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RADY CHILDREN'S HOSPITAL SAN DIEGO

Pediatrics·SAN DIEGO, CA·NPI: 1669617197Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $77.3M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$77.3M

$77,298,940

Total Claims

2.8M

Beneficiaries

2.5M

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$10.4M
+1%
2019
$10.5M
-10%
2020
$9.4M
+29%
2021
$12.2M
-10%
2022
$11.0M
+11%
2023
$12.2M
-5%
2024
$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 13% of total spending.

99215Top 25%

Office/outpatient visit, high complexity

$10.2M

81K claims · 13.2%

Your Cost: $125.65/claim|Median: $74.09
1.7× median
99214Normal range

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

$9.1M

149K claims · 11.8%

Your Cost: $61.57/claim|Median: $53.41
1.2× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$4.1M

25K claims · 5.4%

Your Cost: $165.38/claim|Median: $106.79
1.5× median
99283Normal range

Emergency dept visit, moderate complexity

$3.7M

142K claims · 4.8%

Your Cost: $26.17/claim|Median: $42.48
0.6× median
99213Normal range

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

$3.2M

245K claims · 4.2%

Your Cost: $13.11/claim|Median: $37.81
0.3× median
99284Normal range

Emergency dept visit, high complexity

$3.1M

72K claims · 4.0%

Your Cost: $42.52/claim|Median: $69.51
0.6× median
Z4305Normal range

$3.0M

30K claims · 3.9%

Your Cost: $99.44/claim|Median: $99.36
1.0× median
Z4306Normal range

$3.0M

60K claims · 3.9%

Your Cost: $49.78/claim|Median: $49.73
1.0× median
76819Top 25%

Fetal biophysical profile with non-stress test

$2.9M

36K claims · 3.7%

Your Cost: $81.42/claim|Median: $49.45
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.9M

32K claims · 2.5%

Your Cost: $61.10/claim|Median: $35.30
1.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.8M

22K claims · 2.4%

Your Cost: $84.32/claim|Median: $47.65
1.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$1.7M

18K claims · 2.3%

Your Cost: $95.81/claim|Median: $74.78
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.5M

27K claims · 2.0%

Your Cost: $56.74/claim|Median: $58.55
1.0× median
99203Normal range

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

$1.2M

36K claims · 1.6%

Your Cost: $34.68/claim|Median: $57.85
0.6× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$1.2M

9,382 claims · 1.6%

Your Cost: $128.53/claim|Median: $98.15
1.3× median
93303Normal range

Echocardiography, transthoracic, limited

$1.1M

17K claims · 1.4%

Your Cost: $63.71/claim|Median: $112.83
0.6× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$1.0M

10K claims · 1.4%

Your Cost: $100.16/claim|Median: $70.87
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.0M

20K claims · 1.3%

Your Cost: $51.88/claim|Median: $35.80
1.4× median
Z4304Normal range

$1.0M

19K claims · 1.3%

Your Cost: $53.44/claim|Median: $53.44
1.0× median
99204Normal range

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

$995K

17K claims · 1.3%

Your Cost: $58.28/claim|Median: $84.03
0.7× median
Z0104Normal range

$978K

6,902 claims · 1.3%

Your Cost: $141.69/claim|Median: $141.22
1.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$929K

19K claims · 1.2%

Your Cost: $49.94/claim|Median: $23.99
2.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$807K

12K claims · 1.0%

Your Cost: $68.05/claim|Median: $85.65
0.8× median
Z0102Normal range

$743K

3,838 claims · 1.0%

Your Cost: $193.65/claim|Median: $193.72
1.0× median
93320Normal range

$682K

19K claims · 0.9%

Your Cost: $35.28/claim|Median: $28.68
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$681K

13K claims · 0.9%

Your Cost: $54.10/claim|Median: $121.58
0.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$654K

8,883 claims · 0.8%

Your Cost: $73.62/claim|Median: $58.16
1.3× median
59425Normal range

Antepartum care only, 4-6 visits

$639K

7,887 claims · 0.8%

Your Cost: $81.05/claim|Median: $63.63
1.3× median
93010Top 10%

Electrocardiogram, interpretation and report only

$538K

53K claims · 0.7%

Your Cost: $10.23/claim|Median: $5.60
1.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$514K

15K claims · 0.7%

Your Cost: $33.80/claim|Median: $82.43
0.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$478K

9,168 claims · 0.6%

Your Cost: $52.17/claim|Median: $36.79
1.4× median
93304Normal range

$472K

11K claims · 0.6%

Your Cost: $43.75/claim|Median: $54.29
0.8× median
99282Normal range

Emergency dept visit, low complexity

$437K

25K claims · 0.6%

Your Cost: $17.31/claim|Median: $37.72
0.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$417K

13K claims · 0.5%

Your Cost: $31.55/claim|Median: $59.72
0.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$416K

9,210 claims · 0.5%

Your Cost: $45.19/claim|Median: $54.68
0.8× median
95004Normal range

Percutaneous allergy skin tests, each

$370K

8,186 claims · 0.5%

Your Cost: $45.19/claim|Median: $134.97
0.3× median
99223Normal range

Initial hospital care, per day, high complexity

$358K

4,911 claims · 0.5%

Your Cost: $72.83/claim|Median: $67.32
1.1× median
Z4303Normal range

$348K

12K claims · 0.5%

Your Cost: $29.69/claim|Median: $29.71
1.0× median
64642Normal range

$344K

2,881 claims · 0.4%

Your Cost: $119.37/claim|Median: $81.85
1.5× median
64643Top 25%

$343K

2,931 claims · 0.4%

Your Cost: $117.05/claim|Median: $58.21
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$321K

3,621 claims · 0.4%

Your Cost: $88.74/claim|Median: $111.09
0.8× median
76820Normal range

$308K

7,543 claims · 0.4%

Your Cost: $40.84/claim|Median: $31.79
1.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$306K

3,960 claims · 0.4%

Your Cost: $77.38/claim|Median: $233.73
0.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$279K

4,701 claims · 0.4%

Your Cost: $59.43/claim|Median: $62.48
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$277K

11K claims · 0.4%

Your Cost: $24.90/claim|Median: $47.08
0.5× median
93321Normal range

$269K

14K claims · 0.3%

Your Cost: $18.92/claim|Median: $9.69
2.0× median
92060Normal range

$262K

9,349 claims · 0.3%

Your Cost: $28.02/claim|Median: $35.83
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$226K

1,158 claims · 0.3%

Your Cost: $195.44/claim|Median: $293.45
0.7× median
95720Top 10%

$222K

989 claims · 0.3%

Your Cost: $224.77/claim|Median: $120.95
1.9× median
93325Normal range

$216K

40K claims · 0.3%

Your Cost: $5.40/claim|Median: $14.61
0.4× median

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