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NEMOURS CHILDREN'S HEALTH, JACKSONVILLE, SPECIALTY CARE

Clinic/Center, Multi-Specialty·JACKSONVILLE, FL·NPI: 1437720414Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.6M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-06→2024-12(49 months)

Total Paid

$23.6M

$23,570,531

Total Claims

298K

Beneficiaries

258K

1.2 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$0
2021
$2.1M
+222%
2022
$6.8M
+14%
2023
$7.7M
-10%
2024
$6.9M

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 15% of total spending.

99214Top 10%

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

$3.5M

34K claims · 14.9%

Your Cost: $103.69/claim|Median: $53.41
1.9× median
99204Top 5%

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

$2.4M

11K claims · 10.3%

Your Cost: $218.52/claim|Median: $84.03
2.6× median
99213Top 25%

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

$2.3M

34K claims · 9.7%

Your Cost: $68.10/claim|Median: $37.81
1.8× median
99203Top 5%

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

$1.9M

14K claims · 8.2%

Your Cost: $139.03/claim|Median: $57.85
2.4× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$1.1M

12K claims · 4.9%

Your Cost: $91.78/claim|Median: $23.99
3.8× median
99223Top 1%

Initial hospital care, per day, high complexity

$1.1M

3,928 claims · 4.5%

Your Cost: $271.22/claim|Median: $67.32
4.0× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$930K

5,042 claims · 3.9%

Your Cost: $184.41/claim|Median: $59.72
3.1× median
99215Normal range

Office/outpatient visit, high complexity

$752K

7,191 claims · 3.2%

Your Cost: $104.57/claim|Median: $74.09
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$680K

4,281 claims · 2.9%

Your Cost: $158.87/claim|Median: $134.97
1.2× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$673K

4,136 claims · 2.9%

Your Cost: $162.80/claim|Median: $47.08
3.5× median
99233Top 1%

Subsequent hospital care, per day, high complexity

$533K

3,460 claims · 2.3%

Your Cost: $154.09/claim|Median: $35.30
4.4× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$418K

2,492 claims · 1.8%

Your Cost: $167.75/claim|Median: $121.58
1.4× median
69436Normal range

Tympanostomy, general anesthesia

$414K

1,356 claims · 1.8%

Your Cost: $305.04/claim|Median: $205.50
1.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$410K

940 claims · 1.7%

Your Cost: $436.63/claim|Median: $331.68
1.3× median
92015Top 10%

Determination of refractive state

$401K

17K claims · 1.7%

Your Cost: $23.70/claim|Median: $10.36
2.3× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$338K

3,153 claims · 1.4%

Your Cost: $107.28/claim|Median: $43.85
2.4× median
70551Normal range

MRI brain without contrast

$322K

2,879 claims · 1.4%

Your Cost: $111.94/claim|Median: $85.39
1.3× median
00170Top 25%

Anesthesia for intraoral procedures

$297K

1,200 claims · 1.3%

Your Cost: $247.68/claim|Median: $132.89
1.9× median
54161Normal range

$295K

1,008 claims · 1.3%

Your Cost: $292.60/claim|Median: $252.63
1.2× median
71046Normal range

Chest X-ray, 2 views

$285K

22K claims · 1.2%

Your Cost: $13.08/claim|Median: $8.92
1.5× median
99222Top 1%

Initial hospital care, per day, moderate complexity

$272K

1,473 claims · 1.2%

Your Cost: $184.90/claim|Median: $51.25
3.6× median
74018Normal range

$262K

18K claims · 1.1%

Your Cost: $14.53/claim|Median: $7.00
2.1× median
95819Top 1%

Electroencephalogram with sleep recording

$260K

408 claims · 1.1%

Your Cost: $638.16/claim|Median: $62.75
10.2× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$253K

2,972 claims · 1.1%

Your Cost: $85.02/claim|Median: $37.22
2.3× median
99243Top 25%

Office or other outpatient consultation, low complexity

$242K

2,271 claims · 1.0%

Your Cost: $106.60/claim|Median: $82.43
1.3× median
71045Normal range

Chest X-ray, single view

$213K

29K claims · 0.9%

Your Cost: $7.37/claim|Median: $4.93
1.5× median
92579Top 25%

$199K

3,047 claims · 0.8%

Your Cost: $65.24/claim|Median: $30.58
2.1× median
95720Top 5%

$197K

715 claims · 0.8%

Your Cost: $275.56/claim|Median: $120.95
2.3× median
90837Top 10%

Psychotherapy, 60 minutes

$147K

1,021 claims · 0.6%

Your Cost: $144.08/claim|Median: $85.66
1.7× median
70553Normal range

MRI brain without contrast, then with contrast

$138K

877 claims · 0.6%

Your Cost: $156.89/claim|Median: $133.68
1.2× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$123K

1,643 claims · 0.5%

Your Cost: $74.77/claim|Median: $37.35
2.0× median
76705Normal range

Ultrasound, abdominal, limited

$111K

3,116 claims · 0.5%

Your Cost: $35.50/claim|Median: $23.81
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$105K

516 claims · 0.4%

Your Cost: $202.88/claim|Median: $233.73
0.9× median
92567Normal range

$100K

8,583 claims · 0.4%

Your Cost: $11.71/claim|Median: $11.50
1.0× median
99217Top 5%

$100K

1,212 claims · 0.4%

Your Cost: $82.70/claim|Median: $31.89
2.6× median
92060Top 5%

$86K

1,165 claims · 0.4%

Your Cost: $73.75/claim|Median: $35.83
2.1× median
70450Normal range

CT head/brain without contrast

$76K

1,519 claims · 0.3%

Your Cost: $50.33/claim|Median: $45.53
1.1× median
99219Top 5%

$76K

439 claims · 0.3%

Your Cost: $172.24/claim|Median: $63.35
2.7× median
99220Top 5%

$61K

296 claims · 0.3%

Your Cost: $204.92/claim|Median: $73.56
2.8× median
92556Top 10%

$59K

1,117 claims · 0.3%

Your Cost: $53.06/claim|Median: $24.07
2.2× median
94010Top 25%

$58K

1,740 claims · 0.2%

Your Cost: $33.26/claim|Median: $18.11
1.8× median
01922Top 1%

$57K

117 claims · 0.2%

Your Cost: $486.74/claim|Median: $166.77
2.9× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$55K

767 claims · 0.2%

Your Cost: $71.56/claim|Median: $24.33
2.9× median
95718Top 10%

$54K

328 claims · 0.2%

Your Cost: $165.98/claim|Median: $78.85
2.1× median
73100Top 25%

$48K

1,523 claims · 0.2%

Your Cost: $31.59/claim|Median: $13.37
2.4× median
77072Normal range

$48K

2,019 claims · 0.2%

Your Cost: $23.53/claim|Median: $11.98
2.0× median
99235Top 10%

$46K

258 claims · 0.2%

Your Cost: $176.74/claim|Median: $110.13
1.6× median
74019Normal range

$41K

3,284 claims · 0.2%

Your Cost: $12.34/claim|Median: $9.82
1.3× median
92507Top 5%

Speech/hearing/language treatment

$40K

321 claims · 0.2%

Your Cost: $126.08/claim|Median: $49.45
2.5× median
72082Top 25%

$40K

640 claims · 0.2%

Your Cost: $62.86/claim|Median: $31.02
2.0× median

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