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GOLDSBORO PEDIATRICS PA

Pediatrics·GOLDSBORO, NC·NPI: 1427125269Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$61.0M

$60,977,307

Total Claims

3.1M

Beneficiaries

2.4M

1.3 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+13%
2019
$6.8M
-12%
2020
$6.0M
+52%
2021
$9.2M
+30%
2022
$11.9M
-5%
2023
$11.4M
-16%
2024
$9.6M

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 24% of total spending.

99213Top 25%

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

$14.8M

238K claims · 24.2%

Your Cost: $62.04/claim|Median: $37.81
1.6× median
99199Normal range

Unlisted special service, procedure, or report

$8.6M

1.5M claims · 14.0%

Your Cost: $5.73/claim|Median: $5.39
1.1× median
99214Top 25%

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

$6.6M

70K claims · 10.8%

Your Cost: $93.58/claim|Median: $53.41
1.8× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$4.7M

88K claims · 7.7%

Your Cost: $53.27/claim|Median: $17.85
3.0× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$4.2M

48K claims · 6.8%

Your Cost: $86.78/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$4.1M

45K claims · 6.7%

Your Cost: $90.47/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$3.0M

33K claims · 4.9%

Your Cost: $91.25/claim|Median: $74.82
1.2× median
87428Top 25%

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

$1.7M

29K claims · 2.8%

Your Cost: $59.20/claim|Median: $39.63
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.7M

17K claims · 2.7%

Your Cost: $98.04/claim|Median: $80.15
1.2× median
99401Top 10%

$1.5M

44K claims · 2.4%

Your Cost: $33.12/claim|Median: $16.53
2.0× median
90472Top 1%

Immunization administration, each additional vaccine

$1.4M

28K claims · 2.3%

Your Cost: $50.21/claim|Median: $11.79
4.3× median
90471Top 10%

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

$949K

48K claims · 1.6%

Your Cost: $19.76/claim|Median: $9.80
2.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$914K

26K claims · 1.5%

Your Cost: $34.98/claim|Median: $57.30
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$907K

97K claims · 1.5%

Your Cost: $9.33/claim|Median: $9.10
1.0× median
87426Top 25%

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

$859K

24K claims · 1.4%

Your Cost: $36.41/claim|Median: $30.04
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$587K

16K claims · 1.0%

Your Cost: $36.21/claim|Median: $25.06
1.4× median
99051Top 10%

$521K

21K claims · 0.9%

Your Cost: $24.83/claim|Median: $7.89
3.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$513K

56K claims · 0.8%

Your Cost: $9.20/claim|Median: $4.71
2.0× median
D1206Normal range

Topical application of fluoride varnish

$403K

26K claims · 0.7%

Your Cost: $15.39/claim|Median: $18.12
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$395K

5,779 claims · 0.6%

Your Cost: $68.43/claim|Median: $63.65
1.1× median
87804Normal range

Influenza virus detection, rapid test

$276K

22K claims · 0.5%

Your Cost: $12.84/claim|Median: $12.59
1.0× median
87811Top 25%

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

$240K

6,221 claims · 0.4%

Your Cost: $38.57/claim|Median: $30.53
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$215K

2,492 claims · 0.4%

Your Cost: $86.47/claim|Median: $77.33
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$200K

2,720 claims · 0.3%

Your Cost: $73.71/claim|Median: $62.48
1.2× median
83718Top 10%

HDL cholesterol, lipoprotein blood test

$186K

19K claims · 0.3%

Your Cost: $9.55/claim|Median: $6.11
1.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$175K

2,933 claims · 0.3%

Your Cost: $59.66/claim|Median: $37.22
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$172K

13K claims · 0.3%

Your Cost: $13.62/claim|Median: $11.48
1.2× median
87807Top 10%

$145K

11K claims · 0.2%

Your Cost: $13.78/claim|Median: $10.06
1.4× median
82465Top 25%

$136K

27K claims · 0.2%

Your Cost: $5.10/claim|Median: $3.41
1.5× median
83655Top 25%

$133K

9,364 claims · 0.2%

Your Cost: $14.23/claim|Median: $10.49
1.4× median
A4627Top 25%

$98K

2,361 claims · 0.2%

Your Cost: $41.59/claim|Median: $21.89
1.9× median
96161Normal range

$90K

25K claims · 0.1%

Your Cost: $3.58/claim|Median: $2.49
1.4× median
92551Normal range

Screening audiometry, pure tone, air only

$90K

69K claims · 0.1%

Your Cost: $1.30/claim|Median: $6.61
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$72K

17K claims · 0.1%

Your Cost: $4.28/claim|Median: $3.67
1.2× median
90651Normal range

HPV vaccine, 9-valent

$69K

5,531 claims · 0.1%

Your Cost: $12.40/claim|Median: $8.93
1.4× median
99173Normal range

$47K

80K claims · 0.1%

Your Cost: $0.59/claim|Median: $2.16
0.3× median
87081Normal range

Culture screening for pathogenic organisms

$47K

6,808 claims · 0.1%

Your Cost: $6.85/claim|Median: $5.09
1.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$46K

4,623 claims · 0.1%

Your Cost: $10.05/claim|Median: $5.50
1.8× median
99462Normal range

$45K

1,370 claims · 0.1%

Your Cost: $33.10/claim|Median: $27.49
1.2× median
95117Normal range

$39K

4,270 claims · 0.1%

Your Cost: $9.12/claim|Median: $8.34
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$36K

22K claims · 0.1%

Your Cost: $1.67/claim|Median: $1.48
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$36K

3,413 claims · 0.1%

Your Cost: $10.58/claim|Median: $10.88
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$33K

41K claims · 0.1%

Your Cost: $0.81/claim|Median: $7.18
0.1× median
92587Normal range

$29K

1,065 claims · 0.0%

Your Cost: $27.67/claim|Median: $19.24
1.4× median
90734Top 25%

$27K

1,655 claims · 0.0%

Your Cost: $16.11/claim|Median: $6.40
2.5× median
0071ATop 25%

$16K

332 claims · 0.0%

Your Cost: $48.38/claim|Median: $38.71
1.2× median
90688Normal range

$14K

9,316 claims · 0.0%

Your Cost: $1.50/claim|Median: $9.00
0.2× median
99215Top 25%

Office/outpatient visit, high complexity

$14K

103 claims · 0.0%

Your Cost: $134.64/claim|Median: $74.09
1.8× median
99381Top 25%

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

$12K

133 claims · 0.0%

Your Cost: $92.61/claim|Median: $73.46
1.3× median
0072ATop 25%

$11K

248 claims · 0.0%

Your Cost: $44.92/claim|Median: $39.57
1.1× median

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