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THOMASVILLE-ARCHDALE PEDIATRICS, PLLC

Pediatrics·THOMASVILLE, NC·NPI: 1427018894Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.9M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$41.9M

$41,910,809

Total Claims

1.8M

Beneficiaries

1.4M

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+27%
2019
$5.2M
-25%
2020
$3.9M
+49%
2021
$5.9M
+29%
2022
$7.6M
-4%
2023
$7.2M
+10%
2024
$8.0M

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 28% of total spending.

99213Top 25%

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

$11.7M

188K claims · 28.0%

Your Cost: $62.54/claim|Median: $37.81
1.7× median
99214Top 25%

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

$7.1M

78K claims · 17.0%

Your Cost: $92.01/claim|Median: $53.41
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$6.0M

948K claims · 14.2%

Your Cost: $6.30/claim|Median: $5.39
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.6M

28K claims · 6.1%

Your Cost: $92.66/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.3M

25K claims · 5.4%

Your Cost: $91.66/claim|Median: $74.82
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.1M

24K claims · 5.0%

Your Cost: $87.40/claim|Median: $69.35
1.3× median
90471Top 10%

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

$1.8M

91K claims · 4.3%

Your Cost: $19.59/claim|Median: $9.80
2.0× median
90472Top 10%

Immunization administration, each additional vaccine

$1.5M

51K claims · 3.7%

Your Cost: $30.11/claim|Median: $11.79
2.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.5M

15K claims · 3.5%

Your Cost: $99.27/claim|Median: $80.15
1.2× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$794K

5,817 claims · 1.9%

Your Cost: $136.44/claim|Median: $97.61
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$685K

23K claims · 1.6%

Your Cost: $29.20/claim|Median: $28.46
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$597K

12K claims · 1.4%

Your Cost: $48.53/claim|Median: $39.70
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$466K

13K claims · 1.1%

Your Cost: $35.72/claim|Median: $57.30
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$433K

45K claims · 1.0%

Your Cost: $9.54/claim|Median: $9.10
1.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$358K

39K claims · 0.9%

Your Cost: $9.22/claim|Median: $4.71
2.0× median
87276Top 25%

$210K

15K claims · 0.5%

Your Cost: $13.59/claim|Median: $11.29
1.2× median
87275Top 10%

$209K

15K claims · 0.5%

Your Cost: $13.57/claim|Median: $10.59
1.3× median
D1206Normal range

Topical application of fluoride varnish

$206K

13K claims · 0.5%

Your Cost: $15.76/claim|Median: $18.12
0.9× median
90474Top 10%

$154K

7,887 claims · 0.4%

Your Cost: $19.48/claim|Median: $8.42
2.3× median
99050Top 25%

$144K

5,657 claims · 0.3%

Your Cost: $25.44/claim|Median: $11.81
2.2× median
99215Top 25%

Office/outpatient visit, high complexity

$125K

1,034 claims · 0.3%

Your Cost: $120.92/claim|Median: $74.09
1.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$120K

28K claims · 0.3%

Your Cost: $4.36/claim|Median: $3.67
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$102K

7,468 claims · 0.2%

Your Cost: $13.59/claim|Median: $11.48
1.2× median
99070Normal range

$82K

9,349 claims · 0.2%

Your Cost: $8.81/claim|Median: $8.08
1.1× median
90651Normal range

HPV vaccine, 9-valent

$78K

4,429 claims · 0.2%

Your Cost: $17.67/claim|Median: $8.93
2.0× median
54150Top 5%

$72K

228 claims · 0.2%

Your Cost: $315.56/claim|Median: $84.60
3.7× median
80061Top 10%

Lipid panel

$38K

2,365 claims · 0.1%

Your Cost: $16.01/claim|Median: $8.41
1.9× median
96161Normal range

$35K

9,919 claims · 0.1%

Your Cost: $3.58/claim|Median: $2.49
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$35K

1,954 claims · 0.1%

Your Cost: $18.14/claim|Median: $12.93
1.4× median
87070Top 25%

Bacterial culture, any source except blood or urine

$35K

3,409 claims · 0.1%

Your Cost: $10.24/claim|Median: $5.89
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$32K

25K claims · 0.1%

Your Cost: $1.29/claim|Median: $7.18
0.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$25K

1,414 claims · 0.1%

Your Cost: $17.66/claim|Median: $9.56
1.8× median
92551Normal range

Screening audiometry, pure tone, air only

$23K

16K claims · 0.1%

Your Cost: $1.40/claim|Median: $6.61
0.2× median
99051Top 10%

$22K

869 claims · 0.1%

Your Cost: $25.16/claim|Median: $7.89
3.2× median
87426Normal range

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

$20K

574 claims · 0.0%

Your Cost: $34.03/claim|Median: $30.04
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$18K

499 claims · 0.0%

Your Cost: $36.35/claim|Median: $25.06
1.5× median
99173Normal range

$16K

24K claims · 0.0%

Your Cost: $0.68/claim|Median: $2.16
0.3× median
90734Top 25%

$16K

770 claims · 0.0%

Your Cost: $20.25/claim|Median: $6.40
3.2× median
0072ATop 25%

$16K

310 claims · 0.0%

Your Cost: $50.05/claim|Median: $39.57
1.3× median
99401Top 25%

$15K

530 claims · 0.0%

Your Cost: $28.80/claim|Median: $16.53
1.7× median
0071ATop 10%

$15K

291 claims · 0.0%

Your Cost: $50.88/claim|Median: $38.71
1.3× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$15K

285 claims · 0.0%

Your Cost: $51.13/claim|Median: $33.72
1.5× median
87807Top 25%

$13K

953 claims · 0.0%

Your Cost: $13.75/claim|Median: $10.06
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$11K

247 claims · 0.0%

Your Cost: $43.97/claim|Median: $36.70
1.2× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$10K

826 claims · 0.0%

Your Cost: $11.60/claim|Median: $5.50
2.1× median
90620Top 25%

$10K

377 claims · 0.0%

Your Cost: $25.26/claim|Median: $6.49
3.9× median
87086Top 25%

Urine culture, colony count, with identification

$9K

910 claims · 0.0%

Your Cost: $9.66/claim|Median: $5.31
1.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$9K

869 claims · 0.0%

Your Cost: $10.04/claim|Median: $10.88
0.9× median
83655Top 10%

$7K

504 claims · 0.0%

Your Cost: $14.74/claim|Median: $10.49
1.4× median
90619Normal range

$7K

1,485 claims · 0.0%

Your Cost: $4.82/claim|Median: $8.36
0.6× median

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