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COUNTY OF MONTEREY

Pediatrics·SALINAS, CA·NPI: 1457303356Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $32.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$32.0M

$31,975,482

Total Claims

718K

Beneficiaries

678K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$5.3M
-2%
2019
$5.2M
-13%
2020
$4.6M
-2%
2021
$4.5M
-20%
2022
$3.6M
+28%
2023
$4.6M
-8%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 75% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$24.1M

182K claims · 75.3%

Your Cost: $132.47/claim|Median: $121.16
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.2M

25K claims · 3.6%

Your Cost: $46.36/claim|Median: $74.82
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

25K claims · 3.2%

Your Cost: $41.20/claim|Median: $75.18
0.5× median
99213Normal range

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

$932K

173K claims · 2.9%

Your Cost: $5.39/claim|Median: $37.81
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$817K

14K claims · 2.6%

Your Cost: $56.67/claim|Median: $80.15
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$616K

17K claims · 1.9%

Your Cost: $36.98/claim|Median: $69.35
0.5× median
92551Top 5%

Screening audiometry, pure tone, air only

$552K

27K claims · 1.7%

Your Cost: $20.11/claim|Median: $6.61
3.0× median
G9920Top 5%

$411K

9,940 claims · 1.3%

Your Cost: $41.33/claim|Median: $6.56
6.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$352K

27K claims · 1.1%

Your Cost: $13.16/claim|Median: $7.18
1.8× median
99214Normal range

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

$205K

23K claims · 0.6%

Your Cost: $9.07/claim|Median: $53.41
0.2× median
99173Top 25%

$171K

27K claims · 0.5%

Your Cost: $6.24/claim|Median: $2.16
2.9× median
90670Top 25%

$117K

9,040 claims · 0.4%

Your Cost: $12.92/claim|Median: $5.94
2.2× median
90648Top 25%

$114K

8,976 claims · 0.4%

Your Cost: $12.74/claim|Median: $4.08
3.1× median
85018Normal range

$97K

43K claims · 0.3%

Your Cost: $2.25/claim|Median: $1.71
1.3× median
90651Normal range

HPV vaccine, 9-valent

$85K

6,109 claims · 0.3%

Your Cost: $13.85/claim|Median: $8.93
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$84K

912 claims · 0.3%

Your Cost: $91.96/claim|Median: $108.91
0.8× median
90633Top 25%

$82K

6,414 claims · 0.3%

Your Cost: $12.74/claim|Median: $3.56
3.6× median
90723Top 25%

DTaP-HepB-IPV vaccine

$76K

6,003 claims · 0.2%

Your Cost: $12.72/claim|Median: $5.78
2.2× median
90680Top 25%

$75K

5,855 claims · 0.2%

Your Cost: $12.77/claim|Median: $5.58
2.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$66K

2,204 claims · 0.2%

Your Cost: $30.01/claim|Median: $39.70
0.8× median
90710Normal range

MMRV vaccine

$50K

3,291 claims · 0.2%

Your Cost: $15.32/claim|Median: $7.00
2.2× median
G0442Top 5%

$48K

1,927 claims · 0.1%

Your Cost: $24.73/claim|Median: $4.91
5.0× median
90716Top 25%

$47K

3,323 claims · 0.1%

Your Cost: $14.10/claim|Median: $6.18
2.3× median
90734Normal range

$47K

3,479 claims · 0.1%

Your Cost: $13.39/claim|Median: $6.40
2.1× median
90715Normal range

Tdap vaccine

$44K

3,342 claims · 0.1%

Your Cost: $13.23/claim|Median: $10.32
1.3× median
90696Top 25%

DTaP-IPV vaccine

$44K

3,326 claims · 0.1%

Your Cost: $13.14/claim|Median: $5.95
2.2× median
90707Normal range

MMR vaccine

$41K

3,121 claims · 0.1%

Your Cost: $13.06/claim|Median: $5.76
2.3× median
90620Normal range

$40K

2,862 claims · 0.1%

Your Cost: $13.85/claim|Median: $6.49
2.1× median
90700Top 25%

$37K

2,926 claims · 0.1%

Your Cost: $12.73/claim|Median: $4.56
2.8× median
99212Normal range

Office/outpatient visit, low complexity

$34K

14K claims · 0.1%

Your Cost: $2.53/claim|Median: $25.06
0.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$29K

3,594 claims · 0.1%

Your Cost: $8.14/claim|Median: $11.48
0.7× median
87804Normal range

Influenza virus detection, rapid test

$25K

2,640 claims · 0.1%

Your Cost: $9.60/claim|Median: $12.59
0.8× median
99203Normal range

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

$25K

777 claims · 0.1%

Your Cost: $32.36/claim|Median: $57.85
0.6× median
99188Top 25%

$25K

1,091 claims · 0.1%

Your Cost: $22.68/claim|Median: $12.80
1.8× median
90697Normal range

$23K

1,664 claims · 0.1%

Your Cost: $14.06/claim|Median: $7.24
1.9× median
90619Normal range

$22K

1,590 claims · 0.1%

Your Cost: $13.86/claim|Median: $8.36
1.7× median
90677Normal range

$21K

1,179 claims · 0.1%

Your Cost: $17.55/claim|Median: $12.96
1.4× median
90656Normal range

$20K

1,368 claims · 0.1%

Your Cost: $14.73/claim|Median: $8.67
1.7× median
90688Normal range

$17K

1,241 claims · 0.1%

Your Cost: $13.86/claim|Median: $9.00
1.5× median
99381Normal range

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

$17K

226 claims · 0.1%

Your Cost: $75.42/claim|Median: $73.46
1.0× median
86580Normal range

Tuberculosis (TB) skin test

$17K

3,583 claims · 0.1%

Your Cost: $4.73/claim|Median: $4.46
1.1× median
83655Top 25%

$16K

1,208 claims · 0.1%

Your Cost: $13.61/claim|Median: $10.49
1.3× median
H0049Top 25%

$14K

377 claims · 0.0%

Your Cost: $35.81/claim|Median: $9.27
3.9× median
0082ATop 5%

$13K

196 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.88
1.7× median
90685Top 25%

$13K

765 claims · 0.0%

Your Cost: $17.04/claim|Median: $5.96
2.9× median
90681Top 25%

$13K

941 claims · 0.0%

Your Cost: $13.42/claim|Median: $5.74
2.3× median
99215Normal range

Office/outpatient visit, high complexity

$11K

294 claims · 0.0%

Your Cost: $36.37/claim|Median: $74.09
0.5× median
99000Normal range

$10K

2,847 claims · 0.0%

Your Cost: $3.67/claim|Median: $2.30
1.6× median
87811Normal range

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

$10K

333 claims · 0.0%

Your Cost: $29.44/claim|Median: $30.53
1.0× median
0072ATop 5%

$9K

130 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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$406.5M

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$201.3M

Children's Specialized Hospital

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$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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