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ABC PEDIATRICS OF DUNN, PA

Specialist·DUNN, NC·NPI: 1417061011Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.1M

$28,099,287

Total Claims

1.3M

Beneficiaries

994K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-4%
2019
$2.8M
-2%
2020
$2.7M
+61%
2021
$4.4M
+37%
2022
$6.0M
-13%
2023
$5.2M
-20%
2024
$4.1M

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 21% of total spending.

99213Top 25%

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

$5.8M

103K claims · 20.5%

Your Cost: $56.12/claim|Median: $37.81
1.5× median
99214Top 25%

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

$3.4M

41K claims · 12.1%

Your Cost: $82.28/claim|Median: $53.41
1.5× median
99199Normal range

Unlisted special service, procedure, or report

$2.9M

489K claims · 10.4%

Your Cost: $5.99/claim|Median: $5.39
1.1× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$2.4M

18K claims · 8.5%

Your Cost: $130.84/claim|Median: $91.47
1.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.3M

9,770 claims · 4.6%

Your Cost: $133.05/claim|Median: $100.62
1.3× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$940K

3,934 claims · 3.3%

Your Cost: $239.07/claim|Median: $144.04
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$920K

11K claims · 3.3%

Your Cost: $81.89/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$908K

12K claims · 3.2%

Your Cost: $78.35/claim|Median: $69.35
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$866K

14K claims · 3.1%

Your Cost: $63.06/claim|Median: $65.64
1.0× median
99401Top 25%

$862K

29K claims · 3.1%

Your Cost: $29.63/claim|Median: $16.53
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$747K

13K claims · 2.7%

Your Cost: $59.62/claim|Median: $63.65
0.9× median
90472Top 5%

Immunization administration, each additional vaccine

$735K

21K claims · 2.6%

Your Cost: $35.39/claim|Median: $11.79
3.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$724K

8,787 claims · 2.6%

Your Cost: $82.34/claim|Median: $74.82
1.1× median
90471Top 25%

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

$672K

36K claims · 2.4%

Your Cost: $18.49/claim|Median: $9.80
1.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$510K

5,780 claims · 1.8%

Your Cost: $88.23/claim|Median: $80.15
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$482K

36K claims · 1.7%

Your Cost: $13.30/claim|Median: $11.48
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$467K

66K claims · 1.7%

Your Cost: $7.02/claim|Median: $4.71
1.5× median
86328Top 25%

$378K

9,852 claims · 1.3%

Your Cost: $38.42/claim|Median: $20.52
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$292K

3,953 claims · 1.0%

Your Cost: $73.94/claim|Median: $63.08
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$244K

5,397 claims · 0.9%

Your Cost: $45.25/claim|Median: $39.70
1.1× median
87081Normal range

Culture screening for pathogenic organisms

$224K

34K claims · 0.8%

Your Cost: $6.69/claim|Median: $5.09
1.3× median
95004Top 25%

Percutaneous allergy skin tests, each

$220K

993 claims · 0.8%

Your Cost: $221.64/claim|Median: $134.97
1.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$151K

1,923 claims · 0.5%

Your Cost: $78.53/claim|Median: $77.33
1.0× median
96112Normal range

Developmental test administration

$140K

1,278 claims · 0.5%

Your Cost: $109.19/claim|Median: $102.95
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$136K

1,301 claims · 0.5%

Your Cost: $104.78/claim|Median: $99.21
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$129K

15K claims · 0.5%

Your Cost: $8.72/claim|Median: $9.10
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$108K

3,195 claims · 0.4%

Your Cost: $33.72/claim|Median: $25.06
1.3× median
82465Top 25%

$106K

22K claims · 0.4%

Your Cost: $4.78/claim|Median: $3.41
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$103K

2,389 claims · 0.4%

Your Cost: $42.92/claim|Median: $41.28
1.0× median
87634Normal range

$73K

2,530 claims · 0.3%

Your Cost: $28.89/claim|Median: $48.78
0.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$69K

2,153 claims · 0.2%

Your Cost: $32.28/claim|Median: $57.30
0.6× median
95117Normal range

$69K

7,440 claims · 0.2%

Your Cost: $9.26/claim|Median: $8.34
1.1× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$68K

1,095 claims · 0.2%

Your Cost: $62.26/claim|Median: $32.55
1.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$61K

3,201 claims · 0.2%

Your Cost: $18.92/claim|Median: $15.76
1.2× median
90474Top 10%

$60K

3,105 claims · 0.2%

Your Cost: $19.37/claim|Median: $8.42
2.3× median
99051Top 10%

$53K

2,126 claims · 0.2%

Your Cost: $24.71/claim|Median: $7.89
3.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$49K

1,828 claims · 0.2%

Your Cost: $26.78/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$49K

1,825 claims · 0.2%

Your Cost: $26.67/claim|Median: $24.95
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$48K

12K claims · 0.2%

Your Cost: $4.02/claim|Median: $3.67
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$47K

24K claims · 0.2%

Your Cost: $1.95/claim|Median: $6.61
0.3× median
80053Normal range

Comprehensive metabolic panel

$44K

4,548 claims · 0.2%

Your Cost: $9.75/claim|Median: $7.24
1.3× median
96160Normal range

Patient-focused health risk assessment

$44K

20K claims · 0.2%

Your Cost: $2.14/claim|Median: $2.10
1.0× median
90651Top 25%

HPV vaccine, 9-valent

$40K

1,761 claims · 0.1%

Your Cost: $22.73/claim|Median: $8.93
2.5× median
0240UTop 25%

$37K

281 claims · 0.1%

Your Cost: $129.96/claim|Median: $89.76
1.4× median
81003Normal range

Urinalysis, automated without microscopy

$35K

23K claims · 0.1%

Your Cost: $1.52/claim|Median: $1.48
1.0× median
96111Normal range

$33K

324 claims · 0.1%

Your Cost: $101.16/claim|Median: $86.72
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$32K

4,726 claims · 0.1%

Your Cost: $6.83/claim|Median: $5.60
1.2× median
D1206Normal range

Topical application of fluoride varnish

$31K

2,165 claims · 0.1%

Your Cost: $14.27/claim|Median: $18.12
0.8× median
80305Top 10%

$25K

1,991 claims · 0.1%

Your Cost: $12.46/claim|Median: $7.44
1.7× median
83655Top 25%

$23K

1,768 claims · 0.1%

Your Cost: $12.88/claim|Median: $10.49
1.2× median

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