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EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

Pediatrics·KNOXVILLE, TN·NPI: 1235350901Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.6M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$31.6M

$31,610,039

Total Claims

978K

Beneficiaries

851K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+202%
2019
$3.3M
-2%
2020
$3.2M
+49%
2021
$4.8M
+15%
2022
$5.5M
+34%
2023
$7.4M
-15%
2024
$6.3M

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 35% of total spending.

99213Normal range

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

$11.1M

215K claims · 35.0%

Your Cost: $51.49/claim|Median: $37.81
1.4× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$3.7M

83K claims · 11.7%

Your Cost: $44.89/claim|Median: $17.85
2.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.0M

38K claims · 9.6%

Your Cost: $78.77/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.8M

38K claims · 8.7%

Your Cost: $72.06/claim|Median: $69.35
1.0× median
99214Normal range

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

$2.5M

35K claims · 8.0%

Your Cost: $72.43/claim|Median: $53.41
1.4× median
96110Top 10%

Developmental screening, per standardized instrument

$1.8M

63K claims · 5.6%

Your Cost: $28.06/claim|Median: $9.10
3.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.4M

18K claims · 4.4%

Your Cost: $77.06/claim|Median: $74.82
1.0× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$1.1M

13K claims · 3.4%

Your Cost: $84.47/claim|Median: $65.64
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$998K

30K claims · 3.2%

Your Cost: $33.40/claim|Median: $28.46
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$469K

12K claims · 1.5%

Your Cost: $37.90/claim|Median: $39.70
1.0× median
96161Top 5%

$419K

25K claims · 1.3%

Your Cost: $16.94/claim|Median: $2.49
6.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$327K

3,855 claims · 1.0%

Your Cost: $84.75/claim|Median: $80.15
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$321K

41K claims · 1.0%

Your Cost: $7.91/claim|Median: $6.61
1.2× median
99177Top 25%

$310K

41K claims · 1.0%

Your Cost: $7.49/claim|Median: $3.74
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$284K

8,776 claims · 0.9%

Your Cost: $32.32/claim|Median: $25.06
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$260K

31K claims · 0.8%

Your Cost: $8.35/claim|Median: $4.71
1.8× median
80061Top 10%

Lipid panel

$107K

6,339 claims · 0.3%

Your Cost: $16.81/claim|Median: $8.41
2.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$106K

25K claims · 0.3%

Your Cost: $4.29/claim|Median: $3.67
1.2× median
99381Normal range

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

$83K

1,066 claims · 0.3%

Your Cost: $77.96/claim|Median: $73.46
1.1× median
99173Top 25%

$79K

14K claims · 0.3%

Your Cost: $5.46/claim|Median: $2.16
2.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$76K

6,314 claims · 0.2%

Your Cost: $12.06/claim|Median: $11.48
1.1× median
36416Normal range

$70K

41K claims · 0.2%

Your Cost: $1.72/claim|Median: $1.31
1.3× median
87804Normal range

Influenza virus detection, rapid test

$56K

4,643 claims · 0.2%

Your Cost: $12.13/claim|Median: $12.59
1.0× median
90471Normal range

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

$40K

3,785 claims · 0.1%

Your Cost: $10.70/claim|Median: $9.80
1.1× median
87807Normal range

$30K

2,743 claims · 0.1%

Your Cost: $11.02/claim|Median: $10.06
1.1× median
90670Normal range

$25K

19K claims · 0.1%

Your Cost: $1.32/claim|Median: $5.94
0.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$19K

418 claims · 0.1%

Your Cost: $44.39/claim|Median: $62.48
0.7× median
86738Normal range

$17K

1,463 claims · 0.1%

Your Cost: $11.96/claim|Median: $12.43
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$17K

1,410 claims · 0.1%

Your Cost: $12.00/claim|Median: $17.15
0.7× median
83655Top 25%

$17K

1,237 claims · 0.1%

Your Cost: $13.57/claim|Median: $10.49
1.3× median
81003Normal range

Urinalysis, automated without microscopy

$17K

8,024 claims · 0.1%

Your Cost: $2.07/claim|Median: $1.48
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$12K

150 claims · 0.0%

Your Cost: $78.40/claim|Median: $99.21
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

20K claims · 0.0%

Your Cost: $0.58/claim|Median: $7.18
0.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$10K

112 claims · 0.0%

Your Cost: $88.61/claim|Median: $81.92
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$8K

411 claims · 0.0%

Your Cost: $19.22/claim|Median: $11.79
1.6× median
99203Normal range

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

$7K

105 claims · 0.0%

Your Cost: $70.31/claim|Median: $57.85
1.2× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$7K

83 claims · 0.0%

Your Cost: $87.48/claim|Median: $79.89
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$7K

149 claims · 0.0%

Your Cost: $48.52/claim|Median: $37.22
1.3× median
92567Top 25%

$7K

457 claims · 0.0%

Your Cost: $15.64/claim|Median: $11.50
1.4× median
90723Normal range

DTaP-HepB-IPV vaccine

$6K

14K claims · 0.0%

Your Cost: $0.44/claim|Median: $5.78
0.1× median
90680Normal range

$6K

12K claims · 0.0%

Your Cost: $0.48/claim|Median: $5.58
0.1× median
36415Top 25%

Collection of venous blood by venipuncture

$6K

1,967 claims · 0.0%

Your Cost: $2.88/claim|Median: $1.57
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

338 claims · 0.0%

Your Cost: $13.64/claim|Median: $9.56
1.4× median
90677Normal range

$4K

4,631 claims · 0.0%

Your Cost: $0.92/claim|Median: $12.96
0.1× median
87081Normal range

Culture screening for pathogenic organisms

$4K

1,542 claims · 0.0%

Your Cost: $2.55/claim|Median: $5.09
0.5× median
90651Normal range

HPV vaccine, 9-valent

$3K

383 claims · 0.0%

Your Cost: $8.97/claim|Median: $8.93
1.0× median
88720Top 25%

$3K

558 claims · 0.0%

Your Cost: $5.17/claim|Median: $3.88
1.3× median
54150Top 25%

$3K

17 claims · 0.0%

Your Cost: $165.14/claim|Median: $84.60
2.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$3K

1,158 claims · 0.0%

Your Cost: $2.22/claim|Median: $30.53
0.1× median
69210Top 10%

$3K

55 claims · 0.0%

Your Cost: $46.60/claim|Median: $21.74
2.1× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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$162.4M

Texas Children's Physician Group

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$160.8M

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