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BANNER CHILDRENS BANNER HEALTH CLINIC LLC

Clinic/Center, Primary Care·PHOENIX, AZ·NPI: 1407191216Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.7M

$29,688,149

Total Claims

601K

Beneficiaries

571K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-3%
2019
$3.2M
-3%
2020
$3.1M
+48%
2021
$4.6M
+20%
2022
$5.5M
-1%
2023
$5.5M
-20%
2024
$4.4M

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 26% of total spending.

99214Top 25%

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

$7.6M

91K claims · 25.5%

Your Cost: $83.36/claim|Median: $53.41
1.6× median
99213Top 25%

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

$6.3M

108K claims · 21.2%

Your Cost: $58.35/claim|Median: $37.81
1.5× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$3.8M

87K claims · 12.9%

Your Cost: $44.15/claim|Median: $17.85
2.5× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$3.3M

39K claims · 11.1%

Your Cost: $85.46/claim|Median: $69.35
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$3.0M

33K claims · 10.2%

Your Cost: $91.11/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.0M

22K claims · 6.7%

Your Cost: $91.27/claim|Median: $74.82
1.2× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$1.1M

29K claims · 3.7%

Your Cost: $36.82/claim|Median: $6.93
5.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$798K

8,018 claims · 2.7%

Your Cost: $99.54/claim|Median: $80.15
1.2× median
90471Top 25%

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

$324K

17K claims · 1.1%

Your Cost: $18.63/claim|Median: $9.80
1.9× median
99381Top 25%

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

$283K

2,927 claims · 1.0%

Your Cost: $96.56/claim|Median: $73.46
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$278K

7,482 claims · 0.9%

Your Cost: $37.10/claim|Median: $25.06
1.5× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$209K

13K claims · 0.7%

Your Cost: $16.62/claim|Median: $11.48
1.4× median
87428Top 25%

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

$184K

2,904 claims · 0.6%

Your Cost: $63.19/claim|Median: $39.63
1.6× median
90472Top 25%

Immunization administration, each additional vaccine

$179K

6,274 claims · 0.6%

Your Cost: $28.56/claim|Median: $11.79
2.4× median
96110Top 10%

Developmental screening, per standardized instrument

$74K

2,951 claims · 0.2%

Your Cost: $25.14/claim|Median: $9.10
2.8× median
92551Normal range

Screening audiometry, pure tone, air only

$61K

11K claims · 0.2%

Your Cost: $5.61/claim|Median: $6.61
0.8× median
99383Top 25%

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

$53K

506 claims · 0.2%

Your Cost: $104.04/claim|Median: $81.92
1.3× median
87804Top 25%

Influenza virus detection, rapid test

$24K

1,309 claims · 0.1%

Your Cost: $18.04/claim|Median: $12.59
1.4× median
99173Normal range

$19K

12K claims · 0.1%

Your Cost: $1.52/claim|Median: $2.16
0.7× median
90474Top 25%

$18K

1,058 claims · 0.1%

Your Cost: $17.24/claim|Median: $8.42
2.0× median
0071ATop 5%

$15K

190 claims · 0.0%

Your Cost: $76.72/claim|Median: $38.71
2.0× median
87426Normal range

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

$14K

392 claims · 0.0%

Your Cost: $35.38/claim|Median: $30.04
1.2× median
0072ATop 5%

$12K

153 claims · 0.0%

Your Cost: $75.38/claim|Median: $39.57
1.9× median
99204Top 25%

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

$9K

75 claims · 0.0%

Your Cost: $119.39/claim|Median: $84.03
1.4× median
99174Normal range

$9K

1,601 claims · 0.0%

Your Cost: $5.53/claim|Median: $5.27
1.0× median
99203Normal range

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

$7K

94 claims · 0.0%

Your Cost: $77.53/claim|Median: $57.85
1.3× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$6K

56 claims · 0.0%

Your Cost: $102.74/claim|Median: $79.89
1.3× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$5K

63 claims · 0.0%

Your Cost: $84.00/claim|Median: $32.55
2.6× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$3K

3,082 claims · 0.0%

Your Cost: $1.05/claim|Median: $0.79
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$3K

27 claims · 0.0%

Your Cost: $114.00/claim|Median: $74.09
1.5× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$3K

168 claims · 0.0%

Your Cost: $18.03/claim|Median: $10.88
1.7× median
90473Top 10%

Immunization admin, intranasal, first

$2K

115 claims · 0.0%

Your Cost: $18.84/claim|Median: $9.17
2.1× median
96161Normal range

$2K

698 claims · 0.0%

Your Cost: $2.77/claim|Median: $2.49
1.1× median
94664Top 25%

$2K

109 claims · 0.0%

Your Cost: $16.76/claim|Median: $8.88
1.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$2K

62 claims · 0.0%

Your Cost: $25.33/claim|Median: $9.56
2.6× median
90670Normal range

$2K

14K claims · 0.0%

Your Cost: $0.11/claim|Median: $5.94
0.0× median
90671Normal range

$1K

1,050 claims · 0.0%

Your Cost: $1.34/claim|Median: $8.59
0.2× median
81003Normal range

Urinalysis, automated without microscopy

$1K

701 claims · 0.0%

Your Cost: $1.96/claim|Median: $1.48
1.3× median
87807Top 25%

$997

75 claims · 0.0%

Your Cost: $13.30/claim|Median: $10.06
1.3× median
96380Normal range

$775

44 claims · 0.0%

Your Cost: $17.62/claim|Median: $16.33
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$723

20K claims · 0.0%

Your Cost: $0.04/claim|Median: $7.18
0.0× median
90480Normal range

$697

27 claims · 0.0%

Your Cost: $25.80/claim|Median: $25.29
1.0× median
99051Normal range

$665

53 claims · 0.0%

Your Cost: $12.54/claim|Median: $7.89
1.6× median
87420Top 25%

$461

33 claims · 0.0%

Your Cost: $13.98/claim|Median: $9.78
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$444

93 claims · 0.0%

Your Cost: $4.77/claim|Median: $3.67
1.3× median
85018Top 25%

$439

163 claims · 0.0%

Your Cost: $2.69/claim|Median: $1.71
1.6× median
90698Normal range

$336

11K claims · 0.0%

Your Cost: $0.03/claim|Median: $6.32
0.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$282

31 claims · 0.0%

Your Cost: $9.08/claim|Median: $13.30
0.7× median
99177Normal range

$243

53 claims · 0.0%

Your Cost: $4.59/claim|Median: $3.74
1.2× median
90621Normal range

$240

51 claims · 0.0%

Your Cost: $4.70/claim|Median: $7.66
0.6× median

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