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EAST CAROLINA UNIVERSITY

Pediatrics·GREENVILLE, NC·NPI: 1730139171Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.6M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$22.6M

$22,553,834

Total Claims

1.2M

Beneficiaries

687K

1.7 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+31%
2019
$2.3M
-16%
2020
$2.0M
+56%
2021
$3.1M
+28%
2022
$3.9M
+11%
2023
$4.4M
+17%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 26% of total spending.

99199Top 25%

Unlisted special service, procedure, or report

$5.8M

762K claims · 25.6%

Your Cost: $7.59/claim|Median: $5.39
1.4× median
99213Top 25%

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

$3.8M

60K claims · 16.9%

Your Cost: $63.48/claim|Median: $37.81
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.9M

21K claims · 8.3%

Your Cost: $89.00/claim|Median: $69.35
1.3× median
99214Top 25%

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

$1.6M

18K claims · 7.0%

Your Cost: $89.73/claim|Median: $53.41
1.7× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

31K claims · 6.9%

Your Cost: $51.08/claim|Median: $17.85
2.9× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.5M

16K claims · 6.7%

Your Cost: $93.42/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$759K

7,966 claims · 3.4%

Your Cost: $95.28/claim|Median: $74.82
1.3× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$565K

9,648 claims · 2.5%

Your Cost: $58.54/claim|Median: $23.99
2.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$473K

6,542 claims · 2.1%

Your Cost: $72.23/claim|Median: $62.48
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$467K

1,437 claims · 2.1%

Your Cost: $325.32/claim|Median: $293.45
1.1× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$448K

5,286 claims · 2.0%

Your Cost: $84.68/claim|Median: $43.85
1.9× median
90471Top 25%

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

$385K

21K claims · 1.7%

Your Cost: $18.44/claim|Median: $9.80
1.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$357K

6,063 claims · 1.6%

Your Cost: $58.88/claim|Median: $37.22
1.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$275K

2,673 claims · 1.2%

Your Cost: $102.99/claim|Median: $80.15
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$273K

7,960 claims · 1.2%

Your Cost: $34.26/claim|Median: $57.30
0.6× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$238K

4,209 claims · 1.1%

Your Cost: $56.61/claim|Median: $9.79
5.8× median
90472Top 5%

Immunization administration, each additional vaccine

$217K

6,256 claims · 1.0%

Your Cost: $34.63/claim|Median: $11.79
2.9× median
99479Normal range

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

$190K

1,814 claims · 0.8%

Your Cost: $104.64/claim|Median: $103.70
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$155K

23K claims · 0.7%

Your Cost: $6.81/claim|Median: $9.10
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$146K

1,821 claims · 0.6%

Your Cost: $80.03/claim|Median: $85.66
0.9× median
D1206Normal range

Topical application of fluoride varnish

$120K

7,959 claims · 0.5%

Your Cost: $15.09/claim|Median: $18.12
0.8× median
99245Top 25%

Office consultation, high complexity

$115K

647 claims · 0.5%

Your Cost: $178.30/claim|Median: $143.30
1.2× median
99051Top 10%

$103K

4,075 claims · 0.5%

Your Cost: $25.19/claim|Median: $7.89
3.2× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$100K

1,245 claims · 0.4%

Your Cost: $80.24/claim|Median: $12.70
6.3× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$99K

896 claims · 0.4%

Your Cost: $110.96/claim|Median: $51.25
2.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$92K

2,566 claims · 0.4%

Your Cost: $36.03/claim|Median: $24.33
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$85K

4,316 claims · 0.4%

Your Cost: $19.65/claim|Median: $12.93
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$77K

774 claims · 0.3%

Your Cost: $99.58/claim|Median: $98.15
1.0× median
99462Normal range

$65K

2,036 claims · 0.3%

Your Cost: $32.03/claim|Median: $27.49
1.2× median
99307Top 5%

$52K

1,417 claims · 0.2%

Your Cost: $36.79/claim|Median: $6.57
5.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$46K

8,731 claims · 0.2%

Your Cost: $5.27/claim|Median: $3.67
1.4× median
96161Normal range

$35K

9,973 claims · 0.2%

Your Cost: $3.56/claim|Median: $2.49
1.4× median
99472Normal range

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

$33K

103 claims · 0.1%

Your Cost: $317.41/claim|Median: $307.98
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$32K

934 claims · 0.1%

Your Cost: $34.29/claim|Median: $22.44
1.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$25K

540 claims · 0.1%

Your Cost: $47.14/claim|Median: $32.55
1.4× median
99217Top 10%

$24K

422 claims · 0.1%

Your Cost: $57.15/claim|Median: $31.89
1.8× median
83655Top 25%

$21K

1,528 claims · 0.1%

Your Cost: $13.91/claim|Median: $10.49
1.3× median
87428Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$21K

347 claims · 0.1%

Your Cost: $61.06/claim|Median: $39.63
1.5× median
0072ATop 25%

$19K

436 claims · 0.1%

Your Cost: $44.26/claim|Median: $39.57
1.1× median
87804Normal range

Influenza virus detection, rapid test

$16K

1,203 claims · 0.1%

Your Cost: $13.41/claim|Median: $12.59
1.1× median
90651Normal range

HPV vaccine, 9-valent

$16K

2,530 claims · 0.1%

Your Cost: $6.22/claim|Median: $8.93
0.7× median
99219Top 25%

$15K

157 claims · 0.1%

Your Cost: $97.05/claim|Median: $63.35
1.5× median
99468Normal range

$14K

20 claims · 0.1%

Your Cost: $687.11/claim|Median: $679.18
1.0× median
0071ANormal range

$13K

307 claims · 0.1%

Your Cost: $40.99/claim|Median: $38.71
1.1× median
54150Top 25%

$13K

78 claims · 0.1%

Your Cost: $160.64/claim|Median: $84.60
1.9× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$12K

156 claims · 0.1%

Your Cost: $75.73/claim|Median: $14.00
5.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

18K claims · 0.0%

Your Cost: $0.60/claim|Median: $7.18
0.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$11K

232 claims · 0.0%

Your Cost: $45.61/claim|Median: $36.70
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$10K

741 claims · 0.0%

Your Cost: $13.58/claim|Median: $11.48
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$10K

11K claims · 0.0%

Your Cost: $0.96/claim|Median: $1.57
0.6× median

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$264.3M

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$406.5M

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Children's Specialized Hospital

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$199.9M

Phoenix Children's Hospital

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$162.4M

Texas Children's Physician Group

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$160.8M

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