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CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC.

Pediatrics·HARTFORD, CT·NPI: 1669448882Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.8M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$59.8M

$59,845,670

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$7.3M
+5%
2019
$7.6M
-20%
2020
$6.1M
+31%
2021
$8.0M
+18%
2022
$9.5M
+15%
2023
$10.9M
-3%
2024
$10.5M

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 12% of total spending.

99213Normal range

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

$7.4M

142K claims · 12.3%

Your Cost: $51.96/claim|Median: $37.81
1.4× median
99214Top 25%

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

$6.9M

87K claims · 11.5%

Your Cost: $79.26/claim|Median: $53.41
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$6.2M

56K claims · 10.3%

Your Cost: $109.64/claim|Median: $74.09
1.5× median
99284Normal range

Emergency dept visit, high complexity

$4.3M

72K claims · 7.1%

Your Cost: $59.05/claim|Median: $69.51
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$3.6M

111K claims · 6.0%

Your Cost: $32.08/claim|Median: $42.48
0.8× median
99203Normal range

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

$2.5M

35K claims · 4.2%

Your Cost: $72.84/claim|Median: $57.85
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$2.2M

20K claims · 3.7%

Your Cost: $110.61/claim|Median: $121.58
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.6M

17K claims · 2.7%

Your Cost: $91.08/claim|Median: $85.65
1.1× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.6M

14K claims · 2.6%

Your Cost: $108.87/claim|Median: $69.35
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.6M

22K claims · 2.6%

Your Cost: $70.87/claim|Median: $35.30
2.0× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.4M

11K claims · 2.3%

Your Cost: $118.53/claim|Median: $75.18
1.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.4M

18K claims · 2.3%

Your Cost: $73.94/claim|Median: $82.43
0.9× median
99204Top 25%

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

$1.3M

12K claims · 2.2%

Your Cost: $114.40/claim|Median: $84.03
1.4× median
92015Top 5%

Determination of refractive state

$1.1M

32K claims · 1.9%

Your Cost: $34.98/claim|Median: $10.36
3.4× median
90791Normal range

Psychiatric diagnostic evaluation

$1.1M

11K claims · 1.8%

Your Cost: $94.23/claim|Median: $99.21
0.9× median
99282Normal range

Emergency dept visit, low complexity

$713K

37K claims · 1.2%

Your Cost: $19.40/claim|Median: $37.72
0.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$645K

10K claims · 1.1%

Your Cost: $62.23/claim|Median: $59.72
1.0× median
99479Normal range

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

$605K

6,330 claims · 1.0%

Your Cost: $95.57/claim|Median: $103.70
0.9× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$575K

1,922 claims · 1.0%

Your Cost: $298.97/claim|Median: $293.45
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$567K

12K claims · 0.9%

Your Cost: $46.23/claim|Median: $47.08
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$558K

3,618 claims · 0.9%

Your Cost: $154.10/claim|Median: $111.09
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$531K

4,666 claims · 0.9%

Your Cost: $113.74/claim|Median: $74.82
1.5× median
90471Top 10%

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

$508K

25K claims · 0.8%

Your Cost: $20.37/claim|Median: $9.80
2.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$474K

8,829 claims · 0.8%

Your Cost: $53.69/claim|Median: $43.85
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$463K

4,955 claims · 0.8%

Your Cost: $93.52/claim|Median: $233.73
0.4× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$400K

8,463 claims · 0.7%

Your Cost: $47.28/claim|Median: $17.85
2.6× median
99417Top 25%

$392K

4,536 claims · 0.7%

Your Cost: $86.48/claim|Median: $34.90
2.5× median
99223Normal range

Initial hospital care, per day, high complexity

$392K

4,030 claims · 0.7%

Your Cost: $97.15/claim|Median: $67.32
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$351K

8,138 claims · 0.6%

Your Cost: $43.11/claim|Median: $62.48
0.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$350K

3,566 claims · 0.6%

Your Cost: $98.11/claim|Median: $98.15
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$347K

9,425 claims · 0.6%

Your Cost: $36.83/claim|Median: $37.22
1.0× median
99070Top 10%

$344K

7,074 claims · 0.6%

Your Cost: $48.62/claim|Median: $8.08
6.0× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$342K

17K claims · 0.6%

Your Cost: $19.75/claim|Median: $3.67
5.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$329K

6,064 claims · 0.5%

Your Cost: $54.21/claim|Median: $54.68
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$312K

12K claims · 0.5%

Your Cost: $26.71/claim|Median: $25.06
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$296K

6,475 claims · 0.5%

Your Cost: $45.72/claim|Median: $41.28
1.1× median
00170Normal range

Anesthesia for intraoral procedures

$290K

2,489 claims · 0.5%

Your Cost: $116.61/claim|Median: $132.89
0.9× median
99462Normal range

$285K

12K claims · 0.5%

Your Cost: $24.13/claim|Median: $27.49
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$284K

5,733 claims · 0.5%

Your Cost: $49.48/claim|Median: $23.99
2.1× median
99472Normal range

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

$269K

893 claims · 0.4%

Your Cost: $300.70/claim|Median: $307.98
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$242K

2,261 claims · 0.4%

Your Cost: $107.15/claim|Median: $101.24
1.1× median
S0580Top 25%

$221K

7,797 claims · 0.4%

Your Cost: $28.33/claim|Median: $17.72
1.6× median
92060Normal range

$209K

7,370 claims · 0.3%

Your Cost: $28.37/claim|Median: $35.83
0.8× median
99245Normal range

Office consultation, high complexity

$207K

1,560 claims · 0.3%

Your Cost: $132.87/claim|Median: $143.30
0.9× median
69436Normal range

Tympanostomy, general anesthesia

$200K

1,749 claims · 0.3%

Your Cost: $114.61/claim|Median: $205.50
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$193K

11K claims · 0.3%

Your Cost: $16.85/claim|Median: $11.79
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$187K

43K claims · 0.3%

Your Cost: $4.39/claim|Median: $5.60
0.8× median
93303Normal range

Echocardiography, transthoracic, limited

$184K

5,103 claims · 0.3%

Your Cost: $35.98/claim|Median: $112.83
0.3× median
V2025Top 1%

$182K

1,545 claims · 0.3%

Your Cost: $117.84/claim|Median: $34.45
3.4× median
95720Normal range

$177K

1,578 claims · 0.3%

Your Cost: $111.96/claim|Median: $120.95
0.9× median

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