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UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

Pediatrics·NEWARK, NJ·NPI: 1679583272Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.1M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$34.1M

$34,138,765

Total Claims

315K

Beneficiaries

286K

1.1 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-6%
2019
$3.4M
-10%
2020
$3.0M
+111%
2021
$6.4M
+27%
2022
$8.1M
-4%
2023
$7.8M
-76%
2024
$1.8M

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 18% of total spending.

99214Top 1%

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

$6.0M

29K claims · 17.6%

Your Cost: $207.88/claim|Median: $53.41
3.9× median
99213Top 5%

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

$3.7M

38K claims · 10.9%

Your Cost: $98.39/claim|Median: $37.81
2.6× median
99284Top 10%

Emergency dept visit, high complexity

$2.7M

14K claims · 7.8%

Your Cost: $184.76/claim|Median: $69.51
2.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.0M

22K claims · 5.9%

Your Cost: $91.10/claim|Median: $69.35
1.3× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.9M

16K claims · 5.6%

Your Cost: $120.75/claim|Median: $75.18
1.6× median
99204Top 1%

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

$1.8M

6,699 claims · 5.3%

Your Cost: $270.73/claim|Median: $84.03
3.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

13K claims · 3.9%

Your Cost: $103.69/claim|Median: $42.48
2.4× median
99215Top 5%

Office/outpatient visit, high complexity

$1.2M

4,336 claims · 3.6%

Your Cost: $280.83/claim|Median: $74.09
3.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.0M

3,935 claims · 3.0%

Your Cost: $262.76/claim|Median: $85.65
3.1× median
99244Top 1%

Office or other outpatient consultation, moderate complexity

$852K

2,870 claims · 2.5%

Your Cost: $296.96/claim|Median: $121.58
2.4× median
93303Normal range

Echocardiography, transthoracic, limited

$816K

7,368 claims · 2.4%

Your Cost: $110.72/claim|Median: $112.83
1.0× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$802K

6,994 claims · 2.4%

Your Cost: $114.72/claim|Median: $74.82
1.5× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$781K

2,417 claims · 2.3%

Your Cost: $323.18/claim|Median: $293.45
1.1× median
99291Top 5%

Critical care, first 30-74 minutes

$772K

1,917 claims · 2.3%

Your Cost: $402.69/claim|Median: $101.24
4.0× median
99479Normal range

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

$688K

7,728 claims · 2.0%

Your Cost: $89.02/claim|Median: $103.70
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$682K

7,161 claims · 2.0%

Your Cost: $95.22/claim|Median: $98.15
1.0× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$654K

8,549 claims · 1.9%

Your Cost: $76.46/claim|Median: $37.22
2.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$516K

3,861 claims · 1.5%

Your Cost: $133.72/claim|Median: $80.15
1.7× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$450K

5,524 claims · 1.3%

Your Cost: $81.39/claim|Median: $73.46
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$438K

3,644 claims · 1.3%

Your Cost: $120.21/claim|Median: $54.68
2.2× median
99212Top 10%

Office/outpatient visit, low complexity

$383K

6,226 claims · 1.1%

Your Cost: $61.55/claim|Median: $25.06
2.5× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$339K

2,052 claims · 1.0%

Your Cost: $165.04/claim|Median: $51.25
3.2× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$309K

3,687 claims · 0.9%

Your Cost: $83.70/claim|Median: $62.48
1.3× median
99221Top 5%

Initial hospital care, straightforward/low

$291K

2,817 claims · 0.9%

Your Cost: $103.16/claim|Median: $39.96
2.6× median
99203Top 5%

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

$273K

1,427 claims · 0.8%

Your Cost: $191.56/claim|Median: $57.85
3.3× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$271K

2,156 claims · 0.8%

Your Cost: $125.55/claim|Median: $43.85
2.9× median
90472Top 1%

Immunization administration, each additional vaccine

$266K

3,704 claims · 0.8%

Your Cost: $71.87/claim|Median: $11.79
6.1× median
93010Top 5%

Electrocardiogram, interpretation and report only

$248K

17K claims · 0.7%

Your Cost: $14.39/claim|Median: $5.60
2.6× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$211K

1,786 claims · 0.6%

Your Cost: $118.16/claim|Median: $35.30
3.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$207K

2,613 claims · 0.6%

Your Cost: $79.23/claim|Median: $23.99
3.3× median
90471Top 5%

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

$194K

5,135 claims · 0.6%

Your Cost: $37.76/claim|Median: $9.80
3.9× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$158K

415 claims · 0.5%

Your Cost: $380.06/claim|Median: $111.09
3.4× median
94010Top 10%

$155K

3,878 claims · 0.5%

Your Cost: $39.97/claim|Median: $18.11
2.2× median
93320Normal range

$138K

4,643 claims · 0.4%

Your Cost: $29.75/claim|Median: $28.68
1.0× median
54150Normal range

$137K

1,077 claims · 0.4%

Your Cost: $127.48/claim|Median: $84.60
1.5× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$136K

2,811 claims · 0.4%

Your Cost: $48.46/claim|Median: $16.77
2.9× median
99472Top 25%

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

$121K

288 claims · 0.4%

Your Cost: $418.92/claim|Median: $307.98
1.4× median
99464Normal range

$118K

1,831 claims · 0.3%

Your Cost: $64.35/claim|Median: $59.94
1.1× median
99468Top 25%

$111K

126 claims · 0.3%

Your Cost: $882.71/claim|Median: $679.18
1.3× median
95813Normal range

$110K

651 claims · 0.3%

Your Cost: $168.60/claim|Median: $121.48
1.4× median
99462Normal range

$108K

4,009 claims · 0.3%

Your Cost: $26.87/claim|Median: $27.49
1.0× median
93325Normal range

$88K

9,241 claims · 0.3%

Your Cost: $9.53/claim|Median: $14.61
0.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$52K

1,331 claims · 0.2%

Your Cost: $39.05/claim|Median: $24.33
1.6× median
93227Top 1%

$48K

614 claims · 0.1%

Your Cost: $77.88/claim|Median: $18.60
4.2× median
99429Normal range

$48K

4,924 claims · 0.1%

Your Cost: $9.69/claim|Median: $28.58
0.3× median
76825Normal range

$48K

556 claims · 0.1%

Your Cost: $85.48/claim|Median: $103.74
0.8× median
90473Top 1%

Immunization admin, intranasal, first

$44K

1,171 claims · 0.1%

Your Cost: $37.81/claim|Median: $9.17
4.1× median
76827Top 25%

$39K

554 claims · 0.1%

Your Cost: $70.46/claim|Median: $39.58
1.8× median
99223Top 5%

Initial hospital care, per day, high complexity

$39K

188 claims · 0.1%

Your Cost: $206.14/claim|Median: $67.32
3.1× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$36K

596 claims · 0.1%

Your Cost: $59.75/claim|Median: $12.70
4.7× median

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