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UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Pediatrics·DALLAS, TX·NPI: 1750351375Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $66.3M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$66.3M

$66,294,164

Total Claims

846K

Beneficiaries

697K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-3%
2019
$1.2M
+141%
2020
$3.0M
+412%
2021
$15.1M
+20%
2022
$18.1M
-3%
2023
$17.5M
-43%
2024
$10.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 13% of total spending.

99284Normal range

Emergency dept visit, high complexity

$8.8M

101K claims · 13.2%

Your Cost: $86.72/claim|Median: $69.51
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$7.9M

22K claims · 12.0%

Your Cost: $355.63/claim|Median: $293.45
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$6.8M

62K claims · 10.3%

Your Cost: $109.72/claim|Median: $85.65
1.3× median
99479Normal range

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

$4.8M

40K claims · 7.2%

Your Cost: $119.47/claim|Median: $103.70
1.2× median
99472Normal range

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

$4.6M

13K claims · 7.0%

Your Cost: $363.81/claim|Median: $307.98
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.2M

64K claims · 6.3%

Your Cost: $65.67/claim|Median: $35.30
1.9× median
99214Normal range

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

$4.0M

98K claims · 6.1%

Your Cost: $41.18/claim|Median: $53.41
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$3.6M

31K claims · 5.4%

Your Cost: $114.01/claim|Median: $98.15
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$2.8M

43K claims · 4.2%

Your Cost: $65.04/claim|Median: $74.09
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$2.3M

51K claims · 3.4%

Your Cost: $44.85/claim|Median: $42.48
1.1× median
99291Top 10%

Critical care, first 30-74 minutes

$2.0M

9,937 claims · 2.9%

Your Cost: $196.38/claim|Median: $101.24
1.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.6M

13K claims · 2.5%

Your Cost: $124.15/claim|Median: $121.58
1.0× median
99213Normal range

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

$1.0M

37K claims · 1.6%

Your Cost: $28.09/claim|Median: $37.81
0.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$989K

13K claims · 1.5%

Your Cost: $78.43/claim|Median: $43.85
1.8× median
99468Top 25%

$956K

1,161 claims · 1.4%

Your Cost: $823.02/claim|Median: $679.18
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$866K

15K claims · 1.3%

Your Cost: $57.78/claim|Median: $37.22
1.6× median
95720Top 25%

$849K

5,044 claims · 1.3%

Your Cost: $168.41/claim|Median: $120.95
1.4× median
99282Normal range

Emergency dept visit, low complexity

$610K

20K claims · 0.9%

Your Cost: $30.83/claim|Median: $37.72
0.8× median
99223Top 10%

Initial hospital care, per day, high complexity

$597K

4,506 claims · 0.9%

Your Cost: $132.49/claim|Median: $67.32
2.0× median
93303Normal range

Echocardiography, transthoracic, limited

$589K

12K claims · 0.9%

Your Cost: $48.08/claim|Median: $112.83
0.4× median
99203Normal range

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

$522K

12K claims · 0.8%

Your Cost: $42.06/claim|Median: $57.85
0.7× median
99204Normal range

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

$446K

6,917 claims · 0.7%

Your Cost: $64.46/claim|Median: $84.03
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$443K

8,107 claims · 0.7%

Your Cost: $54.70/claim|Median: $54.68
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$392K

8,321 claims · 0.6%

Your Cost: $47.16/claim|Median: $23.99
2.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$382K

4,282 claims · 0.6%

Your Cost: $89.28/claim|Median: $233.73
0.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$310K

48K claims · 0.5%

Your Cost: $6.46/claim|Median: $5.60
1.2× median
99220Top 25%

$299K

2,501 claims · 0.5%

Your Cost: $119.55/claim|Median: $73.56
1.6× median
95812Normal range

$290K

6,422 claims · 0.4%

Your Cost: $45.10/claim|Median: $104.99
0.4× median
99477Top 25%

$282K

781 claims · 0.4%

Your Cost: $361.41/claim|Median: $276.41
1.3× median
95782Normal range

$281K

3,051 claims · 0.4%

Your Cost: $92.15/claim|Median: $216.35
0.4× median
99245Normal range

Office consultation, high complexity

$254K

1,554 claims · 0.4%

Your Cost: $163.20/claim|Median: $143.30
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$229K

3,352 claims · 0.3%

Your Cost: $68.39/claim|Median: $75.18
0.9× median
93320Normal range

$182K

13K claims · 0.3%

Your Cost: $13.84/claim|Median: $28.68
0.5× median
99255Top 25%

$176K

1,065 claims · 0.3%

Your Cost: $165.22/claim|Median: $90.45
1.8× median
99217Top 25%

$147K

2,612 claims · 0.2%

Your Cost: $56.40/claim|Median: $31.89
1.8× median
95718Top 25%

$145K

1,312 claims · 0.2%

Your Cost: $110.20/claim|Median: $78.85
1.4× median
99236Top 10%

Observation care same day admit and discharge

$113K

594 claims · 0.2%

Your Cost: $190.51/claim|Median: $128.23
1.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$108K

1,206 claims · 0.2%

Your Cost: $89.21/claim|Median: $82.43
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$98K

1,820 claims · 0.1%

Your Cost: $53.93/claim|Median: $69.35
0.8× median
99254Top 25%

$94K

749 claims · 0.1%

Your Cost: $125.37/claim|Median: $81.43
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$91K

4,999 claims · 0.1%

Your Cost: $18.19/claim|Median: $25.06
0.7× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$84K

2,543 claims · 0.1%

Your Cost: $33.14/claim|Median: $16.77
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$82K

1,047 claims · 0.1%

Your Cost: $78.75/claim|Median: $111.09
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$73K

954 claims · 0.1%

Your Cost: $76.66/claim|Median: $62.48
1.2× median
99221Top 25%

Initial hospital care, straightforward/low

$68K

1,083 claims · 0.1%

Your Cost: $63.22/claim|Median: $39.96
1.6× median
94010Normal range

$57K

8,104 claims · 0.1%

Your Cost: $7.00/claim|Median: $18.11
0.4× median
99462Top 25%

$56K

1,499 claims · 0.1%

Your Cost: $37.52/claim|Median: $27.49
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$56K

766 claims · 0.1%

Your Cost: $72.90/claim|Median: $134.97
0.5× median
43239Normal range

Upper GI endoscopy with biopsy

$52K

576 claims · 0.1%

Your Cost: $91.09/claim|Median: $151.68
0.6× median
93325Normal range

$45K

19K claims · 0.1%

Your Cost: $2.36/claim|Median: $14.61
0.2× median

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