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BOSTON CHILDREN'S HEALTH PHYSICIANS OF NEW JERSEY, LLC

Pediatrics·VALHALLA, NY·NPI: 1598213407Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.5M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$23.5M

$23,505,445

Total Claims

468K

Beneficiaries

443K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2019
$2.0M
+9%
2020
$2.2M
+85%
2021
$4.1M
+34%
2022
$5.5M
+5%
2023
$5.8M
-32%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Top 5%

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

$6.0M

43K claims · 25.7%

Your Cost: $139.16/claim|Median: $53.41
2.6× median
99213Top 5%

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

$5.5M

57K claims · 23.6%

Your Cost: $96.43/claim|Median: $37.81
2.6× median
99215Top 5%

Office/outpatient visit, high complexity

$3.5M

16K claims · 14.9%

Your Cost: $212.68/claim|Median: $74.09
2.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$799K

35K claims · 3.4%

Your Cost: $22.70/claim|Median: $17.85
1.3× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$658K

5,519 claims · 2.8%

Your Cost: $119.22/claim|Median: $75.18
1.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$617K

5,189 claims · 2.6%

Your Cost: $118.95/claim|Median: $74.82
1.6× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$522K

4,531 claims · 2.2%

Your Cost: $115.18/claim|Median: $62.48
1.8× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$477K

2,881 claims · 2.0%

Your Cost: $165.67/claim|Median: $51.25
3.2× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$464K

4,193 claims · 2.0%

Your Cost: $110.61/claim|Median: $69.35
1.6× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$377K

2,916 claims · 1.6%

Your Cost: $129.22/claim|Median: $80.15
1.6× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$352K

3,748 claims · 1.5%

Your Cost: $93.96/claim|Median: $37.22
2.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$348K

10K claims · 1.5%

Your Cost: $34.66/claim|Median: $28.46
1.2× median
99204Top 5%

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

$346K

1,623 claims · 1.5%

Your Cost: $213.33/claim|Median: $84.03
2.5× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$312K

2,218 claims · 1.3%

Your Cost: $140.47/claim|Median: $43.85
3.2× median
99469Top 10%

Subsequent intensive care, very low birth weight infant

$278K

540 claims · 1.2%

Your Cost: $515.26/claim|Median: $293.45
1.8× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$210K

2,377 claims · 0.9%

Your Cost: $88.25/claim|Median: $23.99
3.7× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$201K

3,930 claims · 0.9%

Your Cost: $51.15/claim|Median: $39.70
1.3× median
95812Top 25%

$180K

541 claims · 0.8%

Your Cost: $333.35/claim|Median: $104.99
3.2× median
96112Normal range

Developmental test administration

$169K

1,694 claims · 0.7%

Your Cost: $99.88/claim|Median: $102.95
1.0× median
95700Top 25%

$146K

589 claims · 0.6%

Your Cost: $247.88/claim|Median: $154.31
1.6× median
92587Top 25%

$133K

3,953 claims · 0.6%

Your Cost: $33.70/claim|Median: $19.24
1.8× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$133K

490 claims · 0.6%

Your Cost: $270.78/claim|Median: $111.09
2.4× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$126K

1,349 claims · 0.5%

Your Cost: $93.64/claim|Median: $65.64
1.4× median
95708Normal range

$117K

690 claims · 0.5%

Your Cost: $169.71/claim|Median: $226.10
0.8× median
99464Top 5%

$68K

785 claims · 0.3%

Your Cost: $86.13/claim|Median: $59.94
1.4× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$65K

591 claims · 0.3%

Your Cost: $109.35/claim|Median: $65.45
1.7× median
99462Top 5%

$64K

1,259 claims · 0.3%

Your Cost: $50.74/claim|Median: $27.49
1.8× median
94010Top 25%

$61K

2,090 claims · 0.3%

Your Cost: $29.36/claim|Median: $18.11
1.6× median
90837Top 5%

Psychotherapy, 60 minutes

$60K

325 claims · 0.3%

Your Cost: $186.01/claim|Median: $85.66
2.2× median
99051Normal range

$57K

9,168 claims · 0.2%

Your Cost: $6.27/claim|Median: $7.89
0.8× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$57K

351 claims · 0.2%

Your Cost: $161.75/claim|Median: $121.58
1.3× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$56K

924 claims · 0.2%

Your Cost: $60.89/claim|Median: $13.30
4.6× median
87804Normal range

Influenza virus detection, rapid test

$53K

3,323 claims · 0.2%

Your Cost: $15.84/claim|Median: $12.59
1.3× median
95720Top 25%

$52K

250 claims · 0.2%

Your Cost: $209.59/claim|Median: $120.95
1.7× median
99468Top 5%

$52K

50 claims · 0.2%

Your Cost: $1,040.42/claim|Median: $679.18
1.5× median
93303Normal range

Echocardiography, transthoracic, limited

$47K

362 claims · 0.2%

Your Cost: $129.67/claim|Median: $112.83
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$45K

8,813 claims · 0.2%

Your Cost: $5.06/claim|Median: $11.48
0.4× median
92551Normal range

Screening audiometry, pure tone, air only

$42K

4,638 claims · 0.2%

Your Cost: $9.16/claim|Median: $6.61
1.4× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$41K

2,834 claims · 0.2%

Your Cost: $14.64/claim|Median: $9.70
1.5× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$41K

214 claims · 0.2%

Your Cost: $189.73/claim|Median: $59.72
3.2× median
96160Normal range

Patient-focused health risk assessment

$40K

16K claims · 0.2%

Your Cost: $2.48/claim|Median: $2.10
1.2× median
99212Top 10%

Office/outpatient visit, low complexity

$37K

593 claims · 0.2%

Your Cost: $63.16/claim|Median: $25.06
2.5× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$37K

282 claims · 0.2%

Your Cost: $131.67/claim|Median: $35.30
3.7× median
96110Normal range

Developmental screening, per standardized instrument

$37K

8,584 claims · 0.2%

Your Cost: $4.30/claim|Median: $9.10
0.5× median
87426Top 25%

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

$32K

759 claims · 0.1%

Your Cost: $41.58/claim|Median: $30.04
1.4× median
87428Normal range

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

$31K

651 claims · 0.1%

Your Cost: $47.02/claim|Median: $39.63
1.2× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$30K

5,031 claims · 0.1%

Your Cost: $5.93/claim|Median: $3.67
1.6× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$30K

233 claims · 0.1%

Your Cost: $126.86/claim|Median: $32.55
3.9× median
93325Normal range

$27K

1,743 claims · 0.1%

Your Cost: $15.68/claim|Median: $14.61
1.1× median
92552Top 25%

Pure tone audiometry, air only, each ear

$23K

931 claims · 0.1%

Your Cost: $24.66/claim|Median: $12.63
2.0× median

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