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UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC

Pediatrics·BIRMINGHAM, AL·NPI: 1356377576Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $79.7M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$79.7M

$79,713,089

Total Claims

527K

Beneficiaries

460K

1.1 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$7.0M
+76%
2019
$12.3M
-25%
2020
$9.2M
+54%
2021
$14.1M
-0%
2022
$14.0M
-4%
2023
$13.4M
-27%
2024
$9.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 23% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$18.6M

107K claims · 23.3%

Your Cost: $173.45/claim|Median: $69.51
2.5× median
99214Top 5%

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

$15.0M

119K claims · 18.8%

Your Cost: $126.39/claim|Median: $53.41
2.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$11.4M

45K claims · 14.3%

Your Cost: $254.90/claim|Median: $85.65
3.0× median
99215Top 10%

Office/outpatient visit, high complexity

$4.6M

28K claims · 5.8%

Your Cost: $166.36/claim|Median: $74.09
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.6M

50K claims · 5.8%

Your Cost: $92.13/claim|Median: $42.48
2.2× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$3.7M

40K claims · 4.6%

Your Cost: $92.43/claim|Median: $23.99
3.9× median
99244Top 5%

Office or other outpatient consultation, moderate complexity

$3.6M

17K claims · 4.5%

Your Cost: $210.99/claim|Median: $121.58
1.7× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$2.5M

20K claims · 3.1%

Your Cost: $124.52/claim|Median: $35.30
3.5× median
99472Top 10%

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

$1.8M

3,496 claims · 2.2%

Your Cost: $500.91/claim|Median: $307.98
1.6× median
99291Top 5%

Critical care, first 30-74 minutes

$1.7M

4,722 claims · 2.1%

Your Cost: $352.64/claim|Median: $101.24
3.5× median
99213Top 10%

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

$1.6M

20K claims · 1.9%

Your Cost: $78.79/claim|Median: $37.81
2.1× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$1.3M

13K claims · 1.6%

Your Cost: $101.36/claim|Median: $37.22
2.7× median
99245Top 5%

Office consultation, high complexity

$1.3M

5,122 claims · 1.6%

Your Cost: $253.66/claim|Median: $143.30
1.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.2M

2,793 claims · 1.5%

Your Cost: $433.05/claim|Median: $151.68
2.9× median
99222Top 1%

Initial hospital care, per day, moderate complexity

$1.2M

6,451 claims · 1.5%

Your Cost: $180.47/claim|Median: $51.25
3.5× median
95720Top 10%

$1.0M

4,349 claims · 1.3%

Your Cost: $240.38/claim|Median: $120.95
2.0× median
99223Top 1%

Initial hospital care, per day, high complexity

$583K

2,509 claims · 0.7%

Your Cost: $232.24/claim|Median: $67.32
3.4× median
95951Top 25%

$564K

1,207 claims · 0.7%

Your Cost: $467.69/claim|Median: $183.28
2.6× median
99255Top 5%

$472K

1,623 claims · 0.6%

Your Cost: $290.54/claim|Median: $90.45
3.2× median
99254Top 5%

$329K

1,454 claims · 0.4%

Your Cost: $226.38/claim|Median: $81.43
2.8× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$284K

1,542 claims · 0.4%

Your Cost: $183.95/claim|Median: $111.09
1.7× median
95004Normal range

Percutaneous allergy skin tests, each

$268K

1,639 claims · 0.3%

Your Cost: $163.49/claim|Median: $134.97
1.2× median
99204Top 5%

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

$245K

1,405 claims · 0.3%

Your Cost: $174.70/claim|Median: $84.03
2.1× median
99239Top 1%

Hospital discharge day management, more than 30 minutes

$234K

1,575 claims · 0.3%

Your Cost: $148.68/claim|Median: $43.85
3.4× median
88189Top 25%

$192K

2,990 claims · 0.2%

Your Cost: $64.21/claim|Median: $45.87
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$181K

1,015 claims · 0.2%

Your Cost: $178.06/claim|Median: $233.73
0.8× median
99203Top 5%

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

$177K

1,318 claims · 0.2%

Your Cost: $134.32/claim|Median: $57.85
2.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$163K

1,997 claims · 0.2%

Your Cost: $81.83/claim|Median: $40.11
2.0× median
99243Top 5%

Office or other outpatient consultation, low complexity

$108K

690 claims · 0.1%

Your Cost: $156.00/claim|Median: $82.43
1.9× median
95782Normal range

$103K

1,243 claims · 0.1%

Your Cost: $83.24/claim|Median: $216.35
0.4× median
95813Normal range

$99K

743 claims · 0.1%

Your Cost: $133.18/claim|Median: $121.48
1.1× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$98K

824 claims · 0.1%

Your Cost: $119.29/claim|Median: $59.25
2.0× median
94010Normal range

$90K

7,492 claims · 0.1%

Your Cost: $11.99/claim|Median: $18.11
0.7× median
00635Normal range

$74K

598 claims · 0.1%

Your Cost: $124.08/claim|Median: $109.11
1.1× median
99253Top 5%

$73K

445 claims · 0.1%

Your Cost: $163.78/claim|Median: $55.16
3.0× median
95812Normal range

$61K

721 claims · 0.1%

Your Cost: $84.00/claim|Median: $104.99
0.8× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$44K

791 claims · 0.1%

Your Cost: $55.17/claim|Median: $16.77
3.3× median
95819Normal range

Electroencephalogram with sleep recording

$43K

535 claims · 0.1%

Your Cost: $81.24/claim|Median: $62.75
1.3× median
95251Normal range

$39K

1,787 claims · 0.0%

Your Cost: $22.05/claim|Median: $18.02
1.2× median
01922Top 10%

$36K

102 claims · 0.0%

Your Cost: $348.17/claim|Median: $166.77
2.1× median
99469Top 10%

Subsequent intensive care, very low birth weight infant

$32K

63 claims · 0.0%

Your Cost: $513.39/claim|Median: $293.45
1.7× median
95718Top 25%

$32K

228 claims · 0.0%

Your Cost: $139.36/claim|Median: $78.85
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$30K

553 claims · 0.0%

Your Cost: $54.65/claim|Median: $25.06
2.2× median
90945Normal range

$12K

154 claims · 0.0%

Your Cost: $80.03/claim|Median: $46.59
1.7× median
95816Normal range

$8K

93 claims · 0.0%

Your Cost: $86.57/claim|Median: $56.87
1.5× median
96450Normal range

$8K

41 claims · 0.0%

Your Cost: $191.17/claim|Median: $174.39
1.1× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$7K

36 claims · 0.0%

Your Cost: $187.55/claim|Median: $255.03
0.7× median
31624Top 25%

$6K

13 claims · 0.0%

Your Cost: $437.87/claim|Median: $98.81
4.4× median
99242Top 5%

Office consultation, low complexity

$6K

41 claims · 0.0%

Your Cost: $137.90/claim|Median: $57.97
2.4× median
91065Normal range

$5K

328 claims · 0.0%

Your Cost: $15.77/claim|Median: $37.81
0.4× median

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$373.6M

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