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CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.

Clinic/Center, Multi-Specialty·LOS ANGELES, CA·NPI: 1265530653Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.6M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$24.6M

$24,637,378

Total Claims

550K

Beneficiaries

528K

1.0 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$906K
+37%
2019
$1.2M
-5%
2020
$1.2M
+232%
2021
$3.9M
+41%
2022
$5.5M
+22%
2023
$6.7M
-25%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 29% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$7.1M

133K claims · 28.7%

Your Cost: $53.15/claim|Median: $42.48
1.3× median
99284Normal range

Emergency dept visit, high complexity

$4.1M

56K claims · 16.6%

Your Cost: $72.28/claim|Median: $69.51
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.6M

36K claims · 14.7%

Your Cost: $101.38/claim|Median: $85.65
1.2× median
99214Normal range

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

$1.8M

40K claims · 7.1%

Your Cost: $43.44/claim|Median: $53.41
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$1.1M

17K claims · 4.6%

Your Cost: $65.41/claim|Median: $74.09
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$808K

8,827 claims · 3.3%

Your Cost: $91.55/claim|Median: $121.58
0.8× median
99213Normal range

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

$624K

22K claims · 2.5%

Your Cost: $28.65/claim|Median: $37.81
0.8× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$451K

5,422 claims · 1.8%

Your Cost: $83.09/claim|Median: $79.28
1.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$390K

5,924 claims · 1.6%

Your Cost: $65.77/claim|Median: $82.43
0.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$375K

6,740 claims · 1.5%

Your Cost: $55.69/claim|Median: $35.30
1.6× median
99204Normal range

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

$300K

3,974 claims · 1.2%

Your Cost: $75.50/claim|Median: $84.03
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$289K

1,484 claims · 1.2%

Your Cost: $194.51/claim|Median: $233.73
0.8× median
70553Normal range

MRI brain without contrast, then with contrast

$245K

2,308 claims · 1.0%

Your Cost: $106.22/claim|Median: $133.68
0.8× median
70551Normal range

MRI brain without contrast

$230K

3,218 claims · 0.9%

Your Cost: $71.47/claim|Median: $85.39
0.8× median
92060Normal range

$194K

8,100 claims · 0.8%

Your Cost: $23.92/claim|Median: $35.83
0.7× median
99203Normal range

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

$192K

2,962 claims · 0.8%

Your Cost: $64.97/claim|Median: $57.85
1.1× median
93010Top 5%

Electrocardiogram, interpretation and report only

$180K

10K claims · 0.7%

Your Cost: $17.92/claim|Median: $5.60
3.2× median
95812Normal range

$173K

4,016 claims · 0.7%

Your Cost: $43.12/claim|Median: $104.99
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$171K

2,018 claims · 0.7%

Your Cost: $84.75/claim|Median: $54.68
1.5× median
99245Normal range

Office consultation, high complexity

$168K

1,467 claims · 0.7%

Your Cost: $114.71/claim|Median: $143.30
0.8× median
43762Top 25%

$163K

736 claims · 0.7%

Your Cost: $221.04/claim|Median: $99.73
2.2× median
71046Normal range

Chest X-ray, 2 views

$160K

24K claims · 0.6%

Your Cost: $6.74/claim|Median: $8.92
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$135K

7,929 claims · 0.5%

Your Cost: $17.05/claim|Median: $23.81
0.7× median
70450Normal range

CT head/brain without contrast

$131K

3,322 claims · 0.5%

Your Cost: $39.44/claim|Median: $45.53
0.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$95K

1,362 claims · 0.4%

Your Cost: $69.83/claim|Median: $43.85
1.6× median
69210Normal range

$89K

3,143 claims · 0.4%

Your Cost: $28.42/claim|Median: $21.74
1.3× median
74019Normal range

$84K

6,807 claims · 0.3%

Your Cost: $12.36/claim|Median: $9.82
1.3× median
92015Normal range

Determination of refractive state

$72K

8,400 claims · 0.3%

Your Cost: $8.56/claim|Median: $10.36
0.8× median
71045Top 25%

Chest X-ray, single view

$71K

8,921 claims · 0.3%

Your Cost: $8.01/claim|Median: $4.93
1.6× median
44970Normal range

$65K

214 claims · 0.3%

Your Cost: $305.09/claim|Median: $1,699.18
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$65K

669 claims · 0.3%

Your Cost: $97.01/claim|Median: $111.09
0.9× median
76770Normal range

Ultrasound, retroperitoneal, complete

$63K

3,329 claims · 0.3%

Your Cost: $19.00/claim|Median: $37.35
0.5× median
95782Normal range

$62K

443 claims · 0.3%

Your Cost: $139.24/claim|Median: $216.35
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$61K

703 claims · 0.2%

Your Cost: $87.19/claim|Median: $67.32
1.3× median
T1014Normal range

$51K

7,203 claims · 0.2%

Your Cost: $7.07/claim|Median: $12.88
0.5× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$51K

1,163 claims · 0.2%

Your Cost: $43.78/claim|Median: $16.77
2.6× median
99254Normal range

$48K

608 claims · 0.2%

Your Cost: $78.36/claim|Median: $81.43
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$42K

938 claims · 0.2%

Your Cost: $44.39/claim|Median: $23.99
1.9× median
99291Normal range

Critical care, first 30-74 minutes

$41K

302 claims · 0.2%

Your Cost: $134.96/claim|Median: $101.24
1.3× median
76700Normal range

Ultrasound, abdominal, complete

$39K

2,056 claims · 0.2%

Your Cost: $18.76/claim|Median: $50.69
0.4× median
96156Top 25%

$37K

398 claims · 0.1%

Your Cost: $92.26/claim|Median: $22.36
4.1× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$31K

297 claims · 0.1%

Your Cost: $104.93/claim|Median: $51.25
2.0× median
92504Normal range

$29K

1,797 claims · 0.1%

Your Cost: $15.92/claim|Median: $16.07
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$27K

544 claims · 0.1%

Your Cost: $49.53/claim|Median: $37.22
1.3× median
01922Normal range

$24K

114 claims · 0.1%

Your Cost: $209.61/claim|Median: $166.77
1.3× median
74018Normal range

$24K

3,970 claims · 0.1%

Your Cost: $5.97/claim|Median: $7.00
0.9× median
99417Normal range

$23K

561 claims · 0.1%

Your Cost: $41.75/claim|Median: $34.90
1.2× median
S0265Normal range

$23K

281 claims · 0.1%

Your Cost: $83.34/claim|Median: $61.95
1.3× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$22K

696 claims · 0.1%

Your Cost: $32.26/claim|Median: $9.70
3.3× median
74177Normal range

CT abdomen and pelvis with contrast

$20K

264 claims · 0.1%

Your Cost: $75.03/claim|Median: $65.76
1.1× median

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$1.34B

Los Angeles County Department of Public Health

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$1.13B

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