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CHILDRENS HOSPITAL OF WISCONSIN, INC.

Pediatrics·MILWAUKEE, WI·NPI: 1245308626Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.0M is at the below 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$19.0M

$18,978,562

Total Claims

44K

Beneficiaries

44K

1.0 claims/patient

Avg Cost/Claim

$427

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+10%
2019
$2.5M
+6%
2020
$2.6M
+9%
2021
$2.9M
+5%
2022
$3.0M
+3%
2023
$3.1M
-16%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 97% of total spending.

T2023Top 25%

Community transition, waiver; per service

$18.4M

44K claims · 96.8%

Your Cost: $420.11/claim|Median: $300.13
1.4× median
G0506Top 1%

Comprehensive assessment of chronic care management

$599K

537 claims · 3.2%

Your Cost: $1,114.79/claim|Median: $7.41
150.4× median
99462Normal range

$4K

139 claims · 0.0%

Your Cost: $31.18/claim|Median: $27.49
1.1× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$3K

25 claims · 0.0%

Your Cost: $106.17/claim|Median: $62.48
1.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1K

41 claims · 0.0%

Your Cost: $34.98/claim|Median: $37.22
0.9× median