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URGENT CARE AT CHILDREN'S, INC.

Pediatrics·BROOKHAVEN, GA·NPI: 1659425825Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.9M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$48.9M

$48,858,353

Total Claims

636K

Beneficiaries

623K

1.0 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$7.1M
+7%
2019
$7.6M
-44%
2020
$4.3M
+65%
2021
$7.1M
+37%
2022
$9.7M
-17%
2023
$8.0M
-38%
2024
$5.0M

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 29% of total spending.

99214Top 25%

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

$14.0M

144K claims · 28.7%

Your Cost: $97.45/claim|Median: $53.41
1.8× median
99213Top 25%

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

$10.9M

160K claims · 22.3%

Your Cost: $68.21/claim|Median: $37.81
1.8× median
99203Top 10%

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

$10.1M

102K claims · 20.7%

Your Cost: $98.91/claim|Median: $57.85
1.7× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$5.8M

37K claims · 11.9%

Your Cost: $155.08/claim|Median: $97.61
1.6× median
99204Top 10%

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

$3.4M

21K claims · 6.9%

Your Cost: $156.64/claim|Median: $84.03
1.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$2.3M

86K claims · 4.8%

Your Cost: $27.14/claim|Median: $28.46
1.0× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$619K

4,016 claims · 1.3%

Your Cost: $154.06/claim|Median: $100.62
1.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$376K

5,835 claims · 0.8%

Your Cost: $64.38/claim|Median: $65.64
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$241K

4,410 claims · 0.5%

Your Cost: $54.59/claim|Median: $42.48
1.3× median
71046Top 25%

Chest X-ray, 2 views

$160K

8,430 claims · 0.3%

Your Cost: $19.01/claim|Median: $8.92
2.1× median
90378Top 25%

$131K

40 claims · 0.3%

Your Cost: $3,278.16/claim|Median: $1,627.19
2.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$118K

5,778 claims · 0.2%

Your Cost: $20.41/claim|Median: $10.88
1.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$117K

2,819 claims · 0.2%

Your Cost: $41.48/claim|Median: $17.85
2.3× median
99284Normal range

Emergency dept visit, high complexity

$84K

1,261 claims · 0.2%

Your Cost: $66.32/claim|Median: $69.51
1.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$73K

707 claims · 0.1%

Your Cost: $103.55/claim|Median: $74.82
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$65K

632 claims · 0.1%

Your Cost: $102.37/claim|Median: $75.18
1.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$45K

663 claims · 0.1%

Your Cost: $68.56/claim|Median: $40.11
1.7× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$45K

803 claims · 0.1%

Your Cost: $56.10/claim|Median: $39.70
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$36K

333 claims · 0.1%

Your Cost: $108.75/claim|Median: $80.15
1.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$29K

6,594 claims · 0.1%

Your Cost: $4.37/claim|Median: $2.03
2.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$27K

2,512 claims · 0.1%

Your Cost: $10.56/claim|Median: $4.71
2.2× median
J8540Top 25%

$25K

5,534 claims · 0.1%

Your Cost: $4.48/claim|Median: $0.65
6.9× median
J7613Top 10%

Albuterol inhalation solution, concentrated, per milligram

$19K

3,997 claims · 0.0%

Your Cost: $4.82/claim|Median: $0.08
60.3× median
99212Top 25%

Office/outpatient visit, low complexity

$17K

445 claims · 0.0%

Your Cost: $37.91/claim|Median: $25.06
1.5× median
S0119Normal range

$13K

9,365 claims · 0.0%

Your Cost: $1.36/claim|Median: $0.40
3.4× median
99000Normal range

$10K

5,139 claims · 0.0%

Your Cost: $1.86/claim|Median: $2.30
0.8× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$9K

104 claims · 0.0%

Your Cost: $89.65/claim|Median: $62.48
1.4× median
51701Top 25%

$9K

162 claims · 0.0%

Your Cost: $55.72/claim|Median: $22.05
2.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$8K

63 claims · 0.0%

Your Cost: $126.19/claim|Median: $85.65
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$8K

79 claims · 0.0%

Your Cost: $99.56/claim|Median: $69.35
1.4× median
86140Top 25%

$5K

779 claims · 0.0%

Your Cost: $6.70/claim|Median: $3.02
2.2× median
J3490Normal range

Unclassified drugs

$5K

1,980 claims · 0.0%

Your Cost: $2.63/claim|Median: $5.70
0.5× median
99215Top 25%

Office/outpatient visit, high complexity

$4K

28 claims · 0.0%

Your Cost: $142.05/claim|Median: $74.09
1.9× median
92567Top 25%

$4K

200 claims · 0.0%

Your Cost: $19.40/claim|Median: $11.50
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$4K

2,499 claims · 0.0%

Your Cost: $1.52/claim|Median: $1.57
1.0× median
74019Normal range

$4K

174 claims · 0.0%

Your Cost: $21.44/claim|Median: $9.82
2.2× median
94664Top 25%

$2K

139 claims · 0.0%

Your Cost: $16.80/claim|Median: $8.88
1.9× median
80053Top 25%

Comprehensive metabolic panel

$2K

160 claims · 0.0%

Your Cost: $14.48/claim|Median: $7.24
2.0× median
99051Top 25%

$2K

104 claims · 0.0%

Your Cost: $20.71/claim|Median: $7.89
2.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$2K

376 claims · 0.0%

Your Cost: $5.37/claim|Median: $3.67
1.5× median
73610Normal range

X-ray of ankle, complete, minimum three views

$2K

93 claims · 0.0%

Your Cost: $19.52/claim|Median: $13.55
1.4× median
74018Top 25%

$2K

96 claims · 0.0%

Your Cost: $18.13/claim|Median: $7.00
2.6× median
J7644Normal range

$1K

2,871 claims · 0.0%

Your Cost: $0.46/claim|Median: $0.20
2.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$1K

19 claims · 0.0%

Your Cost: $67.30/claim|Median: $23.99
2.8× median
72081Normal range

$1K

44 claims · 0.0%

Your Cost: $24.76/claim|Median: $20.88
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$932

52 claims · 0.0%

Your Cost: $17.92/claim|Median: $9.56
1.9× median
96160Top 25%

Patient-focused health risk assessment

$802

197 claims · 0.0%

Your Cost: $4.07/claim|Median: $2.10
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$761

797 claims · 0.0%

Your Cost: $0.96/claim|Median: $7.18
0.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$744

64 claims · 0.0%

Your Cost: $11.63/claim|Median: $11.48
1.0× median
D1206Normal range

Topical application of fluoride varnish

$730

38 claims · 0.0%

Your Cost: $19.22/claim|Median: $18.12
1.1× median

Other Top Providers in Georgia

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Supports Brokerage

$520.3M

Scottish Rite Children's Medical Center

Pediatrics Pediatric Hematology-Oncology

$493.4M

Egleston Children's Hospital at Emory University Inc.

Pediatrics Pediatric Emergency Medicine

$222.6M

Southern Home Care Services Inc.

Home Health

$212.2M

Quest Diagnostics Clinical Laboratories INC

Clinical Medical Laboratory

$211.1M

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