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PLEASANT PEDIATRICS PLC

Pediatrics·PEORIA, AZ·NPI: 1477742807Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.2M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$33.2M

$33,172,198

Total Claims

876K

Beneficiaries

834K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+43%
2019
$3.2M
-5%
2020
$3.1M
+47%
2021
$4.5M
+35%
2022
$6.1M
+15%
2023
$7.0M
-2%
2024
$6.9M

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 27% of total spending.

99213Top 25%

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

$8.8M

162K claims · 26.6%

Your Cost: $54.47/claim|Median: $37.81
1.4× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$5.4M

86K claims · 16.2%

Your Cost: $62.52/claim|Median: $17.85
3.5× median
99214Top 25%

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

$5.3M

70K claims · 16.0%

Your Cost: $76.37/claim|Median: $53.41
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4.4M

57K claims · 13.2%

Your Cost: $77.00/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.1M

39K claims · 9.5%

Your Cost: $79.55/claim|Median: $75.18
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.4M

19K claims · 4.3%

Your Cost: $77.60/claim|Median: $74.82
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$729K

24K claims · 2.2%

Your Cost: $30.83/claim|Median: $25.06
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$598K

6,820 claims · 1.8%

Your Cost: $87.64/claim|Median: $80.15
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$421K

6,389 claims · 1.3%

Your Cost: $65.97/claim|Median: $62.48
1.1× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$321K

5,129 claims · 1.0%

Your Cost: $62.59/claim|Median: $37.22
1.7× median
87804Top 10%

Influenza virus detection, rapid test

$313K

11K claims · 0.9%

Your Cost: $27.28/claim|Median: $12.59
2.2× median
99177Top 10%

$217K

12K claims · 0.7%

Your Cost: $18.68/claim|Median: $3.74
5.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$185K

14K claims · 0.6%

Your Cost: $13.56/claim|Median: $11.48
1.2× median
96110Top 25%

Developmental screening, per standardized instrument

$175K

7,422 claims · 0.5%

Your Cost: $23.61/claim|Median: $9.10
2.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$175K

52K claims · 0.5%

Your Cost: $3.40/claim|Median: $6.93
0.5× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$155K

8,377 claims · 0.5%

Your Cost: $18.48/claim|Median: $9.80
1.9× median
99381Normal range

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

$126K

1,473 claims · 0.4%

Your Cost: $85.25/claim|Median: $73.46
1.2× median
99383Normal range

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

$120K

1,382 claims · 0.4%

Your Cost: $86.73/claim|Median: $81.92
1.1× median
0071ATop 5%

$89K

1,122 claims · 0.3%

Your Cost: $79.31/claim|Median: $38.71
2.0× median
0072ATop 5%

$81K

1,007 claims · 0.2%

Your Cost: $80.34/claim|Median: $39.57
2.0× median
92551Normal range

Screening audiometry, pure tone, air only

$74K

26K claims · 0.2%

Your Cost: $2.89/claim|Median: $6.61
0.4× median
99203Normal range

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

$66K

923 claims · 0.2%

Your Cost: $71.66/claim|Median: $57.85
1.2× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$66K

343 claims · 0.2%

Your Cost: $190.98/claim|Median: $144.04
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$61K

1,376 claims · 0.2%

Your Cost: $44.68/claim|Median: $39.70
1.1× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$59K

517 claims · 0.2%

Your Cost: $114.56/claim|Median: $83.63
1.4× median
99051Normal range

$53K

8,664 claims · 0.2%

Your Cost: $6.13/claim|Median: $7.89
0.8× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$50K

1,310 claims · 0.1%

Your Cost: $37.86/claim|Median: $33.85
1.1× median
99463Normal range

$47K

632 claims · 0.1%

Your Cost: $74.86/claim|Median: $78.46
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$43K

11K claims · 0.1%

Your Cost: $3.99/claim|Median: $3.67
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$42K

1,290 claims · 0.1%

Your Cost: $32.75/claim|Median: $25.93
1.3× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$39K

709 claims · 0.1%

Your Cost: $54.43/claim|Median: $36.70
1.5× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$37K

455 claims · 0.1%

Your Cost: $81.77/claim|Median: $79.89
1.0× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$37K

737 claims · 0.1%

Your Cost: $50.16/claim|Median: $33.72
1.5× median
0064ATop 5%

$35K

452 claims · 0.1%

Your Cost: $77.45/claim|Median: $34.17
2.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$31K

18K claims · 0.1%

Your Cost: $1.76/claim|Median: $7.18
0.2× median
0054ATop 5%

$26K

331 claims · 0.1%

Your Cost: $79.55/claim|Median: $35.83
2.2× median
99204Normal range

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

$18K

173 claims · 0.1%

Your Cost: $104.92/claim|Median: $84.03
1.2× median
96160Normal range

Patient-focused health risk assessment

$17K

7,073 claims · 0.1%

Your Cost: $2.37/claim|Median: $2.10
1.1× median
0003ATop 5%

COVID-19 vaccine admin, Pfizer, 3rd dose

$15K

189 claims · 0.0%

Your Cost: $79.27/claim|Median: $36.49
2.2× median
99188Normal range

$13K

1,074 claims · 0.0%

Your Cost: $12.01/claim|Median: $12.80
0.9× median
99173Normal range

$13K

24K claims · 0.0%

Your Cost: $0.53/claim|Median: $2.16
0.2× median
96380Top 25%

$9K

486 claims · 0.0%

Your Cost: $19.39/claim|Median: $16.33
1.2× median
0052ATop 5%

$9K

116 claims · 0.0%

Your Cost: $79.20/claim|Median: $37.79
2.1× median
0074ATop 5%

$8K

95 claims · 0.0%

Your Cost: $82.23/claim|Median: $39.19
2.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$7K

482 claims · 0.0%

Your Cost: $14.16/claim|Median: $10.88
1.3× median
99462Normal range

$7K

234 claims · 0.0%

Your Cost: $28.33/claim|Median: $27.49
1.0× median
90472Top 10%

Immunization administration, each additional vaccine

$6K

200 claims · 0.0%

Your Cost: $30.08/claim|Median: $11.79
2.6× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$6K

66 claims · 0.0%

Your Cost: $89.29/claim|Median: $65.64
1.4× median
0124ATop 5%

$6K

75 claims · 0.0%

Your Cost: $76.21/claim|Median: $34.32
2.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$6K

387 claims · 0.0%

Your Cost: $14.48/claim|Median: $12.93
1.1× median

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