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BCA MEDICAL ASSOCIATES, PA

Pediatrics·ROSWELL, NM·NPI: 1568576056Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.2M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$41.2M

$41,186,204

Total Claims

1.1M

Beneficiaries

1.0M

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+11%
2019
$4.7M
-7%
2020
$4.4M
+33%
2021
$5.8M
+14%
2022
$6.6M
+12%
2023
$7.4M
+7%
2024
$8.0M

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 23% of total spending.

99213Top 10%

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

$9.3M

130K claims · 22.5%

Your Cost: $71.13/claim|Median: $37.81
1.9× median
99214Top 10%

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

$6.6M

60K claims · 16.1%

Your Cost: $109.70/claim|Median: $53.41
2.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.9M

28K claims · 7.0%

Your Cost: $104.72/claim|Median: $75.18
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.8M

27K claims · 6.9%

Your Cost: $104.32/claim|Median: $74.82
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.5M

24K claims · 6.1%

Your Cost: $107.20/claim|Median: $69.35
1.5× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$1.9M

35K claims · 4.5%

Your Cost: $52.80/claim|Median: $34.62
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.8M

18K claims · 4.4%

Your Cost: $103.15/claim|Median: $80.15
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

70K claims · 3.9%

Your Cost: $22.85/claim|Median: $17.85
1.3× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$1.5M

34K claims · 3.7%

Your Cost: $43.72/claim|Median: $6.93
6.3× median
92587Normal range

$1.5M

70K claims · 3.7%

Your Cost: $21.34/claim|Median: $19.24
1.1× median
99177Top 5%

$1.5M

53K claims · 3.5%

Your Cost: $27.60/claim|Median: $3.74
7.4× median
G0447Top 5%

$1.1M

39K claims · 2.8%

Your Cost: $28.73/claim|Median: $5.19
5.5× median
87804Top 25%

Influenza virus detection, rapid test

$1.0M

59K claims · 2.5%

Your Cost: $17.43/claim|Median: $12.59
1.4× median
99173Top 5%

$781K

31K claims · 1.9%

Your Cost: $25.04/claim|Median: $2.16
11.6× median
96110Top 25%

Developmental screening, per standardized instrument

$754K

50K claims · 1.8%

Your Cost: $15.19/claim|Median: $9.10
1.7× median
99188Normal range

$536K

29K claims · 1.3%

Your Cost: $18.31/claim|Median: $12.80
1.4× median
99401Top 25%

$402K

16K claims · 1.0%

Your Cost: $25.11/claim|Median: $16.53
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$358K

8,756 claims · 0.9%

Your Cost: $40.84/claim|Median: $25.06
1.6× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$332K

20K claims · 0.8%

Your Cost: $16.70/claim|Median: $11.48
1.5× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$207K

6,347 claims · 0.5%

Your Cost: $32.56/claim|Median: $14.34
2.3× median
80061Top 25%

Lipid panel

$164K

12K claims · 0.4%

Your Cost: $13.99/claim|Median: $8.41
1.7× median
S9999Normal range

$160K

19K claims · 0.4%

Your Cost: $8.60/claim|Median: $5.38
1.6× median
90672Top 10%

$138K

6,561 claims · 0.3%

Your Cost: $20.97/claim|Median: $3.59
5.8× median
99381Top 5%

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

$138K

781 claims · 0.3%

Your Cost: $176.20/claim|Median: $73.46
2.4× median
G2211Top 5%

$134K

8,368 claims · 0.3%

Your Cost: $15.98/claim|Median: $2.40
6.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$92K

13K claims · 0.2%

Your Cost: $7.28/claim|Median: $7.18
1.0× median
83655Top 25%

$86K

6,511 claims · 0.2%

Your Cost: $13.23/claim|Median: $10.49
1.3× median
99080Normal range

$81K

6,670 claims · 0.2%

Your Cost: $12.09/claim|Median: $6.15
2.0× median
87081Normal range

Culture screening for pathogenic organisms

$77K

11K claims · 0.2%

Your Cost: $6.94/claim|Median: $5.09
1.4× median
90685Top 25%

$66K

5,178 claims · 0.2%

Your Cost: $12.84/claim|Median: $5.96
2.2× median
90471Top 10%

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

$62K

2,873 claims · 0.2%

Your Cost: $21.52/claim|Median: $9.80
2.2× median
99072Top 25%

$46K

11K claims · 0.1%

Your Cost: $4.33/claim|Median: $0.54
8.0× median
85018Top 25%

$37K

15K claims · 0.1%

Your Cost: $2.52/claim|Median: $1.71
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$35K

7,375 claims · 0.1%

Your Cost: $4.77/claim|Median: $1.57
3.0× median
99383Top 5%

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

$34K

190 claims · 0.1%

Your Cost: $181.00/claim|Median: $81.92
2.2× median
86756Normal range

$33K

2,030 claims · 0.1%

Your Cost: $16.05/claim|Median: $13.28
1.2× median
85014Top 25%

$29K

12K claims · 0.1%

Your Cost: $2.53/claim|Median: $1.38
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$28K

207 claims · 0.1%

Your Cost: $136.66/claim|Median: $74.09
1.8× median
98966Top 25%

$28K

2,213 claims · 0.1%

Your Cost: $12.64/claim|Median: $6.84
1.8× median
99203Top 10%

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

$25K

249 claims · 0.1%

Your Cost: $99.47/claim|Median: $57.85
1.7× median
99058Normal range

$24K

839 claims · 0.1%

Your Cost: $29.11/claim|Median: $15.38
1.9× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$23K

575 claims · 0.1%

Your Cost: $40.28/claim|Median: $33.72
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$20K

480 claims · 0.0%

Your Cost: $41.02/claim|Median: $36.70
1.1× median
0071ANormal range

$19K

490 claims · 0.0%

Your Cost: $38.83/claim|Median: $38.71
1.0× median
87430Top 25%

$19K

1,227 claims · 0.0%

Your Cost: $15.14/claim|Median: $9.41
1.6× median
90473Top 10%

Immunization admin, intranasal, first

$13K

689 claims · 0.0%

Your Cost: $18.84/claim|Median: $9.17
2.1× median
0072ANormal range

$10K

261 claims · 0.0%

Your Cost: $39.78/claim|Median: $39.57
1.0× median
69210Top 10%

$10K

198 claims · 0.0%

Your Cost: $50.07/claim|Median: $21.74
2.3× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$10K

166 claims · 0.0%

Your Cost: $58.51/claim|Median: $13.30
4.4× median
99382Top 5%

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

$9K

49 claims · 0.0%

Your Cost: $175.79/claim|Median: $79.89
2.2× median

Other Top Providers in New Mexico

View all →

Ambercare Home Health Care Corporation

Home Health

$518.1M

Unm Hospital

General Acute Care Hospital

$463.3M

Presbyterian Healthcare Services

Emergency Medicine

$345.5M

Presbyterian Healthcare Services

Surgery

$240.2M

DHHS PHS Naihs Shiprock Hospital

General Acute Care Hospital

$190.6M

Similar Providers

Other top providers in Pediatrics

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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