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CHILDREN'S CLINIC OF SOUTHWEST LOUISIANA, INC.

Pediatrics·LAKE CHARLES, LA·NPI: 1548287584Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$24.0M

$24,000,826

Total Claims

762K

Beneficiaries

665K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-6%
2019
$3.8M
-32%
2020
$2.6M
+43%
2021
$3.7M
-3%
2022
$3.6M
-4%
2023
$3.4M
-16%
2024
$2.9M

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 26% of total spending.

99214Normal range

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

$6.1M

97K claims · 25.6%

Your Cost: $63.32/claim|Median: $53.41
1.2× median
99213Normal range

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

$5.9M

138K claims · 24.4%

Your Cost: $42.52/claim|Median: $37.81
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.7M

30K claims · 7.1%

Your Cost: $56.44/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

26K claims · 6.6%

Your Cost: $61.86/claim|Median: $75.18
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$1.1M

4,071 claims · 4.7%

Your Cost: $279.29/claim|Median: $293.45
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

17K claims · 4.4%

Your Cost: $60.81/claim|Median: $74.82
0.8× median
90471Normal range

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

$783K

58K claims · 3.3%

Your Cost: $13.57/claim|Median: $9.80
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$710K

11K claims · 3.0%

Your Cost: $66.31/claim|Median: $80.15
0.8× median
87426Normal range

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

$591K

20K claims · 2.5%

Your Cost: $29.21/claim|Median: $30.04
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$535K

40K claims · 2.2%

Your Cost: $13.52/claim|Median: $11.79
1.1× median
99479Normal range

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

$522K

5,679 claims · 2.2%

Your Cost: $91.84/claim|Median: $103.70
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$451K

19K claims · 1.9%

Your Cost: $23.44/claim|Median: $25.06
0.9× median
87430Normal range

$422K

41K claims · 1.8%

Your Cost: $10.18/claim|Median: $9.41
1.1× median
99050Top 25%

$323K

15K claims · 1.3%

Your Cost: $21.61/claim|Median: $11.81
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$298K

50K claims · 1.2%

Your Cost: $5.99/claim|Median: $4.71
1.3× median
90837Top 25%

Psychotherapy, 60 minutes

$249K

2,403 claims · 1.0%

Your Cost: $103.51/claim|Median: $85.66
1.2× median
87276Normal range

$238K

25K claims · 1.0%

Your Cost: $9.43/claim|Median: $11.29
0.8× median
87275Normal range

$228K

25K claims · 0.9%

Your Cost: $9.06/claim|Median: $10.59
0.9× median
99468Normal range

$197K

306 claims · 0.8%

Your Cost: $643.46/claim|Median: $679.18
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$197K

2,530 claims · 0.8%

Your Cost: $77.75/claim|Median: $63.65
1.2× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$163K

1,778 claims · 0.7%

Your Cost: $91.45/claim|Median: $98.15
0.9× median
90474Normal range

$86K

9,980 claims · 0.4%

Your Cost: $8.66/claim|Median: $8.42
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$67K

953 claims · 0.3%

Your Cost: $70.50/claim|Median: $43.85
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$54K

1,098 claims · 0.2%

Your Cost: $48.73/claim|Median: $37.22
1.3× median
95117Normal range

$45K

5,371 claims · 0.2%

Your Cost: $8.35/claim|Median: $8.34
1.0× median
87807Normal range

$40K

3,658 claims · 0.2%

Your Cost: $11.06/claim|Median: $10.06
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$40K

974 claims · 0.2%

Your Cost: $41.16/claim|Median: $62.48
0.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$39K

808 claims · 0.2%

Your Cost: $48.87/claim|Median: $23.99
2.0× median
85027Normal range

Complete blood count (CBC), automated

$35K

7,438 claims · 0.1%

Your Cost: $4.73/claim|Median: $3.72
1.3× median
99188Normal range

$26K

1,950 claims · 0.1%

Your Cost: $13.35/claim|Median: $12.80
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$24K

274 claims · 0.1%

Your Cost: $86.50/claim|Median: $99.21
0.9× median
99477Normal range

$24K

90 claims · 0.1%

Your Cost: $263.23/claim|Median: $276.41
1.0× median
95115Normal range

$15K

2,110 claims · 0.1%

Your Cost: $7.32/claim|Median: $6.96
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$8K

4,113 claims · 0.0%

Your Cost: $2.00/claim|Median: $1.57
1.3× median
0071ANormal range

$8K

314 claims · 0.0%

Your Cost: $25.51/claim|Median: $38.71
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$7K

147 claims · 0.0%

Your Cost: $44.60/claim|Median: $72.71
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

257 claims · 0.0%

Your Cost: $25.27/claim|Median: $33.72
0.7× median
99223Top 10%

Initial hospital care, per day, high complexity

$6K

43 claims · 0.0%

Your Cost: $142.52/claim|Median: $67.32
2.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$6K

134 claims · 0.0%

Your Cost: $44.66/claim|Median: $36.70
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$6K

68 claims · 0.0%

Your Cost: $85.72/claim|Median: $74.09
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$6K

767 claims · 0.0%

Your Cost: $7.35/claim|Median: $6.61
1.1× median
0072ANormal range

$5K

136 claims · 0.0%

Your Cost: $39.75/claim|Median: $39.57
1.0× median
90473Normal range

Immunization admin, intranasal, first

$5K

596 claims · 0.0%

Your Cost: $8.35/claim|Median: $9.17
0.9× median
83655Normal range

$5K

530 claims · 0.0%

Your Cost: $9.33/claim|Median: $10.49
0.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$4K

2,501 claims · 0.0%

Your Cost: $1.64/claim|Median: $2.00
0.8× median
81000Normal range

Urinalysis with microscopy, non-automated

$3K

1,612 claims · 0.0%

Your Cost: $2.16/claim|Median: $2.51
0.9× median
99173Normal range

$3K

2,790 claims · 0.0%

Your Cost: $1.25/claim|Median: $2.16
0.6× median
54150Normal range

$3K

28 claims · 0.0%

Your Cost: $122.32/claim|Median: $84.60
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

286 claims · 0.0%

Your Cost: $11.65/claim|Median: $12.93
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$3K

450 claims · 0.0%

Your Cost: $6.62/claim|Median: $9.10
0.7× median

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