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THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION

Pediatrics·GREENSBORO, NC·NPI: 1336564863Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$21.4M

$21,406,863

Total Claims

1.2M

Beneficiaries

794K

1.5 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+15%
2019
$2.6M
-14%
2020
$2.2M
+59%
2021
$3.5M
+18%
2022
$4.2M
-8%
2023
$3.8M
-27%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 21% of total spending.

99213Top 25%

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

$4.4M

68K claims · 20.5%

Your Cost: $64.27/claim|Median: $37.81
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$3.9M

653K claims · 18.3%

Your Cost: $5.99/claim|Median: $5.39
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.3M

27K claims · 10.8%

Your Cost: $86.40/claim|Median: $69.35
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.2M

25K claims · 10.5%

Your Cost: $91.24/claim|Median: $75.18
1.2× median
99214Top 25%

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

$1.7M

19K claims · 7.8%

Your Cost: $88.46/claim|Median: $53.41
1.7× median
90471Top 25%

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

$1.3M

67K claims · 6.0%

Your Cost: $18.95/claim|Median: $9.80
1.9× median
90472Top 10%

Immunization administration, each additional vaccine

$1.2M

36K claims · 5.6%

Your Cost: $33.23/claim|Median: $11.79
2.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

11K claims · 5.2%

Your Cost: $97.65/claim|Median: $74.82
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$632K

20K claims · 3.0%

Your Cost: $32.38/claim|Median: $57.30
0.6× median
99215Top 25%

Office/outpatient visit, high complexity

$310K

2,549 claims · 1.5%

Your Cost: $121.78/claim|Median: $74.09
1.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$282K

2,792 claims · 1.3%

Your Cost: $101.06/claim|Median: $80.15
1.3× median
D1206Normal range

Topical application of fluoride varnish

$280K

20K claims · 1.3%

Your Cost: $14.32/claim|Median: $18.12
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$270K

7,749 claims · 1.3%

Your Cost: $34.90/claim|Median: $25.06
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$259K

28K claims · 1.2%

Your Cost: $9.31/claim|Median: $9.10
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$189K

2,670 claims · 0.9%

Your Cost: $70.76/claim|Median: $77.33
0.9× median
90474Top 10%

$175K

9,183 claims · 0.8%

Your Cost: $19.07/claim|Median: $8.42
2.3× median
90832Normal range

Psychotherapy, 30 minutes

$121K

2,724 claims · 0.6%

Your Cost: $44.27/claim|Median: $41.28
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$115K

27K claims · 0.5%

Your Cost: $4.26/claim|Median: $3.67
1.2× median
99245Top 25%

Office consultation, high complexity

$86K

468 claims · 0.4%

Your Cost: $183.83/claim|Median: $143.30
1.3× median
99051Top 10%

$75K

3,089 claims · 0.4%

Your Cost: $24.39/claim|Median: $7.89
3.1× median
87428Top 25%

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

$55K

899 claims · 0.3%

Your Cost: $61.30/claim|Median: $39.63
1.5× median
87426Top 25%

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

$55K

1,517 claims · 0.3%

Your Cost: $36.06/claim|Median: $30.04
1.2× median
87804Normal range

Influenza virus detection, rapid test

$51K

4,693 claims · 0.2%

Your Cost: $10.93/claim|Median: $12.59
0.9× median
83655Top 25%

$45K

3,401 claims · 0.2%

Your Cost: $13.15/claim|Median: $10.49
1.3× median
96161Normal range

$44K

13K claims · 0.2%

Your Cost: $3.41/claim|Median: $2.49
1.4× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$27K

417 claims · 0.1%

Your Cost: $63.67/claim|Median: $73.46
0.9× median
0072ATop 10%

$22K

341 claims · 0.1%

Your Cost: $64.92/claim|Median: $39.57
1.6× median
92551Normal range

Screening audiometry, pure tone, air only

$16K

25K claims · 0.1%

Your Cost: $0.65/claim|Median: $6.61
0.1× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$15K

274 claims · 0.1%

Your Cost: $56.44/claim|Median: $33.72
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$14K

241 claims · 0.1%

Your Cost: $57.92/claim|Median: $63.65
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$14K

165 claims · 0.1%

Your Cost: $84.37/claim|Median: $85.66
1.0× median
99173Normal range

$14K

32K claims · 0.1%

Your Cost: $0.44/claim|Median: $2.16
0.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$13K

460 claims · 0.1%

Your Cost: $29.22/claim|Median: $17.85
1.6× median
85018Normal range

$12K

7,610 claims · 0.1%

Your Cost: $1.53/claim|Median: $1.71
0.9× median
0071ATop 10%

$11K

173 claims · 0.1%

Your Cost: $66.01/claim|Median: $38.71
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

27K claims · 0.1%

Your Cost: $0.41/claim|Median: $7.18
0.1× median
92587Normal range

$10K

2,117 claims · 0.0%

Your Cost: $4.52/claim|Median: $19.24
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$8K

657 claims · 0.0%

Your Cost: $12.77/claim|Median: $11.48
1.1× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$7K

129 claims · 0.0%

Your Cost: $51.84/claim|Median: $22.44
2.3× median
99401Normal range

$6K

346 claims · 0.0%

Your Cost: $16.38/claim|Median: $16.53
1.0× median
96160Normal range

Patient-focused health risk assessment

$5K

1,597 claims · 0.0%

Your Cost: $3.14/claim|Median: $2.10
1.5× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$5K

75 claims · 0.0%

Your Cost: $63.95/claim|Median: $36.70
1.7× median
90651Normal range

HPV vaccine, 9-valent

$5K

462 claims · 0.0%

Your Cost: $10.25/claim|Median: $8.93
1.1× median
81025Normal range

Urine pregnancy test

$4K

676 claims · 0.0%

Your Cost: $6.41/claim|Median: $4.81
1.3× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$4K

130 claims · 0.0%

Your Cost: $29.82/claim|Median: $13.30
2.2× median
88720Top 25%

$4K

668 claims · 0.0%

Your Cost: $5.51/claim|Median: $3.88
1.4× median
99204Top 10%

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

$3K

23 claims · 0.0%

Your Cost: $152.10/claim|Median: $84.03
1.8× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$3K

43 claims · 0.0%

Your Cost: $72.12/claim|Median: $32.55
2.2× median
99383Normal range

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

$2K

25 claims · 0.0%

Your Cost: $77.92/claim|Median: $81.92
1.0× median
90734Normal range

$2K

243 claims · 0.0%

Your Cost: $6.41/claim|Median: $6.40
1.0× median

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Laboratory Corporation of America Holdings

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$264.3M

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$199.9M

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Texas Children's Physician Group

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