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DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.

Pediatrics·DAYTON, OH·NPI: 1225192610Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$31.8M

$31,760,671

Total Claims

862K

Beneficiaries

801K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+84%
2019
$3.0M
-10%
2020
$2.7M
+87%
2021
$5.1M
+14%
2022
$5.8M
+19%
2023
$6.9M
-7%
2024
$6.5M

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 17% of total spending.

99214Normal range

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

$5.5M

137K claims · 17.3%

Your Cost: $40.23/claim|Median: $53.41
0.8× median
99284Normal range

Emergency dept visit, high complexity

$4.9M

90K claims · 15.5%

Your Cost: $54.50/claim|Median: $69.51
0.8× median
99213Normal range

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

$3.3M

129K claims · 10.4%

Your Cost: $25.55/claim|Median: $37.81
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$3.2M

98K claims · 10.0%

Your Cost: $32.35/claim|Median: $42.48
0.8× median
99204Normal range

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

$2.0M

38K claims · 6.1%

Your Cost: $51.41/claim|Median: $84.03
0.6× median
00170Normal range

Anesthesia for intraoral procedures

$1.8M

25K claims · 5.5%

Your Cost: $69.32/claim|Median: $132.89
0.5× median
99203Normal range

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

$1.3M

42K claims · 4.2%

Your Cost: $31.17/claim|Median: $57.85
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$922K

17K claims · 2.9%

Your Cost: $53.54/claim|Median: $74.09
0.7× median
99282Normal range

Emergency dept visit, low complexity

$836K

46K claims · 2.6%

Your Cost: $18.23/claim|Median: $37.72
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$617K

7,190 claims · 1.9%

Your Cost: $85.83/claim|Median: $85.65
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$592K

16K claims · 1.9%

Your Cost: $36.30/claim|Median: $75.18
0.5× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$517K

9,033 claims · 1.6%

Your Cost: $57.20/claim|Median: $35.80
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$513K

17K claims · 1.6%

Your Cost: $30.56/claim|Median: $69.35
0.4× median
69436Normal range

Tympanostomy, general anesthesia

$513K

3,571 claims · 1.6%

Your Cost: $143.58/claim|Median: $205.50
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$456K

2,551 claims · 1.4%

Your Cost: $178.93/claim|Median: $331.68
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$378K

5,651 claims · 1.2%

Your Cost: $66.88/claim|Median: $111.09
0.6× median
99219Normal range

$349K

6,626 claims · 1.1%

Your Cost: $52.60/claim|Median: $63.35
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$309K

40K claims · 1.0%

Your Cost: $7.67/claim|Median: $5.60
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$305K

7,769 claims · 1.0%

Your Cost: $39.28/claim|Median: $35.30
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$280K

9,816 claims · 0.9%

Your Cost: $28.50/claim|Median: $23.99
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$262K

4,769 claims · 0.8%

Your Cost: $54.93/claim|Median: $51.25
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$219K

6,050 claims · 0.7%

Your Cost: $36.26/claim|Median: $74.82
0.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$198K

4,259 claims · 0.6%

Your Cost: $46.44/claim|Median: $54.68
0.8× median
95720Normal range

$197K

1,372 claims · 0.6%

Your Cost: $143.42/claim|Median: $120.95
1.2× median
93303Normal range

Echocardiography, transthoracic, limited

$181K

4,030 claims · 0.6%

Your Cost: $44.91/claim|Median: $112.83
0.4× median
95004Normal range

Percutaneous allergy skin tests, each

$173K

4,583 claims · 0.5%

Your Cost: $37.79/claim|Median: $134.97
0.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$150K

2,219 claims · 0.5%

Your Cost: $67.51/claim|Median: $233.73
0.3× median
99472Normal range

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

$146K

486 claims · 0.5%

Your Cost: $299.78/claim|Median: $307.98
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$132K

4,221 claims · 0.4%

Your Cost: $31.33/claim|Median: $37.22
0.8× median
95782Normal range

$104K

1,652 claims · 0.3%

Your Cost: $62.93/claim|Median: $216.35
0.3× median
25600Normal range

$100K

633 claims · 0.3%

Your Cost: $157.55/claim|Median: $193.19
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$99K

4,363 claims · 0.3%

Your Cost: $22.66/claim|Median: $28.46
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$94K

2,270 claims · 0.3%

Your Cost: $41.25/claim|Median: $80.15
0.5× median
95951Normal range

$78K

598 claims · 0.2%

Your Cost: $130.03/claim|Median: $183.28
0.7× median
94010Normal range

$78K

13K claims · 0.2%

Your Cost: $6.05/claim|Median: $18.11
0.3× median
93320Normal range

$75K

5,312 claims · 0.2%

Your Cost: $14.08/claim|Median: $28.68
0.5× median
99217Normal range

$71K

2,214 claims · 0.2%

Your Cost: $31.89/claim|Median: $31.89
1.0× median
L4360Normal range

$66K

454 claims · 0.2%

Your Cost: $144.88/claim|Median: $149.34
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$52K

4,091 claims · 0.2%

Your Cost: $12.77/claim|Median: $25.06
0.5× median
99188Top 25%

$50K

2,562 claims · 0.2%

Your Cost: $19.60/claim|Median: $12.80
1.5× median
99291Normal range

Critical care, first 30-74 minutes

$47K

675 claims · 0.1%

Your Cost: $68.95/claim|Median: $101.24
0.7× median
99381Normal range

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

$44K

1,339 claims · 0.1%

Your Cost: $32.67/claim|Median: $73.46
0.4× median
42830Normal range

$39K

493 claims · 0.1%

Your Cost: $79.16/claim|Median: $341.04
0.2× median
88304Normal range

$38K

4,786 claims · 0.1%

Your Cost: $8.03/claim|Median: $12.88
0.6× median
L3908Normal range

$38K

1,059 claims · 0.1%

Your Cost: $36.23/claim|Median: $35.79
1.0× median
87426Normal range

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

$34K

1,018 claims · 0.1%

Your Cost: $33.25/claim|Median: $30.04
1.1× median
99245Normal range

Office consultation, high complexity

$33K

487 claims · 0.1%

Your Cost: $68.42/claim|Median: $143.30
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$32K

741 claims · 0.1%

Your Cost: $42.93/claim|Median: $43.85
1.0× median
92015Normal range

Determination of refractive state

$25K

4,843 claims · 0.1%

Your Cost: $5.21/claim|Median: $10.36
0.5× median
95819Normal range

Electroencephalogram with sleep recording

$23K

995 claims · 0.1%

Your Cost: $22.85/claim|Median: $62.75
0.4× median

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The Metrohealth System

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$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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