018Normal range

$58K

38K claims · 0.1%

Your Cost: $1.52/claim|Median: $1.71
0.9× median
45380Normal range

Colonoscopy with biopsy

$57K

474 claims · 0.1%

Your Cost: $120.31/claim|Median: $200.68
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$56K

909 claims · 0.1%

Your Cost: $62.10/claim|Median: $151.68
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$54K

537 claims · 0.1%

Your Cost: $100.12/claim|Median: $74.09
1.4× median
92551Normal range

Screening audiometry, pure tone, air only

$50K

39K claims · 0.1%

Your Cost: $1.29/claim|Median: $6.61
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$44K

680 claims · 0.1%

Your Cost: $65.15/claim|Median: $72.71
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$43K

2,912 claims · 0.1%

Your Cost: $14.94/claim|Median: $12.93
1.2× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$40K

333 claims · 0.1%

Your Cost: $120.59/claim|Median: $144.04
0.8× median
96161Normal range

$34K

12K claims · 0.1%

Your Cost: $2.76/claim|Median: $2.49
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$33K

2,805 claims · 0.1%

Your Cost: $11.91/claim|Median: $9.56
1.2× median
95819Normal range

Electroencephalogram with sleep recording

$29K

242 claims · 0.1%

Your Cost: $118.34/claim|Median: $62.75
1.9× median
95117Normal range

$26K

3,491 claims · 0.1%

Your Cost: $7.32/claim|Median: $8.34
0.9× median
81025Normal range

Urine pregnancy test

$25K

4,150 claims · 0.1%

Your Cost: $5.91/claim|Median: $4.81
1.2× median
99051Top 25%

$21K

936 claims · 0.0%

Your Cost: $22.74/claim|Median: $7.89
2.9× median
99173Normal range

$19K

37K claims · 0.0%

Your Cost: $0.51/claim|Median: $2.16
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$18K

21K claims · 0.0%

Your Cost: $0.86/claim|Median: $7.18
0.1× median
0071ATop 25%

$16K

346 claims · 0.0%

Your Cost: $46.60/claim|Median: $38.71
1.2× median
0072ATop 25%

$15K

297 claims · 0.0%

Your Cost: $51.18/claim|Median: $39.57
1.3× median
99454Top 25%

$15K

574 claims · 0.0%

Your Cost: $25.47/claim|Median: $9.15
2.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$15K

6,062 claims · 0.0%

Your Cost: $2.41/claim|Median: $2.00
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$14K

203 claims · 0.0%

Your Cost: $68.44/claim|Median: $111.09
0.6× median
90651Normal range

HPV vaccine, 9-valent

$13K

2,413 claims · 0.0%

Your Cost: $5.46/claim|Median: $8.93
0.6× median
99457Top 25%

$12K

564 claims · 0.0%

Your Cost: $21.99/claim|Median: $6.05
3.6× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$12K

243 claims · 0.0%

Your Cost: $49.73/claim|Median: $36.70
1.4× median

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