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UNIVERSITY PEDIATRIC ASSOCIATES, INC.

Pediatrics·INDIANAPOLIS, IN·NPI: 1457396541Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$98.4M

$98,371,012

Total Claims

889K

Beneficiaries

604K

1.5 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$8.8M
-3%
2019
$8.6M
+60%
2020
$13.7M
+25%
2021
$17.1M
+4%
2022
$17.6M
+4%
2023
$18.4M
-22%
2024
$14.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 18% of total spending.

99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$17.9M

48K claims · 18.2%

Your Cost: $370.02/claim|Median: $307.98
1.2× median
99214Top 10%

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

$12.5M

116K claims · 12.7%

Your Cost: $108.38/claim|Median: $53.41
2.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$10.0M

29K claims · 10.1%

Your Cost: $340.29/claim|Median: $293.45
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$7.3M

52K claims · 7.4%

Your Cost: $138.60/claim|Median: $74.09
1.9× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$6.8M

72K claims · 6.9%

Your Cost: $94.79/claim|Median: $35.30
2.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$6.0M

56K claims · 6.1%

Your Cost: $106.31/claim|Median: $98.15
1.1× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$4.8M

43K claims · 4.9%

Your Cost: $111.57/claim|Median: $103.70
1.1× median
99204Top 10%

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

$4.4M

30K claims · 4.5%

Your Cost: $148.19/claim|Median: $84.03
1.8× median
95782Normal range

$3.3M

8,275 claims · 3.4%

Your Cost: $400.79/claim|Median: $216.35
1.9× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$3.2M

49K claims · 3.3%

Your Cost: $66.22/claim|Median: $23.99
2.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$3.0M

38K claims · 3.0%

Your Cost: $78.95/claim|Median: $54.68
1.4× median
93303Normal range

Echocardiography, transthoracic, limited

$2.6M

26K claims · 2.7%

Your Cost: $100.58/claim|Median: $112.83
0.9× median
99213Top 10%

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

$1.9M

25K claims · 1.9%

Your Cost: $77.10/claim|Median: $37.81
2.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$1.7M

9,129 claims · 1.7%

Your Cost: $188.08/claim|Median: $111.09
1.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$1.6M

5,575 claims · 1.6%

Your Cost: $288.77/claim|Median: $233.73
1.2× median
99291Top 10%

Critical care, first 30-74 minutes

$1.0M

4,353 claims · 1.1%

Your Cost: $241.13/claim|Median: $101.24
2.4× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$869K

13K claims · 0.9%

Your Cost: $67.86/claim|Median: $37.22
1.8× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$745K

6,060 claims · 0.8%

Your Cost: $122.96/claim|Median: $51.25
2.4× median
93320Normal range

$709K

28K claims · 0.7%

Your Cost: $25.39/claim|Median: $28.68
0.9× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$708K

6,528 claims · 0.7%

Your Cost: $108.45/claim|Median: $43.85
2.5× median
94375Normal range

$523K

23K claims · 0.5%

Your Cost: $22.32/claim|Median: $17.23
1.3× median
99223Top 5%

Initial hospital care, per day, high complexity

$473K

2,866 claims · 0.5%

Your Cost: $165.16/claim|Median: $67.32
2.5× median
99468Normal range

$433K

722 claims · 0.4%

Your Cost: $599.46/claim|Median: $679.18
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$426K

3,758 claims · 0.4%

Your Cost: $113.49/claim|Median: $99.21
1.1× median
99417Normal range

$424K

13K claims · 0.4%

Your Cost: $33.52/claim|Median: $34.90
1.0× median
95004Normal range

Percutaneous allergy skin tests, each

$397K

5,334 claims · 0.4%

Your Cost: $74.38/claim|Median: $134.97
0.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$369K

4,251 claims · 0.4%

Your Cost: $86.89/claim|Median: $62.48
1.4× median
99477Normal range

$350K

1,293 claims · 0.4%

Your Cost: $270.52/claim|Median: $276.41
1.0× median
93325Normal range

$327K

44K claims · 0.3%

Your Cost: $7.50/claim|Median: $14.61
0.5× median
93010Top 25%

Electrocardiogram, interpretation and report only

$320K

40K claims · 0.3%

Your Cost: $8.03/claim|Median: $5.60
1.4× median
76825Normal range

$267K

2,909 claims · 0.3%

Your Cost: $91.72/claim|Median: $103.74
0.9× median
99217Top 10%

$203K

3,419 claims · 0.2%

Your Cost: $59.28/claim|Median: $31.89
1.9× median
99203Normal range

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

$196K

2,578 claims · 0.2%

Your Cost: $75.87/claim|Median: $57.85
1.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$191K

14K claims · 0.2%

Your Cost: $13.21/claim|Median: $9.70
1.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$188K

596 claims · 0.2%

Your Cost: $314.71/claim|Median: $151.68
2.1× median
64642Normal range

$171K

2,001 claims · 0.2%

Your Cost: $85.36/claim|Median: $81.85
1.0× median
99219Top 10%

$169K

1,547 claims · 0.2%

Your Cost: $109.15/claim|Median: $63.35
1.7× median
93304Normal range

$132K

2,583 claims · 0.1%

Your Cost: $51.04/claim|Median: $54.29
0.9× median
64643Normal range

$125K

1,552 claims · 0.1%

Your Cost: $80.51/claim|Median: $58.21
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$118K

1,728 claims · 0.1%

Your Cost: $68.56/claim|Median: $41.28
1.7× median
95251Top 10%

$112K

3,578 claims · 0.1%

Your Cost: $31.36/claim|Median: $18.02
1.7× median
99471Normal range

$102K

144 claims · 0.1%

Your Cost: $705.23/claim|Median: $680.99
1.0× median
96112Normal range

Developmental test administration

$98K

844 claims · 0.1%

Your Cost: $115.88/claim|Median: $102.95
1.1× median
76827Normal range

$87K

2,908 claims · 0.1%

Your Cost: $29.76/claim|Median: $39.58
0.8× median
93784Normal range

$76K

1,561 claims · 0.1%

Your Cost: $48.74/claim|Median: $38.61
1.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$74K

9,202 claims · 0.1%

Your Cost: $8.09/claim|Median: $5.50
1.5× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$70K

2,285 claims · 0.1%

Your Cost: $30.48/claim|Median: $16.77
1.8× median
96040Normal range

$55K

1,239 claims · 0.1%

Your Cost: $44.52/claim|Median: $32.05
1.4× median
99292Top 25%

$52K

517 claims · 0.1%

Your Cost: $100.54/claim|Median: $57.64
1.7× median
93308Normal range

$52K

2,072 claims · 0.1%

Your Cost: $24.89/claim|Median: $20.08
1.2× median

Other Top Providers in Indiana

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Bowen Health INC

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Centerstone of Indiana, Inc.

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$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

Psychiatric Unit

$231.5M

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Phoenix Children's Hospital

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Texas Children's Physician Group

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