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CHILDRENS SPECIALTY GROUP PLLC

Pediatrics·NORFOLK, VA·NPI: 1255354130Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $87.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$87.8M

$87,763,707

Total Claims

999K

Beneficiaries

808K

1.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$7.1M
+58%
2019
$11.2M
-4%
2020
$10.8M
+7%
2021
$11.6M
+14%
2022
$13.2M
+34%
2023
$17.6M
-7%
2024
$16.3M

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.

99214Top 25%

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

$15.0M

172K claims · 17.1%

Your Cost: $87.31/claim|Median: $53.41
1.6× median
99284Normal range

Emergency dept visit, high complexity

$8.7M

97K claims · 9.9%

Your Cost: $89.04/claim|Median: $69.51
1.3× median
99472Normal range

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

$8.4M

31K claims · 9.5%

Your Cost: $270.96/claim|Median: $307.98
0.9× median
J0585Top 1%

Injection, onabotulinumtoxinA, 1 unit

$6.8M

3,547 claims · 7.8%

Your Cost: $1,920.40/claim|Median: $470.36
4.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$6.7M

26K claims · 7.6%

Your Cost: $258.29/claim|Median: $293.45
0.9× median
99204Top 25%

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

$4.8M

37K claims · 5.5%

Your Cost: $128.91/claim|Median: $84.03
1.5× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$4.2M

48K claims · 4.7%

Your Cost: $86.57/claim|Median: $103.70
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$4.0M

81K claims · 4.6%

Your Cost: $49.67/claim|Median: $42.48
1.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.7M

29K claims · 4.2%

Your Cost: $129.38/claim|Median: $85.65
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$3.1M

37K claims · 3.5%

Your Cost: $83.86/claim|Median: $98.15
0.9× median
99215Top 25%

Office/outpatient visit, high complexity

$3.0M

25K claims · 3.4%

Your Cost: $118.28/claim|Median: $74.09
1.6× median
99213Top 25%

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

$3.0M

47K claims · 3.4%

Your Cost: $62.91/claim|Median: $37.81
1.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.6M

29K claims · 1.8%

Your Cost: $53.46/claim|Median: $37.22
1.4× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.2M

22K claims · 1.3%

Your Cost: $53.79/claim|Median: $23.99
2.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.2M

17K claims · 1.3%

Your Cost: $67.59/claim|Median: $62.48
1.1× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$1.0M

8,876 claims · 1.1%

Your Cost: $113.31/claim|Median: $35.80
3.2× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$847K

11K claims · 1.0%

Your Cost: $74.65/claim|Median: $35.30
2.1× median
95004Normal range

Percutaneous allergy skin tests, each

$789K

9,306 claims · 0.9%

Your Cost: $84.75/claim|Median: $134.97
0.6× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$661K

4,374 claims · 0.8%

Your Cost: $151.04/claim|Median: $121.58
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$537K

3,399 claims · 0.6%

Your Cost: $157.91/claim|Median: $111.09
1.4× median
99203Top 25%

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

$473K

5,387 claims · 0.5%

Your Cost: $87.81/claim|Median: $57.85
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$393K

3,742 claims · 0.4%

Your Cost: $105.10/claim|Median: $233.73
0.4× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$374K

3,630 claims · 0.4%

Your Cost: $102.98/claim|Median: $51.25
2.0× median
96112Normal range

Developmental test administration

$314K

2,537 claims · 0.4%

Your Cost: $123.84/claim|Median: $102.95
1.2× median
99462Normal range

$310K

10K claims · 0.4%

Your Cost: $29.74/claim|Median: $27.49
1.1× median
85060Top 25%

$306K

18K claims · 0.3%

Your Cost: $17.13/claim|Median: $10.92
1.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$298K

1,536 claims · 0.3%

Your Cost: $194.23/claim|Median: $108.91
1.8× median
64642Normal range

$298K

2,958 claims · 0.3%

Your Cost: $100.79/claim|Median: $81.85
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$283K

1,794 claims · 0.3%

Your Cost: $157.48/claim|Median: $101.24
1.6× median
64643Normal range

$267K

2,943 claims · 0.3%

Your Cost: $90.65/claim|Median: $58.21
1.6× median
92579Normal range

$244K

5,944 claims · 0.3%

Your Cost: $40.99/claim|Median: $30.58
1.3× median
93304Normal range

$243K

8,574 claims · 0.3%

Your Cost: $28.36/claim|Median: $54.29
0.5× median
92587Normal range

$235K

12K claims · 0.3%

Your Cost: $20.05/claim|Median: $19.24
1.0× median
96139Normal range

$223K

1,411 claims · 0.3%

Your Cost: $157.73/claim|Median: $97.14
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$209K

3,402 claims · 0.2%

Your Cost: $61.56/claim|Median: $54.68
1.1× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$207K

3,257 claims · 0.2%

Your Cost: $63.40/claim|Median: $38.83
1.6× median
00170Normal range

Anesthesia for intraoral procedures

$199K

1,474 claims · 0.2%

Your Cost: $135.08/claim|Median: $132.89
1.0× median
92567Top 25%

$196K

14K claims · 0.2%

Your Cost: $14.02/claim|Median: $11.50
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$188K

1,888 claims · 0.2%

Your Cost: $99.66/claim|Median: $151.68
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$172K

25K claims · 0.2%

Your Cost: $6.94/claim|Median: $5.60
1.2× median
96132Normal range

$172K

1,736 claims · 0.2%

Your Cost: $99.07/claim|Median: $70.53
1.4× median
96130Normal range

Psychological testing evaluation by professional, first hour

$170K

1,710 claims · 0.2%

Your Cost: $99.25/claim|Median: $79.21
1.3× median
95782Normal range

$169K

1,604 claims · 0.2%

Your Cost: $105.08/claim|Median: $216.35
0.5× median
99464Normal range

$163K

3,067 claims · 0.2%

Your Cost: $53.25/claim|Median: $59.94
0.9× median
99243Top 25%

Office or other outpatient consultation, low complexity

$161K

1,571 claims · 0.2%

Your Cost: $102.61/claim|Median: $82.43
1.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$133K

904 claims · 0.2%

Your Cost: $147.28/claim|Median: $99.21
1.5× median
88312Normal range

$127K

5,317 claims · 0.1%

Your Cost: $23.81/claim|Median: $24.56
1.0× median
95819Normal range

Electroencephalogram with sleep recording

$113K

2,241 claims · 0.1%

Your Cost: $50.30/claim|Median: $62.75
0.8× median
00731Top 25%

$104K

1,038 claims · 0.1%

Your Cost: $100.46/claim|Median: $64.75
1.6× median
96133Normal range

$104K

1,289 claims · 0.1%

Your Cost: $80.31/claim|Median: $185.94
0.4× median

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