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GI FOR KIDS, PLLC

Pediatrics, Pediatric Gastroenterology·KNOXVILLE, TN·NPI: 1215392030Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.8M

$18,849,978

Total Claims

273K

Beneficiaries

245K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+42%
2019
$2.1M
-15%
2020
$1.8M
+43%
2021
$2.5M
+27%
2022
$3.2M
+20%
2023
$3.9M
+2%
2024
$3.9M

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 26% of total spending.

99214Normal range

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

$4.9M

66K claims · 25.8%

Your Cost: $73.97/claim|Median: $53.41
1.4× median
45380Normal range

Colonoscopy with biopsy

$2.1M

8,076 claims · 11.0%

Your Cost: $257.11/claim|Median: $200.68
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$1.8M

13K claims · 9.7%

Your Cost: $137.03/claim|Median: $151.68
0.9× median
99204Top 25%

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

$1.7M

14K claims · 9.2%

Your Cost: $120.22/claim|Median: $84.03
1.4× median
95004Top 25%

Percutaneous allergy skin tests, each

$1.4M

5,734 claims · 7.4%

Your Cost: $243.86/claim|Median: $134.97
1.8× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$1.3M

698 claims · 6.9%

Your Cost: $1,858.52/claim|Median: $1,587.53
1.2× median
99213Normal range

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

$1.0M

21K claims · 5.5%

Your Cost: $49.26/claim|Median: $37.81
1.3× median
J3380Normal range

Injection, vedolizumab, one milligram

$709K

175 claims · 3.8%

Your Cost: $4,054.25/claim|Median: $4,027.41
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$380K

2,674 claims · 2.0%

Your Cost: $142.26/claim|Median: $111.09
1.3× median
78268Normal range

$373K

5,810 claims · 2.0%

Your Cost: $64.28/claim|Median: $58.35
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$323K

2,317 claims · 1.7%

Your Cost: $139.24/claim|Median: $121.58
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$308K

4,795 claims · 1.6%

Your Cost: $64.32/claim|Median: $50.69
1.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$273K

2,741 claims · 1.4%

Your Cost: $99.66/claim|Median: $75.28
1.3× median
49452Top 25%

$240K

323 claims · 1.3%

Your Cost: $742.74/claim|Median: $279.23
2.7× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$203K

1,161 claims · 1.1%

Your Cost: $174.84/claim|Median: $35.80
4.9× median
99215Normal range

Office/outpatient visit, high complexity

$177K

1,811 claims · 0.9%

Your Cost: $97.54/claim|Median: $74.09
1.3× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$160K

2,811 claims · 0.8%

Your Cost: $56.92/claim|Median: $12.70
4.5× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$140K

2,785 claims · 0.7%

Your Cost: $50.12/claim|Median: $23.99
2.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$132K

17K claims · 0.7%

Your Cost: $7.59/claim|Median: $4.71
1.6× median
74018Normal range

$130K

8,894 claims · 0.7%

Your Cost: $14.62/claim|Median: $7.00
2.1× median
91035Top 10%

$116K

275 claims · 0.6%

Your Cost: $421.39/claim|Median: $100.84
4.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$109K

2,812 claims · 0.6%

Your Cost: $38.76/claim|Median: $24.33
1.6× median
99203Top 25%

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

$103K

1,256 claims · 0.5%

Your Cost: $82.40/claim|Median: $57.85
1.4× median
76705Top 25%

Ultrasound, abdominal, limited

$83K

1,341 claims · 0.4%

Your Cost: $61.91/claim|Median: $23.81
2.6× median
96415Normal range

Chemotherapy infusion, each additional hour

$69K

1,411 claims · 0.4%

Your Cost: $48.87/claim|Median: $43.68
1.1× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$57K

3,345 claims · 0.3%

Your Cost: $17.06/claim|Median: $9.87
1.7× median
99243Top 25%

Office or other outpatient consultation, low complexity

$56K

571 claims · 0.3%

Your Cost: $98.32/claim|Median: $82.43
1.2× median
80076Normal range

Hepatic function panel

$54K

7,982 claims · 0.3%

Your Cost: $6.82/claim|Median: $4.59
1.5× median
85652Top 25%

$54K

14K claims · 0.3%

Your Cost: $3.94/claim|Median: $1.68
2.3× median
80048Normal range

Basic metabolic panel

$48K

6,999 claims · 0.3%

Your Cost: $6.90/claim|Median: $5.78
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$45K

22K claims · 0.2%

Your Cost: $2.04/claim|Median: $1.57
1.3× median
78267Normal range

$44K

5,810 claims · 0.2%

Your Cost: $7.51/claim|Median: $6.42
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$31K

1,042 claims · 0.2%

Your Cost: $30.03/claim|Median: $25.06
1.2× median
88342Normal range

$28K

1,108 claims · 0.2%

Your Cost: $25.68/claim|Median: $23.66
1.1× median
84439Normal range

Free thyroxine level blood test

$22K

2,719 claims · 0.1%

Your Cost: $7.92/claim|Median: $6.31
1.3× median
85730Top 25%

$17K

3,036 claims · 0.1%

Your Cost: $5.50/claim|Median: $2.83
1.9× median
86003Normal range

Allergen specific IgE blood test, each allergen

$15K

645 claims · 0.1%

Your Cost: $23.66/claim|Median: $40.67
0.6× median
85610Top 25%

Prothrombin time (PT) blood clotting test

$11K

3,040 claims · 0.1%

Your Cost: $3.68/claim|Median: $2.14
1.7× median
99245Normal range

Office consultation, high complexity

$10K

67 claims · 0.1%

Your Cost: $154.14/claim|Median: $143.30
1.1× median
99402Top 25%

$10K

184 claims · 0.1%

Your Cost: $54.97/claim|Median: $31.79
1.7× median
91110Top 25%

$10K

18 claims · 0.1%

Your Cost: $559.29/claim|Median: $428.00
1.3× median
83516Top 25%

$9K

540 claims · 0.0%

Your Cost: $16.95/claim|Median: $9.72
1.7× median
91120Top 1%

$7K

18 claims · 0.0%

Your Cost: $361.24/claim|Median: $184.78
2.0× median
99253Top 25%

$6K

70 claims · 0.0%

Your Cost: $90.88/claim|Median: $55.16
1.6× median
86140Normal range

$6K

2,319 claims · 0.0%

Your Cost: $2.38/claim|Median: $3.02
0.8× median
81025Normal range

Urine pregnancy test

$4K

718 claims · 0.0%

Your Cost: $5.38/claim|Median: $4.81
1.1× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$4K

30 claims · 0.0%

Your Cost: $119.96/claim|Median: $114.30
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$3K

41 claims · 0.0%

Your Cost: $78.44/claim|Median: $43.85
1.8× median
83690Normal range

$3K

739 claims · 0.0%

Your Cost: $4.34/claim|Median: $3.35
1.3× median
82150Normal range

Amylase blood test

$3K

734 claims · 0.0%

Your Cost: $4.12/claim|Median: $3.65
1.1× median

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