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MEMPHIS CHILDREN'S CLINIC, PLLC

Pediatrics·MEMPHIS, TN·NPI: 1255411294Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$27.8M

$27,798,011

Total Claims

918K

Beneficiaries

791K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+1%
2019
$3.9M
-69%
2020
$1.2M
+274%
2021
$4.6M
+10%
2022
$5.0M
-9%
2023
$4.6M
+0%
2024
$4.6M

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 26% of total spending.

99213Normal range

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

$7.2M

143K claims · 25.9%

Your Cost: $50.35/claim|Median: $37.81
1.3× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$4.5M

97K claims · 16.2%

Your Cost: $46.23/claim|Median: $17.85
2.6× median
99214Top 25%

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

$3.9M

51K claims · 14.0%

Your Cost: $75.86/claim|Median: $53.41
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.9M

37K claims · 10.6%

Your Cost: $80.05/claim|Median: $75.18
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.4M

31K claims · 8.7%

Your Cost: $78.12/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.9M

26K claims · 7.0%

Your Cost: $73.74/claim|Median: $69.35
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.3M

16K claims · 4.7%

Your Cost: $83.69/claim|Median: $80.15
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$715K

15K claims · 2.6%

Your Cost: $47.10/claim|Median: $39.70
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$633K

15K claims · 2.3%

Your Cost: $43.42/claim|Median: $65.64
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$413K

45K claims · 1.5%

Your Cost: $9.18/claim|Median: $6.61
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$275K

14K claims · 1.0%

Your Cost: $19.13/claim|Median: $28.46
0.7× median
87811Normal range

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

$171K

6,513 claims · 0.6%

Your Cost: $26.26/claim|Median: $30.53
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$157K

22K claims · 0.6%

Your Cost: $7.24/claim|Median: $9.10
0.8× median
99173Normal range

$127K

66K claims · 0.5%

Your Cost: $1.92/claim|Median: $2.16
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$123K

4,146 claims · 0.4%

Your Cost: $29.67/claim|Median: $25.06
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$108K

21K claims · 0.4%

Your Cost: $5.13/claim|Median: $4.71
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$102K

24K claims · 0.4%

Your Cost: $4.30/claim|Median: $3.67
1.2× median
90471Top 25%

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

$101K

5,903 claims · 0.4%

Your Cost: $17.08/claim|Median: $9.80
1.7× median
G2211Top 25%

$93K

8,204 claims · 0.3%

Your Cost: $11.39/claim|Median: $2.40
4.7× median
99215Normal range

Office/outpatient visit, high complexity

$88K

881 claims · 0.3%

Your Cost: $99.77/claim|Median: $74.09
1.3× median
87804Normal range

Influenza virus detection, rapid test

$70K

7,817 claims · 0.3%

Your Cost: $8.94/claim|Median: $12.59
0.7× median
96160Normal range

Patient-focused health risk assessment

$62K

19K claims · 0.2%

Your Cost: $3.17/claim|Median: $2.10
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$61K

6,867 claims · 0.2%

Your Cost: $8.86/claim|Median: $11.48
0.8× median
3008FNormal range

$54K

70K claims · 0.2%

Your Cost: $0.78/claim|Median: $0.06
13.0× median
83655Normal range

$44K

5,540 claims · 0.2%

Your Cost: $7.94/claim|Median: $10.49
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$23K

507 claims · 0.1%

Your Cost: $45.90/claim|Median: $37.22
1.2× median
99051Normal range

$23K

8,477 claims · 0.1%

Your Cost: $2.68/claim|Median: $7.89
0.3× median
99174Normal range

$22K

4,638 claims · 0.1%

Your Cost: $4.78/claim|Median: $5.27
0.9× median
87081Normal range

Culture screening for pathogenic organisms

$17K

3,695 claims · 0.1%

Your Cost: $4.55/claim|Median: $5.09
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$16K

257 claims · 0.1%

Your Cost: $63.07/claim|Median: $62.48
1.0× median
82465Normal range

$15K

5,471 claims · 0.1%

Your Cost: $2.79/claim|Median: $3.41
0.8× median
87634Normal range

$15K

387 claims · 0.1%

Your Cost: $38.57/claim|Median: $48.78
0.8× median
87426Normal range

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

$8K

934 claims · 0.0%

Your Cost: $8.05/claim|Median: $30.04
0.3× median
99383Normal range

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

$6K

92 claims · 0.0%

Your Cost: $64.16/claim|Median: $81.92
0.8× median
99381Normal range

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

$5K

74 claims · 0.0%

Your Cost: $68.94/claim|Median: $73.46
0.9× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$5K

325 claims · 0.0%

Your Cost: $14.05/claim|Median: $10.88
1.3× median
99203Normal range

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

$4K

92 claims · 0.0%

Your Cost: $46.66/claim|Median: $57.85
0.8× median
85013Normal range

$4K

1,523 claims · 0.0%

Your Cost: $2.64/claim|Median: $2.44
1.1× median
96112Normal range

Developmental test administration

$3K

29 claims · 0.0%

Your Cost: $116.10/claim|Median: $102.95
1.1× median
90670Normal range

$2K

20K claims · 0.0%

Your Cost: $0.12/claim|Median: $5.94
0.0× median
Q3014Normal range

Telehealth originating site facility fee

$2K

268 claims · 0.0%

Your Cost: $8.36/claim|Median: $15.37
0.5× median
90651Normal range

HPV vaccine, 9-valent

$2K

7,053 claims · 0.0%

Your Cost: $0.30/claim|Median: $8.93
0.0× median
96380Normal range

$2K

101 claims · 0.0%

Your Cost: $18.56/claim|Median: $16.33
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

24K claims · 0.0%

Your Cost: $0.08/claim|Median: $7.18
0.0× median
99382Normal range

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

$2K

22 claims · 0.0%

Your Cost: $69.15/claim|Median: $79.89
0.9× median
90677Normal range

$1K

4,214 claims · 0.0%

Your Cost: $0.33/claim|Median: $12.96
0.0× median
82948Normal range

$1K

574 claims · 0.0%

Your Cost: $2.44/claim|Median: $1.78
1.4× median
90734Normal range

$1K

4,265 claims · 0.0%

Your Cost: $0.31/claim|Median: $6.40
0.0× median
90480Top 25%

$1K

28 claims · 0.0%

Your Cost: $37.11/claim|Median: $25.29
1.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$919

46 claims · 0.0%

Your Cost: $19.98/claim|Median: $9.56
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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Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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