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ORLANDO PEDIATRIC PULMONARY AND SLEEP ASSOCIATES PA

Pediatrics, Pediatric Pulmonology·WINTER PARK, FL·NPI: 1316010952Share
Active Billing Period:2018-03→2024-12(82 months)

Total Paid

$32.9M

$32,893,907

Total Claims

251K

Beneficiaries

226K

1.1 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018
$282K
+2052%
2019
$6.1M
-19%
2020
$4.9M
+31%
2021
$6.4M
-6%
2022
$6.0M
+13%
2023
$6.8M
-64%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (95782) accounts for 26% of total spending.

95782Top 25%

$8.4M

10K claims · 25.7%

Your Cost: $823.89/claim|Median: $216.35
3.8× median
99214Top 10%

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

$8.1M

69K claims · 24.5%

Your Cost: $116.60/claim|Median: $53.41
2.2× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$7.2M

13K claims · 21.9%

Your Cost: $541.75/claim|Median: $233.73
2.3× median
99213Top 10%

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

$4.2M

51K claims · 12.9%

Your Cost: $83.33/claim|Median: $37.81
2.2× median
99204Top 10%

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

$1.3M

8,780 claims · 4.0%

Your Cost: $151.44/claim|Median: $84.03
1.8× median
99203Top 25%

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

$628K

6,664 claims · 1.9%

Your Cost: $94.21/claim|Median: $57.85
1.6× median
99243Top 10%

Office or other outpatient consultation, low complexity

$549K

4,297 claims · 1.7%

Your Cost: $127.72/claim|Median: $82.43
1.5× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$425K

2,288 claims · 1.3%

Your Cost: $185.96/claim|Median: $121.58
1.5× median
94010Normal range

$412K

39K claims · 1.3%

Your Cost: $10.45/claim|Median: $18.11
0.6× median
99215Top 10%

Office/outpatient visit, high complexity

$305K

1,871 claims · 0.9%

Your Cost: $162.84/claim|Median: $74.09
2.2× median
94728Normal range

$292K

19K claims · 0.9%

Your Cost: $15.55/claim|Median: $15.32
1.0× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$256K

448 claims · 0.8%

Your Cost: $571.74/claim|Median: $255.03
2.2× median
95004Normal range

Percutaneous allergy skin tests, each

$196K

1,068 claims · 0.6%

Your Cost: $183.21/claim|Median: $134.97
1.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$98K

562 claims · 0.3%

Your Cost: $174.17/claim|Median: $111.09
1.6× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$63K

232 claims · 0.2%

Your Cost: $270.74/claim|Median: $144.04
1.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$55K

1,277 claims · 0.2%

Your Cost: $43.15/claim|Median: $35.30
1.2× median
94060Normal range

$51K

2,773 claims · 0.2%

Your Cost: $18.29/claim|Median: $25.18
0.7× median
94726Normal range

$43K

2,018 claims · 0.1%

Your Cost: $21.33/claim|Median: $13.41
1.6× median
94729Normal range

$34K

1,651 claims · 0.1%

Your Cost: $20.34/claim|Median: $12.24
1.7× median
95805Top 25%

$33K

84 claims · 0.1%

Your Cost: $391.78/claim|Median: $172.64
2.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$31K

4,485 claims · 0.1%

Your Cost: $6.82/claim|Median: $9.56
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$28K

576 claims · 0.1%

Your Cost: $49.16/claim|Median: $41.28
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$23K

439 claims · 0.1%

Your Cost: $51.79/claim|Median: $25.06
2.1× median
95117Normal range

$19K

2,968 claims · 0.1%

Your Cost: $6.47/claim|Median: $8.34
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$16K

231 claims · 0.0%

Your Cost: $69.58/claim|Median: $67.32
1.0× median
94664Normal range

$15K

2,906 claims · 0.0%

Your Cost: $5.01/claim|Median: $8.88
0.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$15K

371 claims · 0.0%

Your Cost: $39.10/claim|Median: $23.99
1.6× median
99245Normal range

Office consultation, high complexity

$12K

75 claims · 0.0%

Your Cost: $155.06/claim|Median: $143.30
1.1× median
95783Normal range

$11K

13 claims · 0.0%

Your Cost: $864.44/claim|Median: $586.74
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

128 claims · 0.0%

Your Cost: $77.84/claim|Median: $99.21
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$9K

154 claims · 0.0%

Your Cost: $56.48/claim|Median: $63.65
0.9× median
99254Top 1%

$5K

13 claims · 0.0%

Your Cost: $422.38/claim|Median: $81.43
5.2× median
90378Normal range

$2K

1,713 claims · 0.0%

Your Cost: $1.24/claim|Median: $1,627.19
0.0× median
87426Normal range

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

$1K

55 claims · 0.0%

Your Cost: $19.13/claim|Median: $30.04
0.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$818

13 claims · 0.0%

Your Cost: $62.94/claim|Median: $40.11
1.6× median
99072Normal range

$181

121 claims · 0.0%

Your Cost: $1.50/claim|Median: $0.54
2.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$51

16 claims · 0.0%

Your Cost: $3.17/claim|Median: $10.88
0.3× median
J2357Normal range

Injection, omalizumab, 5 mg

$2

1,107 claims · 0.0%

Your Cost: $0.00/claim|Median: $920.37
0.0× median

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