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UCSF PEDIATRICS ASSOCIATES

Pediatrics·SAN FRANCISCO, CA·NPI: 1376614016Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.2M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$21.2M

$21,222,239

Total Claims

248K

Beneficiaries

196K

1.3 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-2%
2019
$2.4M
-9%
2020
$2.2M
+40%
2021
$3.1M
+7%
2022
$3.3M
+17%
2023
$3.9M
-1%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 18% of total spending.

99215Top 25%

Office/outpatient visit, high complexity

$3.7M

26K claims · 17.6%

Your Cost: $142.08/claim|Median: $74.09
1.9× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$3.2M

41K claims · 15.2%

Your Cost: $79.18/claim|Median: $35.30
2.2× median
99214Top 10%

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

$1.9M

18K claims · 9.1%

Your Cost: $105.01/claim|Median: $53.41
2.0× median
99291Top 5%

Critical care, first 30-74 minutes

$1.3M

4,222 claims · 6.3%

Your Cost: $317.40/claim|Median: $101.24
3.1× median
93325Top 25%

$973K

25K claims · 4.6%

Your Cost: $39.32/claim|Median: $14.61
2.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$967K

15K claims · 4.6%

Your Cost: $65.76/claim|Median: $23.99
2.7× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$962K

4,496 claims · 4.5%

Your Cost: $214.01/claim|Median: $54.68
3.9× median
93303Top 25%

Echocardiography, transthoracic, limited

$832K

3,489 claims · 3.9%

Your Cost: $238.60/claim|Median: $112.83
2.1× median
99472Normal range

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

$747K

3,008 claims · 3.5%

Your Cost: $248.50/claim|Median: $307.98
0.8× median
93304Normal range

$728K

9,467 claims · 3.4%

Your Cost: $76.90/claim|Median: $54.29
1.4× median
99203Top 5%

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

$561K

4,129 claims · 2.6%

Your Cost: $135.76/claim|Median: $57.85
2.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$514K

2,375 claims · 2.4%

Your Cost: $216.31/claim|Median: $233.73
0.9× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$506K

2,365 claims · 2.4%

Your Cost: $214.01/claim|Median: $111.09
1.9× median
93321Top 25%

$416K

14K claims · 2.0%

Your Cost: $29.09/claim|Median: $9.69
3.0× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$406K

4,320 claims · 1.9%

Your Cost: $94.07/claim|Median: $43.85
2.1× median
99204Top 5%

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

$402K

2,113 claims · 1.9%

Your Cost: $190.17/claim|Median: $84.03
2.3× median
93010Top 5%

Electrocardiogram, interpretation and report only

$353K

26K claims · 1.7%

Your Cost: $13.81/claim|Median: $5.60
2.5× median
Z0102Normal range

$338K

1,738 claims · 1.6%

Your Cost: $194.37/claim|Median: $193.72
1.0× median
93320Top 10%

$328K

3,836 claims · 1.5%

Your Cost: $85.41/claim|Median: $28.68
3.0× median
99213Top 25%

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

$177K

2,523 claims · 0.8%

Your Cost: $70.14/claim|Median: $37.81
1.9× median
95782Normal range

$172K

1,079 claims · 0.8%

Your Cost: $159.46/claim|Median: $216.35
0.7× median
76825Normal range

$161K

1,336 claims · 0.8%

Your Cost: $120.39/claim|Median: $103.74
1.2× median
99480Top 10%

Subsequent intensive care, very low birth weight infant

$153K

1,071 claims · 0.7%

Your Cost: $142.61/claim|Median: $98.15
1.5× median
Z0104Normal range

$140K

1,003 claims · 0.7%

Your Cost: $139.48/claim|Median: $141.22
1.0× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$124K

3,124 claims · 0.6%

Your Cost: $39.56/claim|Median: $9.70
4.1× median
99417Normal range

$90K

1,643 claims · 0.4%

Your Cost: $55.02/claim|Median: $34.90
1.6× median
T1014Normal range

$86K

12K claims · 0.4%

Your Cost: $7.02/claim|Median: $12.88
0.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$84K

945 claims · 0.4%

Your Cost: $88.56/claim|Median: $82.43
1.1× median
Z4306Normal range

$84K

1,679 claims · 0.4%

Your Cost: $49.78/claim|Median: $49.73
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$75K

618 claims · 0.4%

Your Cost: $121.50/claim|Median: $121.58
1.0× median
76827Normal range

$69K

1,256 claims · 0.3%

Your Cost: $54.67/claim|Median: $39.58
1.4× median
99223Top 10%

Initial hospital care, per day, high complexity

$66K

473 claims · 0.3%

Your Cost: $140.54/claim|Median: $67.32
2.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$54K

234 claims · 0.3%

Your Cost: $232.57/claim|Median: $293.45
0.8× median
Z4303Normal range

$45K

1,538 claims · 0.2%

Your Cost: $29.56/claim|Median: $29.71
1.0× median
Z4315Normal range

$43K

902 claims · 0.2%

Your Cost: $47.59/claim|Median: $49.79
1.0× median
99418Top 5%

$41K

397 claims · 0.2%

Your Cost: $103.92/claim|Median: $38.93
2.7× median
Z4304Normal range

$40K

756 claims · 0.2%

Your Cost: $53.35/claim|Median: $53.44
1.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$40K

653 claims · 0.2%

Your Cost: $61.18/claim|Median: $37.22
1.6× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$29K

193 claims · 0.1%

Your Cost: $152.83/claim|Median: $51.25
3.0× median
93308Normal range

$27K

435 claims · 0.1%

Your Cost: $61.39/claim|Median: $20.08
3.1× median
93224Top 1%

ECG monitoring, continuous, up to forty-eight hours, with analysis

$21K

103 claims · 0.1%

Your Cost: $202.01/claim|Median: $67.14
3.0× median
99479Top 10%

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

$19K

135 claims · 0.1%

Your Cost: $138.45/claim|Median: $103.70
1.3× median
94010Normal range

$16K

1,437 claims · 0.1%

Your Cost: $11.12/claim|Median: $18.11
0.6× median
99477Top 25%

$14K

38 claims · 0.1%

Your Cost: $376.08/claim|Median: $276.41
1.4× median
99245Normal range

Office consultation, high complexity

$14K

113 claims · 0.1%

Your Cost: $119.76/claim|Median: $143.30
0.8× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$11K

218 claims · 0.0%

Your Cost: $48.30/claim|Median: $16.77
2.9× median
Z4305Normal range

$10K

110 claims · 0.0%

Your Cost: $94.14/claim|Median: $99.36
0.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$7K

92 claims · 0.0%

Your Cost: $76.17/claim|Median: $40.11
1.9× median
93790Top 25%

$6K

344 claims · 0.0%

Your Cost: $18.29/claim|Median: $14.14
1.3× median
93227Top 25%

$6K

199 claims · 0.0%

Your Cost: $31.22/claim|Median: $18.60
1.7× median

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County of Riverside

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City & County of San Francisco

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Los Angeles County Department of Public Health

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$1.13B

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