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VIP MIDSOUTH, LLC

Pediatrics·GALLATIN, TN·NPI: 1487737912Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.5M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$30.5M

$30,475,285

Total Claims

873K

Beneficiaries

787K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+9%
2019
$5.1M
-15%
2020
$4.3M
+12%
2021
$4.9M
-21%
2022
$3.9M
-8%
2023
$3.6M
+15%
2024
$4.1M

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 42% of total spending.

99213Top 25%

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

$12.7M

234K claims · 41.6%

Your Cost: $54.28/claim|Median: $37.81
1.4× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$4.0M

81K claims · 13.1%

Your Cost: $49.22/claim|Median: $17.85
2.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.9M

36K claims · 9.6%

Your Cost: $80.76/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.9M

33K claims · 9.4%

Your Cost: $86.93/claim|Median: $75.18
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.7M

20K claims · 5.6%

Your Cost: $85.68/claim|Median: $74.82
1.1× median
99214Top 25%

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

$1.5M

19K claims · 4.9%

Your Cost: $79.66/claim|Median: $53.41
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$610K

21K claims · 2.0%

Your Cost: $29.00/claim|Median: $28.46
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$603K

6,434 claims · 2.0%

Your Cost: $93.79/claim|Median: $80.15
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$595K

46K claims · 2.0%

Your Cost: $13.01/claim|Median: $11.48
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$595K

8,240 claims · 2.0%

Your Cost: $72.18/claim|Median: $65.64
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$394K

8,502 claims · 1.3%

Your Cost: $46.30/claim|Median: $39.70
1.2× median
87804Normal range

Influenza virus detection, rapid test

$343K

26K claims · 1.1%

Your Cost: $13.13/claim|Median: $12.59
1.0× median
90471Top 25%

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

$261K

18K claims · 0.9%

Your Cost: $14.81/claim|Median: $9.80
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$203K

23K claims · 0.7%

Your Cost: $8.87/claim|Median: $6.61
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$169K

4,973 claims · 0.6%

Your Cost: $34.04/claim|Median: $25.06
1.4× median
96110Top 25%

Developmental screening, per standardized instrument

$158K

9,170 claims · 0.5%

Your Cost: $17.25/claim|Median: $9.10
1.9× median
99173Top 25%

$143K

26K claims · 0.5%

Your Cost: $5.43/claim|Median: $2.16
2.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$127K

3,897 claims · 0.4%

Your Cost: $32.58/claim|Median: $30.04
1.1× median
96160Top 25%

Patient-focused health risk assessment

$94K

8,290 claims · 0.3%

Your Cost: $11.30/claim|Median: $2.10
5.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$63K

14K claims · 0.2%

Your Cost: $4.63/claim|Median: $3.67
1.3× median
3008FNormal range

$62K

69K claims · 0.2%

Your Cost: $0.91/claim|Median: $0.06
15.2× median
87428Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$57K

977 claims · 0.2%

Your Cost: $58.11/claim|Median: $39.63
1.5× median
90670Normal range

$48K

19K claims · 0.2%

Your Cost: $2.50/claim|Median: $5.94
0.4× median
36416Normal range

$38K

27K claims · 0.1%

Your Cost: $1.40/claim|Median: $1.31
1.1× median
83655Top 25%

$26K

2,131 claims · 0.1%

Your Cost: $12.15/claim|Median: $10.49
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

31K claims · 0.1%

Your Cost: $0.67/claim|Median: $7.18
0.1× median
90651Normal range

HPV vaccine, 9-valent

$21K

1,468 claims · 0.1%

Your Cost: $14.36/claim|Median: $8.93
1.6× median
90677Normal range

$20K

3,518 claims · 0.1%

Your Cost: $5.57/claim|Median: $12.96
0.4× median
92583Normal range

$16K

455 claims · 0.1%

Your Cost: $35.59/claim|Median: $27.53
1.3× median
85018Top 25%

$15K

5,864 claims · 0.1%

Your Cost: $2.63/claim|Median: $1.71
1.5× median
99174Top 25%

$15K

1,546 claims · 0.1%

Your Cost: $9.90/claim|Median: $5.27
1.9× median
D1206Normal range

Topical application of fluoride varnish

$13K

732 claims · 0.0%

Your Cost: $17.83/claim|Median: $18.12
1.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$12K

13K claims · 0.0%

Your Cost: $0.94/claim|Median: $5.78
0.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$8K

136 claims · 0.0%

Your Cost: $58.41/claim|Median: $37.22
1.6× median
D0190Normal range

$8K

732 claims · 0.0%

Your Cost: $10.67/claim|Median: $12.78
0.8× median
90680Normal range

$8K

9,647 claims · 0.0%

Your Cost: $0.81/claim|Median: $5.58
0.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$8K

115 claims · 0.0%

Your Cost: $65.31/claim|Median: $62.48
1.0× median
54150Top 25%

$6K

41 claims · 0.0%

Your Cost: $149.51/claim|Median: $84.60
1.8× median
80061Top 25%

Lipid panel

$6K

398 claims · 0.0%

Your Cost: $14.03/claim|Median: $8.41
1.7× median
96161Normal range

$6K

10K claims · 0.0%

Your Cost: $0.53/claim|Median: $2.49
0.2× median
0072ANormal range

$5K

143 claims · 0.0%

Your Cost: $37.96/claim|Median: $39.57
1.0× median
87807Normal range

$5K

508 claims · 0.0%

Your Cost: $10.11/claim|Median: $10.06
1.0× median
0071ANormal range

$5K

132 claims · 0.0%

Your Cost: $38.81/claim|Median: $38.71
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$4K

251 claims · 0.0%

Your Cost: $16.34/claim|Median: $10.88
1.5× median
90647Normal range

$4K

12K claims · 0.0%

Your Cost: $0.34/claim|Median: $4.31
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$4K

192 claims · 0.0%

Your Cost: $20.51/claim|Median: $12.63
1.6× median
90734Normal range

$3K

626 claims · 0.0%

Your Cost: $5.49/claim|Median: $6.40
0.9× median
87634Normal range

$3K

59 claims · 0.0%

Your Cost: $53.29/claim|Median: $48.78
1.1× median
90633Normal range

$3K

4,285 claims · 0.0%

Your Cost: $0.68/claim|Median: $3.56
0.2× median
90674Normal range

$2K

2,561 claims · 0.0%

Your Cost: $0.95/claim|Median: $15.16
0.1× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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