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SOUTH COAST PEDIATRICS

Pediatrics·SANTA ANA, CA·NPI: 1568495364Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.7M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$21.7M

$21,703,774

Total Claims

901K

Beneficiaries

877K

1.0 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-2%
2019
$2.9M
+8%
2020
$3.2M
+31%
2021
$4.1M
-0%
2022
$4.1M
-21%
2023
$3.2M
-63%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (96156) accounts for 20% of total spending.

96156Normal range

$4.4M

68K claims · 20.0%

Your Cost: $64.29/claim|Median: $22.36
2.9× median
99213Normal range

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

$4.0M

119K claims · 18.6%

Your Cost: $33.81/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.7M

42K claims · 8.0%

Your Cost: $41.38/claim|Median: $53.41
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.6M

24K claims · 7.3%

Your Cost: $65.92/claim|Median: $80.15
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.3M

24K claims · 6.0%

Your Cost: $53.79/claim|Median: $74.82
0.7× median
G9920Top 25%

$992K

43K claims · 4.6%

Your Cost: $22.95/claim|Median: $6.56
3.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$882K

20K claims · 4.1%

Your Cost: $45.17/claim|Median: $75.18
0.6× median
92551Top 10%

Screening audiometry, pure tone, air only

$766K

63K claims · 3.5%

Your Cost: $12.19/claim|Median: $6.61
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$702K

15K claims · 3.2%

Your Cost: $48.11/claim|Median: $69.35
0.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$621K

5,156 claims · 2.9%

Your Cost: $120.48/claim|Median: $72.71
1.7× median
96110Top 5%

Developmental screening, per standardized instrument

$527K

9,113 claims · 2.4%

Your Cost: $57.81/claim|Median: $9.10
6.4× median
96151Normal range

Health behavior reassessment

$372K

17K claims · 1.7%

Your Cost: $22.05/claim|Median: $15.43
1.4× median
99381Top 25%

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

$298K

3,052 claims · 1.4%

Your Cost: $97.72/claim|Median: $73.46
1.3× median
86580Normal range

Tuberculosis (TB) skin test

$286K

63K claims · 1.3%

Your Cost: $4.52/claim|Median: $4.46
1.0× median
87110Top 25%

$282K

17K claims · 1.3%

Your Cost: $16.70/claim|Median: $8.42
2.0× median
85018Top 10%

$219K

75K claims · 1.0%

Your Cost: $2.93/claim|Median: $1.71
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$214K

26K claims · 1.0%

Your Cost: $8.36/claim|Median: $7.18
1.2× median
81000Normal range

Urinalysis with microscopy, non-automated

$173K

60K claims · 0.8%

Your Cost: $2.88/claim|Median: $2.51
1.1× median
90700Normal range

$144K

18K claims · 0.7%

Your Cost: $8.21/claim|Median: $4.56
1.8× median
90651Normal range

HPV vaccine, 9-valent

$133K

10K claims · 0.6%

Your Cost: $12.85/claim|Median: $8.93
1.4× median
99173Top 25%

$120K

23K claims · 0.6%

Your Cost: $5.15/claim|Median: $2.16
2.4× median
90713Normal range

Poliovirus vaccine (IPV)

$116K

14K claims · 0.5%

Your Cost: $8.24/claim|Median: $5.41
1.5× median
90621Normal range

$112K

7,965 claims · 0.5%

Your Cost: $14.09/claim|Median: $7.66
1.8× median
90670Normal range

$106K

11K claims · 0.5%

Your Cost: $9.30/claim|Median: $5.94
1.6× median
90648Normal range

$105K

13K claims · 0.5%

Your Cost: $8.28/claim|Median: $4.08
2.0× median
99050Top 10%

$87K

2,195 claims · 0.4%

Your Cost: $39.66/claim|Median: $11.81
3.4× median
90716Normal range

$75K

8,262 claims · 0.3%

Your Cost: $9.12/claim|Median: $6.18
1.5× median
83655Top 25%

$74K

5,934 claims · 0.3%

Your Cost: $12.53/claim|Median: $10.49
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$72K

4,167 claims · 0.3%

Your Cost: $17.30/claim|Median: $12.93
1.3× median
90707Normal range

MMR vaccine

$68K

7,924 claims · 0.3%

Your Cost: $8.64/claim|Median: $5.76
1.5× median
90633Normal range

$67K

8,204 claims · 0.3%

Your Cost: $8.23/claim|Median: $3.56
2.3× median
90734Normal range

$67K

5,638 claims · 0.3%

Your Cost: $11.95/claim|Median: $6.40
1.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$59K

7,960 claims · 0.3%

Your Cost: $7.42/claim|Median: $11.48
0.6× median
99383Normal range

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

$58K

861 claims · 0.3%

Your Cost: $67.38/claim|Median: $81.92
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$57K

1,475 claims · 0.3%

Your Cost: $38.40/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$56K

1,504 claims · 0.3%

Your Cost: $37.33/claim|Median: $33.72
1.1× median
90744Normal range

$56K

6,748 claims · 0.3%

Your Cost: $8.25/claim|Median: $5.00
1.6× median
99384Normal range

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

$50K

615 claims · 0.2%

Your Cost: $81.41/claim|Median: $83.63
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$45K

1,768 claims · 0.2%

Your Cost: $25.20/claim|Median: $17.85
1.4× median
90715Normal range

Tdap vaccine

$44K

4,877 claims · 0.2%

Your Cost: $9.12/claim|Median: $10.32
0.9× median
99203Normal range

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

$44K

673 claims · 0.2%

Your Cost: $64.98/claim|Median: $57.85
1.1× median
0071ANormal range

$35K

895 claims · 0.2%

Your Cost: $39.51/claim|Median: $38.71
1.0× median
0072ANormal range

$35K

866 claims · 0.2%

Your Cost: $39.95/claim|Median: $39.57
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$34K

1,294 claims · 0.2%

Your Cost: $26.21/claim|Median: $25.06
1.0× median
G9919Normal range

$33K

1,397 claims · 0.2%

Your Cost: $23.49/claim|Median: $8.66
2.7× median
90619Normal range

$30K

3,747 claims · 0.1%

Your Cost: $8.06/claim|Median: $8.36
1.0× median
69210Normal range

$30K

973 claims · 0.1%

Your Cost: $30.64/claim|Median: $21.74
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$30K

520 claims · 0.1%

Your Cost: $56.82/claim|Median: $62.48
0.9× median
90681Normal range

$28K

3,297 claims · 0.1%

Your Cost: $8.43/claim|Median: $5.74
1.5× median
90680Normal range

$26K

2,768 claims · 0.1%

Your Cost: $9.31/claim|Median: $5.58
1.7× median

Other Top Providers in California

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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$406.5M

Saltzman Tanis Pittell Levin and Jacobson

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$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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