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GRAND STRAND PEDIATRICS & ADOLESCENT MEDICINE, P.A.

Pediatrics, Adolescent Medicine·MYRTLE BEACH, SC·NPI: 1588614192Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.1M

$28,091,984

Total Claims

603K

Beneficiaries

563K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+5%
2019
$3.0M
+18%
2020
$3.5M
+33%
2021
$4.6M
+3%
2022
$4.7M
+9%
2023
$5.1M
-15%
2024
$4.4M

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 28% of total spending.

99213Top 10%

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

$7.9M

110K claims · 27.9%

Your Cost: $71.44/claim|Median: $37.81
1.9× median
99214Top 10%

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

$6.3M

60K claims · 22.3%

Your Cost: $104.31/claim|Median: $53.41
2.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.2M

21K claims · 7.8%

Your Cost: $104.04/claim|Median: $75.18
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.0M

59K claims · 7.2%

Your Cost: $33.93/claim|Median: $17.85
1.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.7M

17K claims · 6.2%

Your Cost: $103.07/claim|Median: $74.82
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.7M

17K claims · 6.0%

Your Cost: $95.89/claim|Median: $69.35
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.3M

11K claims · 4.5%

Your Cost: $113.09/claim|Median: $80.15
1.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$955K

37K claims · 3.4%

Your Cost: $25.71/claim|Median: $12.70
2.0× median
87636Top 10%

Respiratory virus detection, 6-11 targets, nucleic acid

$915K

6,266 claims · 3.3%

Your Cost: $146.09/claim|Median: $97.61
1.5× median
87426Top 5%

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

$687K

13K claims · 2.4%

Your Cost: $53.68/claim|Median: $30.04
1.8× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$591K

25K claims · 2.1%

Your Cost: $23.31/claim|Median: $6.93
3.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$347K

25K claims · 1.2%

Your Cost: $14.16/claim|Median: $11.48
1.2× median
87804Normal range

Influenza virus detection, rapid test

$315K

22K claims · 1.1%

Your Cost: $14.30/claim|Median: $12.59
1.1× median
G9153Top 25%

$243K

3,638 claims · 0.9%

Your Cost: $66.72/claim|Median: $43.70
1.5× median
99188Normal range

$161K

9,452 claims · 0.6%

Your Cost: $17.06/claim|Median: $12.80
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$138K

3,187 claims · 0.5%

Your Cost: $43.28/claim|Median: $25.06
1.7× median
99051Normal range

$119K

9,459 claims · 0.4%

Your Cost: $12.61/claim|Median: $7.89
1.6× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$101K

13K claims · 0.4%

Your Cost: $7.52/claim|Median: $3.67
2.0× median
90832Normal range

Psychotherapy, 30 minutes

$82K

2,149 claims · 0.3%

Your Cost: $38.36/claim|Median: $41.28
0.9× median
99381Top 25%

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

$59K

567 claims · 0.2%

Your Cost: $103.76/claim|Median: $73.46
1.4× median
A4627Top 25%

$44K

1,142 claims · 0.2%

Your Cost: $38.13/claim|Median: $21.89
1.7× median
94060Top 25%

$43K

991 claims · 0.2%

Your Cost: $43.63/claim|Median: $25.18
1.7× median
G2023Top 5%

Specimen collection for COVID-19 testing

$41K

1,546 claims · 0.1%

Your Cost: $26.37/claim|Median: $17.15
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$38K

250 claims · 0.1%

Your Cost: $152.53/claim|Median: $99.21
1.5× median
99177Normal range

$36K

7,749 claims · 0.1%

Your Cost: $4.60/claim|Median: $3.74
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$25K

218 claims · 0.1%

Your Cost: $113.84/claim|Median: $85.66
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$23K

3,003 claims · 0.1%

Your Cost: $7.63/claim|Median: $9.10
0.8× median
94664Normal range

$21K

1,795 claims · 0.1%

Your Cost: $11.83/claim|Median: $8.88
1.3× median
87807Normal range

$20K

1,758 claims · 0.1%

Your Cost: $11.66/claim|Median: $10.06
1.2× median
96160Top 25%

Patient-focused health risk assessment

$17K

1,946 claims · 0.1%

Your Cost: $8.56/claim|Median: $2.10
4.1× median
99215Top 25%

Office/outpatient visit, high complexity

$15K

106 claims · 0.1%

Your Cost: $142.22/claim|Median: $74.09
1.9× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$14K

1,065 claims · 0.0%

Your Cost: $12.85/claim|Median: $10.88
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$9K

1,187 claims · 0.0%

Your Cost: $7.89/claim|Median: $4.71
1.7× median
94150Top 10%

$7K

387 claims · 0.0%

Your Cost: $18.15/claim|Median: $5.06
3.6× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$7K

82 claims · 0.0%

Your Cost: $79.88/claim|Median: $59.25
1.3× median
85014Top 25%

$5K

2,008 claims · 0.0%

Your Cost: $2.54/claim|Median: $1.38
1.8× median
85018Top 25%

$5K

1,925 claims · 0.0%

Your Cost: $2.43/claim|Median: $1.71
1.4× median
90677Normal range

$3K

1,512 claims · 0.0%

Your Cost: $2.19/claim|Median: $12.96
0.2× median
99203Top 10%

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

$3K

28 claims · 0.0%

Your Cost: $106.54/claim|Median: $57.85
1.8× median
82465Top 25%

$3K

502 claims · 0.0%

Your Cost: $4.99/claim|Median: $3.41
1.5× median
81002Top 10%

Urinalysis, non-automated without microscopy

$2K

714 claims · 0.0%

Your Cost: $3.05/claim|Median: $2.00
1.5× median
88720Top 25%

$2K

407 claims · 0.0%

Your Cost: $4.95/claim|Median: $3.88
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

444 claims · 0.0%

Your Cost: $3.96/claim|Median: $9.56
0.4× median
96380Normal range

$1K

64 claims · 0.0%

Your Cost: $18.24/claim|Median: $16.33
1.1× median
96161Top 25%

$1K

135 claims · 0.0%

Your Cost: $8.54/claim|Median: $2.49
3.4× median
92551Normal range

Screening audiometry, pure tone, air only

$1K

332 claims · 0.0%

Your Cost: $3.32/claim|Median: $6.61
0.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$829

3,795 claims · 0.0%

Your Cost: $0.22/claim|Median: $0.79
0.3× median
69210Normal range

$491

17 claims · 0.0%

Your Cost: $28.89/claim|Median: $21.74
1.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$441

19 claims · 0.0%

Your Cost: $23.21/claim|Median: $12.93
1.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$370

19 claims · 0.0%

Your Cost: $19.47/claim|Median: $33.72
0.6× median

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