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DOTHAN PEDIATRIC CLINIC, P. A.

Pediatrics·DOTHAN, AL·NPI: 1376508788Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$56.8M

$56,791,304

Total Claims

1.4M

Beneficiaries

1.4M

1.0 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$5.9M
+33%
2019
$7.9M
-18%
2020
$6.4M
+46%
2021
$9.4M
+6%
2022
$10.0M
-9%
2023
$9.1M
-10%
2024
$8.1M

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 33% of total spending.

99213Top 25%

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

$18.6M

313K claims · 32.8%

Your Cost: $59.49/claim|Median: $37.81
1.6× median
99214Top 25%

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

$12.0M

132K claims · 21.1%

Your Cost: $90.93/claim|Median: $53.41
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.2M

46K claims · 5.6%

Your Cost: $68.81/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.8M

40K claims · 5.0%

Your Cost: $71.00/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.4M

36K claims · 4.2%

Your Cost: $66.00/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.6M

25K claims · 2.8%

Your Cost: $65.36/claim|Median: $80.15
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$1.0M

52K claims · 1.8%

Your Cost: $20.18/claim|Median: $12.59
1.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$949K

23K claims · 1.7%

Your Cost: $41.08/claim|Median: $39.70
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$912K

7,140 claims · 1.6%

Your Cost: $127.73/claim|Median: $74.09
1.7× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$869K

5,424 claims · 1.5%

Your Cost: $160.19/claim|Median: $121.58
1.3× median
90698Top 10%

$837K

33K claims · 1.5%

Your Cost: $24.98/claim|Median: $6.32
4.0× median
87430Normal range

$806K

65K claims · 1.4%

Your Cost: $12.45/claim|Median: $9.41
1.3× median
90670Top 10%

$791K

26K claims · 1.4%

Your Cost: $30.83/claim|Median: $5.94
5.2× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$633K

12K claims · 1.1%

Your Cost: $54.17/claim|Median: $17.85
3.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$578K

1,569 claims · 1.0%

Your Cost: $368.54/claim|Median: $233.73
1.6× median
87070Top 25%

Bacterial culture, any source except blood or urine

$541K

53K claims · 1.0%

Your Cost: $10.22/claim|Median: $5.89
1.7× median
92552Normal range

Pure tone audiometry, air only, each ear

$510K

82K claims · 0.9%

Your Cost: $6.19/claim|Median: $12.63
0.5× median
90680Top 5%

$505K

21K claims · 0.9%

Your Cost: $24.50/claim|Median: $5.58
4.4× median
90651Top 10%

HPV vaccine, 9-valent

$483K

7,949 claims · 0.8%

Your Cost: $60.72/claim|Median: $8.93
6.8× median
D1206Normal range

Topical application of fluoride varnish

$468K

21K claims · 0.8%

Your Cost: $22.56/claim|Median: $18.12
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$405K

45K claims · 0.7%

Your Cost: $8.95/claim|Median: $4.71
1.9× median
90716Top 5%

$381K

11K claims · 0.7%

Your Cost: $34.62/claim|Median: $6.18
5.6× median
99245Top 25%

Office consultation, high complexity

$371K

1,866 claims · 0.7%

Your Cost: $198.60/claim|Median: $143.30
1.4× median
99173Normal range

$368K

88K claims · 0.6%

Your Cost: $4.18/claim|Median: $2.16
1.9× median
95782Normal range

$363K

745 claims · 0.6%

Your Cost: $487.37/claim|Median: $216.35
2.3× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$337K

5,388 claims · 0.6%

Your Cost: $62.55/claim|Median: $6.93
9.0× median
90688Top 25%

$335K

18K claims · 0.6%

Your Cost: $18.22/claim|Median: $9.00
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$291K

9,239 claims · 0.5%

Your Cost: $31.52/claim|Median: $25.06
1.3× median
90707Top 10%

MMR vaccine

$288K

11K claims · 0.5%

Your Cost: $26.39/claim|Median: $5.76
4.6× median
90671Top 25%

$269K

7,354 claims · 0.5%

Your Cost: $36.59/claim|Median: $8.59
4.3× median
90633Top 5%

$261K

13K claims · 0.5%

Your Cost: $19.90/claim|Median: $3.56
5.6× median
90744Top 10%

$238K

12K claims · 0.4%

Your Cost: $19.04/claim|Median: $5.00
3.8× median
94010Normal range

$155K

7,557 claims · 0.3%

Your Cost: $20.53/claim|Median: $18.11
1.1× median
90621Top 5%

$151K

2,734 claims · 0.3%

Your Cost: $55.41/claim|Median: $7.66
7.2× median
90734Top 5%

$137K

3,237 claims · 0.2%

Your Cost: $42.44/claim|Median: $6.40
6.6× median
90687Top 10%

$134K

7,675 claims · 0.2%

Your Cost: $17.42/claim|Median: $3.45
5.0× median
83655Top 25%

$127K

9,184 claims · 0.2%

Your Cost: $13.86/claim|Median: $10.49
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$116K

37K claims · 0.2%

Your Cost: $3.13/claim|Median: $3.67
0.9× median
90619Top 10%

$106K

2,257 claims · 0.2%

Your Cost: $46.99/claim|Median: $8.36
5.6× median
96110Normal range

Developmental screening, per standardized instrument

$100K

11K claims · 0.2%

Your Cost: $9.46/claim|Median: $9.10
1.0× median
80061Top 25%

Lipid panel

$97K

7,740 claims · 0.2%

Your Cost: $12.48/claim|Median: $8.41
1.5× median
99051Normal range

$96K

37K claims · 0.2%

Your Cost: $2.62/claim|Median: $7.89
0.3× median
90756Normal range

Influenza virus vaccine, quadrivalent

$85K

4,237 claims · 0.1%

Your Cost: $19.97/claim|Median: $14.34
1.4× median
99177Top 10%

$70K

4,545 claims · 0.1%

Your Cost: $15.35/claim|Median: $3.74
4.1× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$69K

1,359 claims · 0.1%

Your Cost: $50.65/claim|Median: $38.79
1.3× median
99461Top 25%

$67K

769 claims · 0.1%

Your Cost: $87.16/claim|Median: $74.20
1.2× median
87811Normal range

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

$64K

2,366 claims · 0.1%

Your Cost: $27.08/claim|Median: $30.53
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$61K

315 claims · 0.1%

Your Cost: $192.70/claim|Median: $151.68
1.3× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$58K

5,519 claims · 0.1%

Your Cost: $10.46/claim|Median: $5.50
1.9× median
81003Top 25%

Urinalysis, automated without microscopy

$52K

20K claims · 0.1%

Your Cost: $2.65/claim|Median: $1.48
1.8× median

Other Top Providers in Alabama

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Alabama Department of Mental Health and Mental Retardation

Community/Behavioral Health

$2.25B

Alabama Department of Senior Services

Home Health

$631.6M

Alabama Department of Mental Health and Mental Retardation

Community/Behavioral Health

$559.5M

State of Alabama Department of Public Health

Clinical Medical Laboratory

$373.6M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$289.1M

Similar Providers

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Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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