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BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP

Pediatrics·HAWTHORNE, NY·NPI: 1467454967Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$53.0M

$52,954,687

Total Claims

974K

Beneficiaries

878K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$5.6M
-25%
2019
$4.2M
+16%
2020
$4.9M
+45%
2021
$7.2M
+42%
2022
$10.2M
+17%
2023
$11.9M
-25%
2024
$8.9M

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 28% of total spending.

99214Top 10%

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

$14.6M

127K claims · 27.6%

Your Cost: $114.88/claim|Median: $53.41
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$11.5M

58K claims · 21.7%

Your Cost: $197.72/claim|Median: $74.09
2.7× median
99213Top 10%

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

$6.5M

79K claims · 12.3%

Your Cost: $82.13/claim|Median: $37.81
2.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.7M

70K claims · 3.2%

Your Cost: $24.17/claim|Median: $17.85
1.4× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$1.3M

4,870 claims · 2.5%

Your Cost: $271.88/claim|Median: $111.09
2.4× median
99469Top 10%

Subsequent intensive care, very low birth weight infant

$1.3M

2,612 claims · 2.4%

Your Cost: $481.70/claim|Median: $293.45
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

11K claims · 2.1%

Your Cost: $104.39/claim|Median: $74.82
1.4× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$1.0M

7,346 claims · 1.9%

Your Cost: $139.97/claim|Median: $35.30
4.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$882K

8,437 claims · 1.7%

Your Cost: $104.57/claim|Median: $75.18
1.4× median
99204Top 5%

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

$826K

4,114 claims · 1.6%

Your Cost: $200.67/claim|Median: $84.03
2.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$816K

7,170 claims · 1.5%

Your Cost: $113.86/claim|Median: $80.15
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$806K

18K claims · 1.5%

Your Cost: $44.27/claim|Median: $39.70
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$657K

7,038 claims · 1.2%

Your Cost: $93.30/claim|Median: $69.35
1.3× median
99291Top 10%

Critical care, first 30-74 minutes

$622K

2,163 claims · 1.2%

Your Cost: $287.55/claim|Median: $101.24
2.8× median
93303Top 25%

Echocardiography, transthoracic, limited

$600K

2,879 claims · 1.1%

Your Cost: $208.27/claim|Median: $112.83
1.8× median
96112Normal range

Developmental test administration

$479K

3,183 claims · 0.9%

Your Cost: $150.55/claim|Median: $102.95
1.5× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$471K

4,281 claims · 0.9%

Your Cost: $110.11/claim|Median: $62.48
1.8× median
99468Top 5%

$456K

404 claims · 0.9%

Your Cost: $1,129.72/claim|Median: $679.18
1.7× median
94010Top 10%

$405K

11K claims · 0.8%

Your Cost: $38.01/claim|Median: $18.11
2.1× median
95812Top 10%

$390K

995 claims · 0.7%

Your Cost: $392.23/claim|Median: $104.99
3.7× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$331K

3,588 claims · 0.6%

Your Cost: $92.15/claim|Median: $37.22
2.5× median
99472Top 5%

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

$293K

561 claims · 0.6%

Your Cost: $521.90/claim|Median: $307.98
1.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$286K

3,181 claims · 0.5%

Your Cost: $89.97/claim|Median: $23.99
3.8× median
99480Top 5%

Subsequent intensive care, very low birth weight infant

$277K

1,865 claims · 0.5%

Your Cost: $148.40/claim|Median: $98.15
1.5× median
99223Top 1%

Initial hospital care, per day, high complexity

$257K

1,109 claims · 0.5%

Your Cost: $231.77/claim|Median: $67.32
3.4× median
99051Top 25%

$246K

12K claims · 0.5%

Your Cost: $20.02/claim|Median: $7.89
2.5× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$231K

973 claims · 0.4%

Your Cost: $237.75/claim|Median: $54.68
4.3× median
95004Normal range

Percutaneous allergy skin tests, each

$215K

1,568 claims · 0.4%

Your Cost: $137.29/claim|Median: $134.97
1.0× median
87804Normal range

Influenza virus detection, rapid test

$210K

17K claims · 0.4%

Your Cost: $12.70/claim|Median: $12.59
1.0× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$199K

3,721 claims · 0.4%

Your Cost: $53.36/claim|Median: $13.30
4.0× median
96160Top 25%

Patient-focused health risk assessment

$185K

36K claims · 0.3%

Your Cost: $5.17/claim|Median: $2.10
2.5× median
92587Normal range

$182K

7,595 claims · 0.3%

Your Cost: $24.02/claim|Median: $19.24
1.2× median
95720Top 10%

$178K

783 claims · 0.3%

Your Cost: $226.72/claim|Median: $120.95
1.9× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$177K

1,322 claims · 0.3%

Your Cost: $134.12/claim|Median: $43.85
3.1× median
99479Top 10%

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

$177K

1,134 claims · 0.3%

Your Cost: $156.07/claim|Median: $103.70
1.5× median
95708Normal range

$171K

562 claims · 0.3%

Your Cost: $304.28/claim|Median: $226.10
1.3× median
93320Top 25%

$159K

3,312 claims · 0.3%

Your Cost: $48.08/claim|Median: $28.68
1.7× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$152K

9,064 claims · 0.3%

Your Cost: $16.82/claim|Median: $9.70
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$138K

2,126 claims · 0.3%

Your Cost: $65.05/claim|Median: $63.65
1.0× median
99462Top 5%

$136K

2,780 claims · 0.3%

Your Cost: $48.90/claim|Median: $27.49
1.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$120K

4,011 claims · 0.2%

Your Cost: $29.93/claim|Median: $28.46
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$117K

19K claims · 0.2%

Your Cost: $6.12/claim|Median: $3.67
1.7× median
93325Normal range

$106K

4,830 claims · 0.2%

Your Cost: $22.01/claim|Median: $14.61
1.5× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$102K

601 claims · 0.2%

Your Cost: $170.34/claim|Median: $59.72
2.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$100K

16K claims · 0.2%

Your Cost: $6.39/claim|Median: $11.48
0.6× median
95700Normal range

$99K

496 claims · 0.2%

Your Cost: $200.33/claim|Median: $154.31
1.3× median
99464Top 10%

$85K

1,000 claims · 0.2%

Your Cost: $84.85/claim|Median: $59.94
1.4× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$71K

584 claims · 0.1%

Your Cost: $121.78/claim|Median: $72.71
1.7× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$68K

751 claims · 0.1%

Your Cost: $90.71/claim|Median: $22.44
4.0× median
99203Top 5%

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

$66K

463 claims · 0.1%

Your Cost: $141.80/claim|Median: $57.85
2.5× median

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Texas Children's Physician Group

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