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NORTON CHILDRENS MEDICAL GROUP, LLC

Pediatrics·LOUISVILLE, KY·NPI: 1326695255Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $107.4M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2020-03→2024-12(58 months)

Total Paid

$107.4M

$107,363,531

Total Claims

3.2M

Beneficiaries

2.9M

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2020
$10.6M
+100%
2021
$21.3M
+19%
2022
$25.4M
+2%
2023
$25.9M
-7%
2024
$24.2M

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 17% of total spending.

99214Normal range

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

$18.6M

321K claims · 17.3%

Your Cost: $57.86/claim|Median: $53.41
1.1× median
99213Normal range

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

$13.4M

353K claims · 12.5%

Your Cost: $38.09/claim|Median: $37.81
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$8.5M

254K claims · 7.9%

Your Cost: $33.51/claim|Median: $17.85
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$7.7M

105K claims · 7.2%

Your Cost: $73.41/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$6.7M

105K claims · 6.3%

Your Cost: $64.11/claim|Median: $69.35
0.9× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$5.2M

40K claims · 4.8%

Your Cost: $128.33/claim|Median: $97.61
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$4.9M

121K claims · 4.6%

Your Cost: $40.42/claim|Median: $42.48
1.0× median
99284Normal range

Emergency dept visit, high complexity

$3.9M

59K claims · 3.6%

Your Cost: $65.64/claim|Median: $69.51
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3.2M

45K claims · 3.0%

Your Cost: $71.52/claim|Median: $74.82
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$3.1M

40K claims · 2.9%

Your Cost: $78.35/claim|Median: $74.09
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.9M

20K claims · 1.8%

Your Cost: $98.34/claim|Median: $85.65
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$1.7M

19K claims · 1.6%

Your Cost: $90.95/claim|Median: $112.83
0.8× median
99204Normal range

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

$1.6M

19K claims · 1.5%

Your Cost: $85.69/claim|Median: $84.03
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$1.4M

45K claims · 1.3%

Your Cost: $31.20/claim|Median: $28.46
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.2M

11K claims · 1.2%

Your Cost: $109.99/claim|Median: $121.58
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.1M

14K claims · 1.0%

Your Cost: $78.42/claim|Median: $80.15
1.0× median
96110Top 10%

Developmental screening, per standardized instrument

$1.0M

36K claims · 0.9%

Your Cost: $28.51/claim|Median: $9.10
3.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.0M

24K claims · 0.9%

Your Cost: $41.88/claim|Median: $37.22
1.1× median
99173Top 1%

$902K

18K claims · 0.8%

Your Cost: $49.70/claim|Median: $2.16
23.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$845K

25K claims · 0.8%

Your Cost: $34.13/claim|Median: $23.99
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$805K

21K claims · 0.7%

Your Cost: $38.38/claim|Median: $62.48
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$791K

8,168 claims · 0.7%

Your Cost: $96.80/claim|Median: $54.68
1.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$788K

9,081 claims · 0.7%

Your Cost: $86.76/claim|Median: $98.15
0.9× median
93320Normal range

$687K

19K claims · 0.6%

Your Cost: $35.36/claim|Median: $28.68
1.2× median
99479Normal range

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

$636K

7,618 claims · 0.6%

Your Cost: $83.46/claim|Median: $103.70
0.8× median
95720Normal range

$595K

4,710 claims · 0.6%

Your Cost: $126.42/claim|Median: $120.95
1.0× median
93325Normal range

$556K

28K claims · 0.5%

Your Cost: $20.17/claim|Median: $14.61
1.4× median
70551Normal range

MRI brain without contrast

$554K

9,329 claims · 0.5%

Your Cost: $59.41/claim|Median: $85.39
0.7× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$497K

25K claims · 0.5%

Your Cost: $19.54/claim|Median: $9.70
2.0× median
90471Normal range

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

$481K

34K claims · 0.4%

Your Cost: $14.12/claim|Median: $9.80
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$463K

11K claims · 0.4%

Your Cost: $43.99/claim|Median: $35.30
1.2× median
99243Normal range

Office or other outpatient consultation, low complexity

$462K

6,327 claims · 0.4%

Your Cost: $72.96/claim|Median: $82.43
0.9× median
99203Normal range

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

$427K

7,319 claims · 0.4%

Your Cost: $58.29/claim|Median: $57.85
1.0× median
76770Normal range

Ultrasound, retroperitoneal, complete

$402K

12K claims · 0.4%

Your Cost: $32.51/claim|Median: $37.35
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$398K

54K claims · 0.4%

Your Cost: $7.38/claim|Median: $4.71
1.6× median
90670Normal range

$353K

51K claims · 0.3%

Your Cost: $6.86/claim|Median: $5.94
1.2× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$352K

2,690 claims · 0.3%

Your Cost: $130.92/claim|Median: $65.45
2.0× median
71045Normal range

Chest X-ray, single view

$346K

54K claims · 0.3%

Your Cost: $6.40/claim|Median: $4.93
1.3× median
87811Top 1%

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

$340K

7,048 claims · 0.3%

Your Cost: $48.31/claim|Median: $30.53
1.6× median
99282Normal range

Emergency dept visit, low complexity

$288K

14K claims · 0.3%

Your Cost: $20.19/claim|Median: $37.72
0.5× median
70553Normal range

MRI brain without contrast, then with contrast

$282K

2,733 claims · 0.3%

Your Cost: $103.22/claim|Median: $133.68
0.8× median
70450Normal range

CT head/brain without contrast

$277K

7,330 claims · 0.3%

Your Cost: $37.76/claim|Median: $45.53
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$261K

14K claims · 0.2%

Your Cost: $18.31/claim|Median: $11.79
1.6× median
99462Normal range

$251K

13K claims · 0.2%

Your Cost: $19.62/claim|Median: $27.49
0.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$231K

3,478 claims · 0.2%

Your Cost: $66.43/claim|Median: $43.85
1.5× median
99291Normal range

Critical care, first 30-74 minutes

$225K

1,884 claims · 0.2%

Your Cost: $119.55/claim|Median: $101.24
1.2× median
83655Normal range

$216K

18K claims · 0.2%

Your Cost: $12.07/claim|Median: $10.49
1.2× median
90677Normal range

$215K

17K claims · 0.2%

Your Cost: $12.41/claim|Median: $12.96
1.0× median
71046Normal range

Chest X-ray, 2 views

$214K

25K claims · 0.2%

Your Cost: $8.59/claim|Median: $8.92
1.0× median
74018Normal range

$210K

31K claims · 0.2%

Your Cost: $6.80/claim|Median: $7.00
1.0× median

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