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SWEETGRASS PEDIATRICS

Pediatrics·NORTH CHARLESTON, SC·NPI: 1437168135Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$37.0M

$37,027,648

Total Claims

821K

Beneficiaries

796K

1.0 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+6%
2019
$4.3M
+19%
2020
$5.2M
+11%
2021
$5.8M
+2%
2022
$5.9M
+8%
2023
$6.3M
-14%
2024
$5.4M

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 34% of total spending.

99213Top 25%

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

$12.6M

189K claims · 34.0%

Your Cost: $66.55/claim|Median: $37.81
1.8× median
99214Top 25%

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

$5.4M

57K claims · 14.5%

Your Cost: $94.27/claim|Median: $53.41
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$3.7M

37K claims · 10.0%

Your Cost: $99.22/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$3.5M

37K claims · 9.4%

Your Cost: $93.32/claim|Median: $69.35
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$3.0M

94K claims · 8.1%

Your Cost: $31.93/claim|Median: $17.85
1.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.2M

23K claims · 6.0%

Your Cost: $97.53/claim|Median: $74.82
1.3× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$1.2M

33K claims · 3.3%

Your Cost: $37.73/claim|Median: $6.93
5.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.1M

10K claims · 2.9%

Your Cost: $106.58/claim|Median: $80.15
1.3× median
G9153Normal range

$818K

19K claims · 2.2%

Your Cost: $43.13/claim|Median: $43.70
1.0× median
87426Top 5%

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

$571K

12K claims · 1.5%

Your Cost: $47.80/claim|Median: $30.04
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$418K

6,602 claims · 1.1%

Your Cost: $63.38/claim|Median: $63.65
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$339K

26K claims · 0.9%

Your Cost: $13.20/claim|Median: $11.48
1.2× median
99051Normal range

$318K

28K claims · 0.9%

Your Cost: $11.37/claim|Median: $7.89
1.4× median
87804Top 25%

Influenza virus detection, rapid test

$262K

9,915 claims · 0.7%

Your Cost: $26.47/claim|Median: $12.59
2.1× median
96161Top 25%

$241K

33K claims · 0.7%

Your Cost: $7.20/claim|Median: $2.49
2.9× median
G2023Normal range

Specimen collection for COVID-19 testing

$191K

9,697 claims · 0.5%

Your Cost: $19.72/claim|Median: $17.15
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$177K

27K claims · 0.5%

Your Cost: $6.69/claim|Median: $3.67
1.8× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$135K

1,542 claims · 0.4%

Your Cost: $87.63/claim|Median: $62.48
1.4× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$125K

1,240 claims · 0.3%

Your Cost: $100.54/claim|Median: $43.85
2.3× median
83655Top 25%

$121K

9,583 claims · 0.3%

Your Cost: $12.64/claim|Median: $10.49
1.2× median
87428Top 25%

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

$96K

1,621 claims · 0.3%

Your Cost: $59.46/claim|Median: $39.63
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$93K

648 claims · 0.2%

Your Cost: $142.79/claim|Median: $99.21
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$82K

2,948 claims · 0.2%

Your Cost: $27.77/claim|Median: $28.46
1.0× median
87400Top 25%

$72K

4,053 claims · 0.2%

Your Cost: $17.67/claim|Median: $8.40
2.1× median
96110Normal range

Developmental screening, per standardized instrument

$55K

7,701 claims · 0.1%

Your Cost: $7.20/claim|Median: $9.10
0.8× median
85018Top 25%

$49K

20K claims · 0.1%

Your Cost: $2.39/claim|Median: $1.71
1.4× median
99381Top 25%

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

$34K

333 claims · 0.1%

Your Cost: $102.23/claim|Median: $73.46
1.4× median
90651Normal range

HPV vaccine, 9-valent

$33K

2,626 claims · 0.1%

Your Cost: $12.40/claim|Median: $8.93
1.4× median
82465Normal range

$17K

4,647 claims · 0.0%

Your Cost: $3.73/claim|Median: $3.41
1.1× median
99462Top 25%

$12K

327 claims · 0.0%

Your Cost: $35.57/claim|Median: $27.49
1.3× median
99203Top 25%

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

$8K

84 claims · 0.0%

Your Cost: $95.52/claim|Median: $57.85
1.7× median
0072ANormal range

$7K

185 claims · 0.0%

Your Cost: $39.92/claim|Median: $39.57
1.0× median
87807Normal range

$7K

569 claims · 0.0%

Your Cost: $11.56/claim|Median: $10.06
1.1× median
0071ANormal range

$7K

169 claims · 0.0%

Your Cost: $38.83/claim|Median: $38.71
1.0× median
90670Normal range

$5K

14K claims · 0.0%

Your Cost: $0.34/claim|Median: $5.94
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$5K

110 claims · 0.0%

Your Cost: $41.94/claim|Median: $41.28
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$4K

399 claims · 0.0%

Your Cost: $11.24/claim|Median: $10.88
1.0× median
99383Top 25%

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

$4K

40 claims · 0.0%

Your Cost: $111.33/claim|Median: $81.92
1.4× median
88720Normal range

$4K

1,016 claims · 0.0%

Your Cost: $4.38/claim|Median: $3.88
1.1× median
99188Normal range

$4K

241 claims · 0.0%

Your Cost: $15.50/claim|Median: $12.80
1.2× median
94664Normal range

$3K

278 claims · 0.0%

Your Cost: $12.35/claim|Median: $8.88
1.4× median
90677Normal range

$3K

3,200 claims · 0.0%

Your Cost: $1.01/claim|Median: $12.96
0.1× median
81002Top 25%

Urinalysis, non-automated without microscopy

$3K

1,005 claims · 0.0%

Your Cost: $2.99/claim|Median: $2.00
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

13K claims · 0.0%

Your Cost: $0.18/claim|Median: $7.18
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$2K

30 claims · 0.0%

Your Cost: $72.93/claim|Median: $85.66
0.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$2K

12K claims · 0.0%

Your Cost: $0.13/claim|Median: $5.78
0.0× median
99212Top 25%

Office/outpatient visit, low complexity

$1K

38 claims · 0.0%

Your Cost: $39.06/claim|Median: $25.06
1.6× median
90680Normal range

$1K

8,522 claims · 0.0%

Your Cost: $0.16/claim|Median: $5.58
0.0× median
96380Normal range

$1K

64 claims · 0.0%

Your Cost: $16.23/claim|Median: $16.33
1.0× median
54150Normal range

$1K

13 claims · 0.0%

Your Cost: $78.87/claim|Median: $84.60
0.9× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

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$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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