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NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Pediatrics, Pediatric Emergency Medicine·MIAMI, FL·NPI: 1588063176Share
Active Billing Period:2018-102024-12(75 months)

Total Paid

$66.1M

$66,064,194

Total Claims

782K

Beneficiaries

708K

1.1 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$999K
+913%
2019
$10.1M
-38%
2020
$6.3M
+82%
2021
$11.4M
+36%
2022
$15.5M
-15%
2023
$13.2M
-36%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 29% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$19.4M

171K claims · 29.4%

Your Cost: $113.74/claim|Median: $69.51
1.6× median
99214Normal range

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

$17.7M

250K claims · 26.8%

Your Cost: $70.64/claim|Median: $53.41
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$11.7M

166K claims · 17.7%

Your Cost: $70.30/claim|Median: $42.48
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.6M

36K claims · 8.4%

Your Cost: $156.21/claim|Median: $85.65
1.8× median
99204Top 25%

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

$5.1M

39K claims · 7.7%

Your Cost: $130.12/claim|Median: $84.03
1.5× median
99213Normal range

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

$5.0M

101K claims · 7.6%

Your Cost: $49.70/claim|Median: $37.81
1.3× median
99203Top 25%

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

$1.5M

16K claims · 2.2%

Your Cost: $91.99/claim|Median: $57.85
1.6× median
99282Normal range

Emergency dept visit, low complexity

$121K

2,635 claims · 0.2%

Your Cost: $46.06/claim|Median: $37.72
1.2× median
01922Normal range

$7K

40 claims · 0.0%

Your Cost: $165.94/claim|Median: $166.77
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$6K

61 claims · 0.0%

Your Cost: $100.83/claim|Median: $111.09
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$5K

151 claims · 0.0%

Your Cost: $32.82/claim|Median: $25.06
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$3K

26 claims · 0.0%

Your Cost: $112.40/claim|Median: $74.09
1.5× median