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BAYLOR COLLEGE OF MEDICINE

Pediatrics·SAN ANTONIO, TX·NPI: 1285079764Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.1M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-12(65 months)

Total Paid

$26.1M

$26,054,276

Total Claims

438K

Beneficiaries

394K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2K
-67%
2019
$590
+140875%
2020
$832K
+562%
2021
$5.5M
+26%
2022
$7.0M
+19%
2023
$8.3M
-46%
2024
$4.5M

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 24% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$6.2M

108K claims · 23.6%

Your Cost: $56.89/claim|Median: $42.48
1.3× median
99284Normal range

Emergency dept visit, high complexity

$2.8M

37K claims · 10.7%

Your Cost: $75.17/claim|Median: $69.51
1.1× median
99213Normal range

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

$2.5M

59K claims · 9.5%

Your Cost: $42.20/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.2M

35K claims · 8.3%

Your Cost: $61.72/claim|Median: $53.41
1.2× median
99204Normal range

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

$1.2M

11K claims · 4.5%

Your Cost: $106.01/claim|Median: $84.03
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$1.0M

9,917 claims · 3.9%

Your Cost: $102.11/claim|Median: $74.09
1.4× median
99291Top 10%

Critical care, first 30-74 minutes

$992K

4,917 claims · 3.8%

Your Cost: $201.66/claim|Median: $101.24
2.0× median
99203Normal range

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

$853K

12K claims · 3.3%

Your Cost: $70.09/claim|Median: $57.85
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$678K

14K claims · 2.6%

Your Cost: $47.58/claim|Median: $23.99
2.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$643K

5,415 claims · 2.5%

Your Cost: $118.84/claim|Median: $121.58
1.0× median
99472Normal range

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

$553K

1,527 claims · 2.1%

Your Cost: $362.32/claim|Median: $307.98
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$465K

16K claims · 1.8%

Your Cost: $29.82/claim|Median: $58.55
0.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$428K

6,561 claims · 1.6%

Your Cost: $65.27/claim|Median: $106.79
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$407K

15K claims · 1.6%

Your Cost: $27.12/claim|Median: $49.45
0.5× median
93303Normal range

Echocardiography, transthoracic, limited

$376K

7,313 claims · 1.4%

Your Cost: $51.42/claim|Median: $112.83
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$335K

4,106 claims · 1.3%

Your Cost: $81.68/claim|Median: $75.18
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$317K

5,371 claims · 1.2%

Your Cost: $59.05/claim|Median: $37.22
1.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$313K

3,171 claims · 1.2%

Your Cost: $98.75/claim|Median: $85.65
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$288K

3,869 claims · 1.1%

Your Cost: $74.55/claim|Median: $69.35
1.1× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$244K

2,360 claims · 0.9%

Your Cost: $103.34/claim|Median: $51.25
2.0× median
99292Top 10%

$223K

1,709 claims · 0.9%

Your Cost: $130.66/claim|Median: $57.64
2.3× median
99245Normal range

Office consultation, high complexity

$220K

1,278 claims · 0.8%

Your Cost: $172.47/claim|Median: $143.30
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$200K

2,315 claims · 0.8%

Your Cost: $86.53/claim|Median: $74.82
1.2× median
69436Normal range

Tympanostomy, general anesthesia

$179K

1,230 claims · 0.7%

Your Cost: $145.91/claim|Median: $205.50
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$163K

682 claims · 0.6%

Your Cost: $238.32/claim|Median: $331.68
0.7× median
95813Normal range

$159K

2,399 claims · 0.6%

Your Cost: $66.43/claim|Median: $121.48
0.5× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$128K

1,633 claims · 0.5%

Your Cost: $78.13/claim|Median: $43.85
1.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$126K

1,560 claims · 0.5%

Your Cost: $80.82/claim|Median: $82.43
1.0× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$126K

1,092 claims · 0.5%

Your Cost: $114.99/claim|Median: $59.72
1.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$114K

922 claims · 0.4%

Your Cost: $123.67/claim|Median: $111.09
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$113K

1,146 claims · 0.4%

Your Cost: $98.41/claim|Median: $233.73
0.4× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$105K

1,339 claims · 0.4%

Your Cost: $78.46/claim|Median: $62.48
1.3× median
93320Normal range

$101K

6,872 claims · 0.4%

Your Cost: $14.68/claim|Median: $28.68
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$92K

821 claims · 0.4%

Your Cost: $111.46/claim|Median: $99.21
1.1× median
95782Normal range

$82K

838 claims · 0.3%

Your Cost: $98.25/claim|Median: $216.35
0.5× median
01922Top 25%

$82K

349 claims · 0.3%

Your Cost: $235.88/claim|Median: $166.77
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$73K

12K claims · 0.3%

Your Cost: $5.91/claim|Median: $5.60
1.1× median
76818Normal range

$62K

1,630 claims · 0.2%

Your Cost: $37.92/claim|Median: $68.15
0.6× median
99471Normal range

$61K

80 claims · 0.2%

Your Cost: $756.51/claim|Median: $680.99
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$58K

625 claims · 0.2%

Your Cost: $93.44/claim|Median: $80.15
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$57K

2,112 claims · 0.2%

Your Cost: $27.01/claim|Median: $25.06
1.1× median
99417Normal range

$57K

2,076 claims · 0.2%

Your Cost: $27.40/claim|Median: $34.90
0.8× median
99219Top 25%

$51K

592 claims · 0.2%

Your Cost: $86.62/claim|Median: $63.35
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$51K

862 claims · 0.2%

Your Cost: $59.40/claim|Median: $54.68
1.1× median
99217Top 25%

$51K

940 claims · 0.2%

Your Cost: $54.30/claim|Median: $31.89
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$48K

480 claims · 0.2%

Your Cost: $99.17/claim|Median: $85.66
1.2× median
76820Normal range

$43K

2,555 claims · 0.2%

Your Cost: $16.85/claim|Median: $31.79
0.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$43K

639 claims · 0.2%

Your Cost: $66.99/claim|Median: $35.30
1.9× median
92250Top 5%

Fundus photography with interpretation and report

$40K

653 claims · 0.2%

Your Cost: $60.52/claim|Median: $27.95
2.2× median
95720Normal range

$39K

307 claims · 0.1%

Your Cost: $127.07/claim|Median: $120.95
1.1× median

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