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CHILDREN'S HOSPITAL MEDICAL CENTER

Pediatrics·CINCINNATI, OH·NPI: 1609915784Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $91.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$91.4M

$91,439,152

Total Claims

2.3M

Beneficiaries

2.0M

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$13.0M
+3%
2019
$13.3M
-30%
2020
$9.4M
+28%
2021
$12.0M
+3%
2022
$12.4M
+23%
2023
$15.3M
+4%
2024
$15.9M

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 14% of total spending.

99214Normal range

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

$12.4M

251K claims · 13.6%

Your Cost: $49.43/claim|Median: $53.41
0.9× median
99213Normal range

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

$10.8M

382K claims · 11.8%

Your Cost: $28.32/claim|Median: $37.81
0.7× median
T2022Top 5%

Case management, per month

$5.5M

9,703 claims · 6.0%

Your Cost: $564.66/claim|Median: $202.77
2.8× median
99283Normal range

Emergency dept visit, moderate complexity

$5.2M

139K claims · 5.7%

Your Cost: $37.62/claim|Median: $42.48
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$4.1M

64K claims · 4.4%

Your Cost: $64.05/claim|Median: $74.09
0.9× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$3.4M

12K claims · 3.7%

Your Cost: $287.21/claim|Median: $293.45
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$3.1M

43K claims · 3.4%

Your Cost: $72.17/claim|Median: $62.48
1.2× median
99284Normal range

Emergency dept visit, high complexity

$2.9M

46K claims · 3.2%

Your Cost: $62.95/claim|Median: $69.51
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.6M

59K claims · 2.9%

Your Cost: $44.65/claim|Median: $35.30
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.3M

74K claims · 2.5%

Your Cost: $31.15/claim|Median: $23.99
1.3× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$2.2M

7,426 claims · 2.4%

Your Cost: $291.87/claim|Median: $307.98
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$2.0M

57K claims · 2.2%

Your Cost: $35.24/claim|Median: $37.22
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.9M

49K claims · 2.0%

Your Cost: $38.40/claim|Median: $75.18
0.5× median
T2023Top 5%

Community transition, waiver; per service

$1.7M

1,321 claims · 1.9%

Your Cost: $1,318.15/claim|Median: $300.13
4.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.5M

42K claims · 1.7%

Your Cost: $37.24/claim|Median: $74.82
0.5× median
00170Normal range

Anesthesia for intraoral procedures

$1.4M

13K claims · 1.5%

Your Cost: $105.84/claim|Median: $132.89
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

43K claims · 1.5%

Your Cost: $32.54/claim|Median: $69.35
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

13K claims · 1.4%

Your Cost: $95.96/claim|Median: $85.65
1.1× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$1.3M

13K claims · 1.4%

Your Cost: $93.43/claim|Median: $103.70
0.9× median
99282Normal range

Emergency dept visit, low complexity

$1.2M

57K claims · 1.3%

Your Cost: $21.22/claim|Median: $37.72
0.6× median
69436Normal range

Tympanostomy, general anesthesia

$1.2M

7,835 claims · 1.3%

Your Cost: $149.12/claim|Median: $205.50
0.7× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.1M

19K claims · 1.2%

Your Cost: $58.39/claim|Median: $35.80
1.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$972K

23K claims · 1.1%

Your Cost: $42.79/claim|Median: $82.43
0.5× median
99203Normal range

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

$968K

26K claims · 1.1%

Your Cost: $37.25/claim|Median: $57.85
0.6× median
92015Top 25%

Determination of refractive state

$860K

50K claims · 0.9%

Your Cost: $17.12/claim|Median: $10.36
1.7× median
01922Normal range

$853K

7,074 claims · 0.9%

Your Cost: $120.55/claim|Median: $166.77
0.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$816K

9,202 claims · 0.9%

Your Cost: $88.66/claim|Median: $98.15
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$799K

12K claims · 0.9%

Your Cost: $67.16/claim|Median: $121.58
0.6× median
70551Normal range

MRI brain without contrast

$775K

14K claims · 0.8%

Your Cost: $55.52/claim|Median: $85.39
0.7× median
95720Normal range

$692K

4,393 claims · 0.8%

Your Cost: $157.45/claim|Median: $120.95
1.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$654K

40K claims · 0.7%

Your Cost: $16.15/claim|Median: $16.77
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$643K

7,083 claims · 0.7%

Your Cost: $90.79/claim|Median: $133.68
0.7× median
71045Normal range

Chest X-ray, single view

$640K

92K claims · 0.7%

Your Cost: $6.92/claim|Median: $4.93
1.4× median
93010Top 25%

Electrocardiogram, interpretation and report only

$568K

70K claims · 0.6%

Your Cost: $8.11/claim|Median: $5.60
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$562K

13K claims · 0.6%

Your Cost: $43.18/claim|Median: $80.15
0.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$548K

2,820 claims · 0.6%

Your Cost: $194.43/claim|Median: $331.68
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$533K

7,002 claims · 0.6%

Your Cost: $76.07/claim|Median: $54.68
1.4× median
70450Normal range

CT head/brain without contrast

$529K

15K claims · 0.6%

Your Cost: $36.25/claim|Median: $45.53
0.8× median
93303Normal range

Echocardiography, transthoracic, limited

$508K

8,690 claims · 0.6%

Your Cost: $58.41/claim|Median: $112.83
0.5× median
71046Normal range

Chest X-ray, 2 views

$494K

54K claims · 0.5%

Your Cost: $9.10/claim|Median: $8.92
1.0× median
99462Normal range

$483K

15K claims · 0.5%

Your Cost: $32.38/claim|Median: $27.49
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$455K

4,173 claims · 0.5%

Your Cost: $109.14/claim|Median: $101.24
1.1× median
99204Normal range

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

$437K

6,904 claims · 0.5%

Your Cost: $63.34/claim|Median: $84.03
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$429K

30K claims · 0.5%

Your Cost: $14.31/claim|Median: $25.06
0.6× median
31622Normal range

$347K

3,782 claims · 0.4%

Your Cost: $91.68/claim|Median: $107.57
0.9× median
95951Normal range

$336K

2,271 claims · 0.4%

Your Cost: $148.08/claim|Median: $183.28
0.8× median
93325Normal range

$326K

40K claims · 0.4%

Your Cost: $8.11/claim|Median: $14.61
0.6× median
31624Normal range

$294K

2,841 claims · 0.3%

Your Cost: $103.42/claim|Median: $98.81
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$293K

3,572 claims · 0.3%

Your Cost: $81.92/claim|Median: $67.32
1.2× median
31526Normal range

$275K

2,330 claims · 0.3%

Your Cost: $118.19/claim|Median: $113.38
1.0× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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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