Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

AFTER HOURS PEDIATRICS PC

Pediatrics·ALBUQUERQUE, NM·NPI: 1588730360Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.9M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$33.9M

$33,867,816

Total Claims

718K

Beneficiaries

709K

1.0 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+7%
2019
$4.6M
-22%
2020
$3.6M
+25%
2021
$4.5M
+6%
2022
$4.8M
+22%
2023
$5.8M
+9%
2024
$6.3M

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 44% of total spending.

99213Top 25%

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

$14.7M

208K claims · 43.5%

Your Cost: $70.81/claim|Median: $37.81
1.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$2.9M

27K claims · 8.5%

Your Cost: $105.42/claim|Median: $75.18
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.8M

26K claims · 8.3%

Your Cost: $106.14/claim|Median: $69.35
1.5× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$2.3M

39K claims · 6.9%

Your Cost: $60.60/claim|Median: $6.93
8.7× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.0M

57K claims · 5.9%

Your Cost: $34.95/claim|Median: $17.85
2.0× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.8M

17K claims · 5.4%

Your Cost: $105.82/claim|Median: $74.82
1.4× median
99214Top 10%

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

$1.8M

16K claims · 5.2%

Your Cost: $112.69/claim|Median: $53.41
2.1× median
99203Top 10%

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

$708K

7,007 claims · 2.1%

Your Cost: $101.06/claim|Median: $57.85
1.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$559K

5,325 claims · 1.6%

Your Cost: $104.92/claim|Median: $80.15
1.3× median
99051Normal range

$433K

58K claims · 1.3%

Your Cost: $7.53/claim|Median: $7.89
1.0× median
99173Top 5%

$418K

14K claims · 1.2%

Your Cost: $29.79/claim|Median: $2.16
13.8× median
99212Top 25%

Office/outpatient visit, low complexity

$400K

9,045 claims · 1.2%

Your Cost: $44.21/claim|Median: $25.06
1.8× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$339K

8,969 claims · 1.0%

Your Cost: $37.84/claim|Median: $30.53
1.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$315K

2,991 claims · 0.9%

Your Cost: $105.39/claim|Median: $22.44
4.7× median
99177Top 5%

$310K

8,450 claims · 0.9%

Your Cost: $36.71/claim|Median: $3.74
9.8× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$283K

17K claims · 0.8%

Your Cost: $16.27/claim|Median: $11.48
1.4× median
92551Top 25%

Screening audiometry, pure tone, air only

$251K

21K claims · 0.7%

Your Cost: $11.80/claim|Median: $6.61
1.8× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$227K

3,962 claims · 0.7%

Your Cost: $57.41/claim|Median: $13.30
4.3× median
90471Top 25%

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

$219K

11K claims · 0.6%

Your Cost: $19.09/claim|Median: $9.80
1.9× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$193K

1,893 claims · 0.6%

Your Cost: $102.20/claim|Median: $65.64
1.6× median
99080Normal range

$191K

29K claims · 0.6%

Your Cost: $6.63/claim|Median: $6.15
1.1× median
99381Top 5%

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

$125K

711 claims · 0.4%

Your Cost: $175.89/claim|Median: $73.46
2.4× median
S9999Normal range

$119K

18K claims · 0.4%

Your Cost: $6.68/claim|Median: $5.38
1.2× median
99215Top 5%

Office/outpatient visit, high complexity

$91K

437 claims · 0.3%

Your Cost: $209.27/claim|Median: $74.09
2.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$81K

1,234 claims · 0.2%

Your Cost: $65.30/claim|Median: $40.11
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$73K

745 claims · 0.2%

Your Cost: $97.85/claim|Median: $85.66
1.1× median
90472Top 10%

Immunization administration, each additional vaccine

$61K

1,911 claims · 0.2%

Your Cost: $31.82/claim|Median: $11.79
2.7× median
0072ANormal range

$14K

378 claims · 0.0%

Your Cost: $38.14/claim|Median: $39.57
1.0× median
0071ANormal range

$14K

364 claims · 0.0%

Your Cost: $38.29/claim|Median: $38.71
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$14K

912 claims · 0.0%

Your Cost: $14.95/claim|Median: $9.10
1.6× median
96161Top 25%

$12K

2,598 claims · 0.0%

Your Cost: $4.78/claim|Median: $2.49
1.9× median
90480Normal range

$12K

335 claims · 0.0%

Your Cost: $34.82/claim|Median: $25.29
1.4× median
83655Top 25%

$7K

499 claims · 0.0%

Your Cost: $13.14/claim|Median: $10.49
1.3× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$6K

46 claims · 0.0%

Your Cost: $140.81/claim|Median: $32.55
4.3× median
0081ANormal range

$6K

160 claims · 0.0%

Your Cost: $39.33/claim|Median: $38.21
1.0× median
0082ANormal range

$6K

143 claims · 0.0%

Your Cost: $39.61/claim|Median: $39.88
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$5K

120 claims · 0.0%

Your Cost: $38.79/claim|Median: $36.70
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$4K

103 claims · 0.0%

Your Cost: $39.65/claim|Median: $33.72
1.2× median
99383Top 5%

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

$4K

25 claims · 0.0%

Your Cost: $154.78/claim|Median: $81.92
1.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$3K

1,532 claims · 0.0%

Your Cost: $2.26/claim|Median: $2.00
1.1× median
85018Top 25%

$3K

1,043 claims · 0.0%

Your Cost: $2.50/claim|Median: $1.71
1.5× median
0083ANormal range

$2K

47 claims · 0.0%

Your Cost: $40.52/claim|Median: $39.40
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$2K

130 claims · 0.0%

Your Cost: $14.23/claim|Median: $10.88
1.3× median
0074ANormal range

$2K

45 claims · 0.0%

Your Cost: $37.59/claim|Median: $39.19
1.0× median
90651Normal range

HPV vaccine, 9-valent

$1K

2,903 claims · 0.0%

Your Cost: $0.42/claim|Median: $8.93
0.0× median
96380Normal range

$962

102 claims · 0.0%

Your Cost: $9.43/claim|Median: $16.33
0.6× median
90670Normal range

$867

15K claims · 0.0%

Your Cost: $0.06/claim|Median: $5.94
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$547

13K claims · 0.0%

Your Cost: $0.04/claim|Median: $5.78
0.0× median
0173ANormal range

$494

13 claims · 0.0%

Your Cost: $38.00/claim|Median: $37.72
1.0× median
99188Top 25%

$480

25 claims · 0.0%

Your Cost: $19.21/claim|Median: $12.80
1.5× 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

← All providersAll providers in New Mexico →How we detect fraud →