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ST. LUKE'S PEDIATRICS

Clinic/Center, Primary Care·PHOENIX, AZ·NPI: 1306078514Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.6M

$31,610,085

Total Claims

287K

Beneficiaries

211K

1.4 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$438K
+484%
2019
$2.6M
+51%
2020
$3.9M
+8%
2021
$4.2M
+20%
2022
$5.0M
+63%
2023
$8.1M
-8%
2024
$7.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (95165 (Professional services for allergen immunotherapy, per injection)) accounts for 48% of total spending.

95165Top 1%

Professional services for allergen immunotherapy, per injection

$15.0M

12K claims · 47.6%

Your Cost: $1,304.69/claim|Median: $144.04
9.1× median
95144Normal range

$5.6M

40K claims · 17.7%

Your Cost: $138.71/claim|Median: $109.74
1.3× median
99214Top 25%

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

$3.9M

49K claims · 12.2%

Your Cost: $79.52/claim|Median: $53.41
1.5× median
95004Top 25%

Percutaneous allergy skin tests, each

$1.5M

7,072 claims · 4.8%

Your Cost: $213.37/claim|Median: $134.97
1.6× median
99213Top 25%

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

$1.4M

24K claims · 4.3%

Your Cost: $57.92/claim|Median: $37.81
1.5× median
99401Top 10%

$1.2M

37K claims · 3.7%

Your Cost: $31.50/claim|Median: $16.53
1.9× median
99354Top 10%

$634K

6,870 claims · 2.0%

Your Cost: $92.29/claim|Median: $54.96
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$306K

8,190 claims · 1.0%

Your Cost: $37.35/claim|Median: $25.06
1.5× median
99204Top 25%

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

$250K

2,219 claims · 0.8%

Your Cost: $112.55/claim|Median: $84.03
1.3× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$213K

5,148 claims · 0.7%

Your Cost: $41.34/claim|Median: $17.85
2.3× median
92100Top 5%

$171K

2,165 claims · 0.5%

Your Cost: $79.11/claim|Median: $30.29
2.6× median
93922Top 10%

$166K

2,137 claims · 0.5%

Your Cost: $77.46/claim|Median: $26.06
3.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$119K

1,491 claims · 0.4%

Your Cost: $79.57/claim|Median: $74.82
1.1× median
95117Normal range

$103K

11K claims · 0.3%

Your Cost: $9.21/claim|Median: $8.34
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$100K

1,145 claims · 0.3%

Your Cost: $87.02/claim|Median: $80.15
1.1× median
94060Top 25%

$96K

2,199 claims · 0.3%

Your Cost: $43.83/claim|Median: $25.18
1.7× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$95K

6,563 claims · 0.3%

Your Cost: $14.43/claim|Median: $9.70
1.5× median
76775Normal range

$84K

2,249 claims · 0.3%

Your Cost: $37.48/claim|Median: $28.03
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$76K

778 claims · 0.2%

Your Cost: $97.08/claim|Median: $72.71
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$69K

757 claims · 0.2%

Your Cost: $91.71/claim|Median: $74.09
1.2× median
81025Top 25%

Urine pregnancy test

$61K

8,012 claims · 0.2%

Your Cost: $7.64/claim|Median: $4.81
1.6× median
36415Top 25%

Collection of venous blood by venipuncture

$48K

13K claims · 0.2%

Your Cost: $3.63/claim|Median: $1.57
2.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$45K

621 claims · 0.1%

Your Cost: $72.75/claim|Median: $75.18
1.0× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$43K

416 claims · 0.1%

Your Cost: $102.62/claim|Median: $76.22
1.3× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$40K

389 claims · 0.1%

Your Cost: $103.25/claim|Median: $76.06
1.4× median
69210Top 25%

$39K

1,081 claims · 0.1%

Your Cost: $35.80/claim|Median: $21.74
1.6× median
94664Top 25%

$32K

2,058 claims · 0.1%

Your Cost: $15.55/claim|Median: $8.88
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$31K

2,407 claims · 0.1%

Your Cost: $12.70/claim|Median: $9.56
1.3× median
95115Normal range

$29K

3,563 claims · 0.1%

Your Cost: $8.04/claim|Median: $6.96
1.2× median
96160Normal range

Patient-focused health risk assessment

$28K

10K claims · 0.1%

Your Cost: $2.75/claim|Median: $2.10
1.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$28K

2,184 claims · 0.1%

Your Cost: $12.60/claim|Median: $10.88
1.2× median
90471Top 5%

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

$21K

929 claims · 0.1%

Your Cost: $22.13/claim|Median: $9.80
2.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$19K

1,351 claims · 0.1%

Your Cost: $14.05/claim|Median: $11.48
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$18K

279 claims · 0.1%

Your Cost: $63.52/claim|Median: $69.35
0.9× median
92552Top 25%

Pure tone audiometry, air only, each ear

$16K

610 claims · 0.0%

Your Cost: $25.73/claim|Median: $12.63
2.0× median
99383Normal range

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

$16K

166 claims · 0.0%

Your Cost: $94.18/claim|Median: $81.92
1.1× median
87804Normal range

Influenza virus detection, rapid test

$13K

868 claims · 0.0%

Your Cost: $14.91/claim|Median: $12.59
1.2× median
87811Top 25%

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

$11K

288 claims · 0.0%

Your Cost: $39.50/claim|Median: $30.53
1.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$10K

101 claims · 0.0%

Your Cost: $103.43/claim|Median: $87.82
1.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$9K

3,164 claims · 0.0%

Your Cost: $2.89/claim|Median: $2.00
1.4× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$7K

73 claims · 0.0%

Your Cost: $101.15/claim|Median: $83.63
1.2× median
99382Normal range

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

$6K

73 claims · 0.0%

Your Cost: $85.79/claim|Median: $79.89
1.1× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$6K

2,661 claims · 0.0%

Your Cost: $2.29/claim|Median: $0.79
2.9× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$5K

29 claims · 0.0%

Your Cost: $162.88/claim|Median: $49.03
3.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$3K

229 claims · 0.0%

Your Cost: $14.37/claim|Median: $6.93
2.1× median
93976Top 25%

$3K

26 claims · 0.0%

Your Cost: $123.01/claim|Median: $42.06
2.9× median
99000Normal range

$3K

1,805 claims · 0.0%

Your Cost: $1.74/claim|Median: $2.30
0.8× median
Q0091Top 5%

$3K

76 claims · 0.0%

Your Cost: $40.86/claim|Median: $11.15
3.7× median
76700Normal range

Ultrasound, abdominal, complete

$3K

40 claims · 0.0%

Your Cost: $65.95/claim|Median: $50.69
1.3× median
99203Normal range

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

$2K

32 claims · 0.0%

Your Cost: $77.00/claim|Median: $57.85
1.3× median

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