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THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS

Pediatrics·SEATTLE, WA·NPI: 1255449963Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$25.0M

$25,032,789

Total Claims

586K

Beneficiaries

507K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-5%
2019
$3.3M
-34%
2020
$2.2M
+53%
2021
$3.3M
+27%
2022
$4.2M
+5%
2023
$4.4M
-8%
2024
$4.1M

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 15% of total spending.

99214Normal range

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

$3.7M

53K claims · 14.9%

Your Cost: $69.90/claim|Median: $53.41
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$3.0M

29K claims · 12.0%

Your Cost: $104.54/claim|Median: $74.09
1.4× median
99284Normal range

Emergency dept visit, high complexity

$2.8M

39K claims · 11.2%

Your Cost: $71.71/claim|Median: $69.51
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2.1M

52K claims · 8.5%

Your Cost: $40.43/claim|Median: $42.48
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.6M

15K claims · 6.3%

Your Cost: $105.65/claim|Median: $85.65
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.5M

21K claims · 5.9%

Your Cost: $68.90/claim|Median: $35.30
2.0× median
99213Normal range

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

$1.3M

28K claims · 5.1%

Your Cost: $45.29/claim|Median: $37.81
1.2× median
99472Normal range

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

$809K

3,130 claims · 3.2%

Your Cost: $258.53/claim|Median: $307.98
0.8× median
99204Normal range

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

$771K

7,621 claims · 3.1%

Your Cost: $101.20/claim|Median: $84.03
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$724K

15K claims · 2.9%

Your Cost: $47.18/claim|Median: $23.99
2.0× median
01922Normal range

$576K

4,523 claims · 2.3%

Your Cost: $127.32/claim|Median: $166.77
0.8× median
99479Normal range

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

$408K

5,321 claims · 1.6%

Your Cost: $76.66/claim|Median: $103.70
0.7× median
93303Normal range

Echocardiography, transthoracic, limited

$405K

11K claims · 1.6%

Your Cost: $38.11/claim|Median: $112.83
0.3× median
99203Normal range

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

$379K

6,283 claims · 1.5%

Your Cost: $60.30/claim|Median: $57.85
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$346K

4,555 claims · 1.4%

Your Cost: $75.93/claim|Median: $98.15
0.8× median
70551Normal range

MRI brain without contrast

$343K

8,033 claims · 1.4%

Your Cost: $42.66/claim|Median: $85.39
0.5× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$288K

1,232 claims · 1.2%

Your Cost: $233.68/claim|Median: $293.45
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$286K

6,784 claims · 1.1%

Your Cost: $42.18/claim|Median: $54.68
0.8× median
71045Normal range

Chest X-ray, single view

$270K

50K claims · 1.1%

Your Cost: $5.40/claim|Median: $4.93
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$245K

2,558 claims · 1.0%

Your Cost: $95.62/claim|Median: $121.58
0.8× median
71046Normal range

Chest X-ray, 2 views

$218K

34K claims · 0.9%

Your Cost: $6.39/claim|Median: $8.92
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$188K

2,724 claims · 0.8%

Your Cost: $69.17/claim|Median: $233.73
0.3× median
76770Normal range

Ultrasound, retroperitoneal, complete

$176K

8,229 claims · 0.7%

Your Cost: $21.33/claim|Median: $37.35
0.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$174K

2,908 claims · 0.7%

Your Cost: $59.78/claim|Median: $82.43
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$169K

34K claims · 0.7%

Your Cost: $4.98/claim|Median: $5.60
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$152K

1,128 claims · 0.6%

Your Cost: $134.65/claim|Median: $111.09
1.2× median
95720Normal range

$147K

1,227 claims · 0.6%

Your Cost: $119.99/claim|Median: $120.95
1.0× median
93320Normal range

$138K

13K claims · 0.5%

Your Cost: $10.99/claim|Median: $28.68
0.4× median
92060Normal range

$135K

6,545 claims · 0.5%

Your Cost: $20.61/claim|Median: $35.83
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$120K

2,498 claims · 0.5%

Your Cost: $47.84/claim|Median: $37.22
1.3× median
92015Normal range

Determination of refractive state

$110K

9,585 claims · 0.4%

Your Cost: $11.47/claim|Median: $10.36
1.1× median
74018Normal range

$107K

20K claims · 0.4%

Your Cost: $5.42/claim|Median: $7.00
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$96K

6,023 claims · 0.4%

Your Cost: $15.91/claim|Median: $23.81
0.7× median
93304Normal range

$84K

3,661 claims · 0.3%

Your Cost: $22.88/claim|Median: $54.29
0.4× median
00170Normal range

Anesthesia for intraoral procedures

$65K

507 claims · 0.3%

Your Cost: $127.66/claim|Median: $132.89
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$65K

471 claims · 0.3%

Your Cost: $137.31/claim|Median: $101.24
1.4× median
70450Normal range

CT head/brain without contrast

$63K

2,596 claims · 0.3%

Your Cost: $24.29/claim|Median: $45.53
0.5× median
95951Normal range

$62K

306 claims · 0.2%

Your Cost: $203.23/claim|Median: $183.28
1.1× median
93325Normal range

$55K

29K claims · 0.2%

Your Cost: $1.91/claim|Median: $14.61
0.1× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$50K

1,134 claims · 0.2%

Your Cost: $44.49/claim|Median: $72.96
0.6× median
29450Normal range

$50K

601 claims · 0.2%

Your Cost: $82.61/claim|Median: $83.22
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$45K

630 claims · 0.2%

Your Cost: $72.11/claim|Median: $151.68
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$44K

578 claims · 0.2%

Your Cost: $75.86/claim|Median: $62.48
1.2× median
95782Normal range

$42K

555 claims · 0.2%

Your Cost: $74.81/claim|Median: $216.35
0.3× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$41K

510 claims · 0.2%

Your Cost: $80.08/claim|Median: $51.25
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$40K

607 claims · 0.2%

Your Cost: $66.46/claim|Median: $133.68
0.5× median
95812Normal range

$36K

1,075 claims · 0.1%

Your Cost: $33.87/claim|Median: $104.99
0.3× median
93321Normal range

$34K

7,531 claims · 0.1%

Your Cost: $4.55/claim|Median: $9.69
0.5× median
96158Top 10%

$34K

539 claims · 0.1%

Your Cost: $63.45/claim|Median: $28.43
2.2× median
99245Normal range

Office consultation, high complexity

$25K

215 claims · 0.1%

Your Cost: $117.77/claim|Median: $143.30
0.8× median

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