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FRANCISCAN HOSPITAL FOR CHILDREN, INC.

Rehabilitation Hospital, Children·BOSTON, MA·NPI: 1174542013Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$62.3M

$62,308,422

Total Claims

157K

Beneficiaries

121K

1.3 claims/patient

Avg Cost/Claim

$397

Monthly Spending Trend

Yearly Spending

2018
$8.1M
+3%
2019
$8.3M
-23%
2020
$6.4M
+38%
2021
$8.9M
+7%
2022
$9.5M
+10%
2023
$10.5M
+1%
2024
$10.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 87% of total spending.

41899Top 5%

Unlisted procedure, dentoalveolar structures

$54.2M

17K claims · 87.1%

Your Cost: $3,141.34/claim|Median: $763.43
4.1× median
92507Top 1%

Speech/hearing/language treatment

$1.6M

8,697 claims · 2.5%

Your Cost: $180.78/claim|Median: $49.45
3.7× median
H0046Normal range

Mental health services, not otherwise specified

$972K

14K claims · 1.6%

Your Cost: $67.86/claim|Median: $85.02
0.8× median
90834Top 25%

Psychotherapy, 45 minutes

$776K

9,203 claims · 1.2%

Your Cost: $84.30/claim|Median: $63.65
1.3× median
D1120Top 10%

Prophylaxis, adult

$499K

11K claims · 0.8%

Your Cost: $46.21/claim|Median: $33.86
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$373K

13K claims · 0.6%

Your Cost: $27.84/claim|Median: $24.34
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$292K

4,804 claims · 0.5%

Your Cost: $60.68/claim|Median: $43.38
1.4× median
D1206Top 25%

Topical application of fluoride varnish

$263K

10K claims · 0.4%

Your Cost: $25.74/claim|Median: $18.12
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$249K

2,690 claims · 0.4%

Your Cost: $92.75/claim|Median: $85.66
1.1× median
99213Top 10%

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

$235K

3,051 claims · 0.4%

Your Cost: $77.14/claim|Median: $37.81
2.0× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$223K

2,682 claims · 0.4%

Your Cost: $83.08/claim|Median: $57.39
1.4× median
D2391Top 10%

Resin-based composite, one surface, posterior

$208K

2,028 claims · 0.3%

Your Cost: $102.77/claim|Median: $54.60
1.9× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$207K

1,702 claims · 0.3%

Your Cost: $121.34/claim|Median: $71.00
1.7× median
D1351Top 25%

Sealant, per tooth

$197K

5,439 claims · 0.3%

Your Cost: $36.17/claim|Median: $26.10
1.4× median
D0140Top 10%

Limited oral evaluation, problem focused

$183K

4,069 claims · 0.3%

Your Cost: $45.07/claim|Median: $27.07
1.7× median
97530Top 1%

Therapeutic activities, each 15 min

$171K

1,055 claims · 0.3%

Your Cost: $162.07/claim|Median: $33.11
4.9× median
90887Normal range

Interpretation/explanation of results

$162K

5,833 claims · 0.3%

Your Cost: $27.82/claim|Median: $47.55
0.6× median
D9920Normal range

$134K

2,018 claims · 0.2%

Your Cost: $66.17/claim|Median: $44.88
1.5× median
D0272Top 10%

Bitewings, two radiographic images

$127K

4,713 claims · 0.2%

Your Cost: $26.96/claim|Median: $15.81
1.7× median
D0330Top 10%

Panoramic radiographic image

$106K

1,637 claims · 0.2%

Your Cost: $64.97/claim|Median: $37.36
1.7× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$93K

4,130 claims · 0.1%

Your Cost: $22.40/claim|Median: $14.36
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$81K

1,894 claims · 0.1%

Your Cost: $42.91/claim|Median: $41.28
1.0× median
D0274Top 5%

Bitewings, four radiographic images

$81K

2,000 claims · 0.1%

Your Cost: $40.63/claim|Median: $22.54
1.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$80K

951 claims · 0.1%

Your Cost: $83.61/claim|Median: $120.85
0.7× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$65K

4,142 claims · 0.1%

Your Cost: $15.80/claim|Median: $10.51
1.5× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$62K

678 claims · 0.1%

Your Cost: $91.10/claim|Median: $66.00
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$59K

852 claims · 0.1%

Your Cost: $69.05/claim|Median: $74.82
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$52K

2,545 claims · 0.1%

Your Cost: $20.59/claim|Median: $26.24
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$51K

621 claims · 0.1%

Your Cost: $81.74/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$45K

580 claims · 0.1%

Your Cost: $77.56/claim|Median: $69.35
1.1× median
99214Top 25%

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

$44K

530 claims · 0.1%

Your Cost: $83.24/claim|Median: $53.41
1.6× median
D9248Normal range

$40K

927 claims · 0.1%

Your Cost: $43.56/claim|Median: $92.49
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$38K

507 claims · 0.1%

Your Cost: $75.10/claim|Median: $80.15
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$29K

1,677 claims · 0.0%

Your Cost: $17.58/claim|Median: $17.85
1.0× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$29K

183 claims · 0.0%

Your Cost: $157.66/claim|Median: $66.63
2.4× median
D3220Normal range

Therapeutic pulpotomy

$27K

393 claims · 0.0%

Your Cost: $68.85/claim|Median: $81.27
0.8× median
D9110Top 5%

$26K

378 claims · 0.0%

Your Cost: $67.62/claim|Median: $38.08
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$24K

739 claims · 0.0%

Your Cost: $32.95/claim|Median: $39.70
0.8× median
99212Top 10%

Office/outpatient visit, low complexity

$24K

316 claims · 0.0%

Your Cost: $76.95/claim|Median: $25.06
3.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$21K

2,153 claims · 0.0%

Your Cost: $9.87/claim|Median: $7.33
1.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$19K

244 claims · 0.0%

Your Cost: $78.55/claim|Median: $24.49
3.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$19K

139 claims · 0.0%

Your Cost: $134.62/claim|Median: $99.21
1.4× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$18K

275 claims · 0.0%

Your Cost: $65.25/claim|Median: $32.07
2.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$17K

871 claims · 0.0%

Your Cost: $19.24/claim|Median: $6.93
2.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$14K

788 claims · 0.0%

Your Cost: $17.86/claim|Median: $4.71
3.8× median
99215Top 25%

Office/outpatient visit, high complexity

$13K

93 claims · 0.0%

Your Cost: $141.54/claim|Median: $74.09
1.9× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$9K

123 claims · 0.0%

Your Cost: $75.75/claim|Median: $52.77
1.4× median
D7280Top 1%

$6K

13 claims · 0.0%

Your Cost: $459.92/claim|Median: $175.60
2.6× median
87430Normal range

$5K

408 claims · 0.0%

Your Cost: $11.36/claim|Median: $9.41
1.2× median
83655Top 25%

$5K

358 claims · 0.0%

Your Cost: $12.83/claim|Median: $10.49
1.2× median

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