Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

CHILDREN'S PHYSICIANS

Pediatrics·OMAHA, NE·NPI: 1750443503Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.4M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$39.4M

$39,423,457

Total Claims

813K

Beneficiaries

784K

1.0 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$5.0M
-3%
2019
$4.9M
-20%
2020
$3.9M
+39%
2021
$5.5M
+24%
2022
$6.8M
+18%
2023
$8.0M
-32%
2024
$5.4M

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 39% of total spending.

99213Top 25%

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

$15.4M

266K claims · 39.0%

Your Cost: $57.85/claim|Median: $37.81
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$5.2M

56K claims · 13.3%

Your Cost: $93.88/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$4.2M

48K claims · 10.6%

Your Cost: $87.49/claim|Median: $69.35
1.3× median
99214Top 25%

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

$3.1M

37K claims · 8.0%

Your Cost: $85.67/claim|Median: $53.41
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.7M

29K claims · 6.9%

Your Cost: $94.43/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.3M

13K claims · 3.4%

Your Cost: $104.53/claim|Median: $80.15
1.3× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$987K

7,146 claims · 2.5%

Your Cost: $138.09/claim|Median: $100.62
1.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$859K

61K claims · 2.2%

Your Cost: $14.12/claim|Median: $7.18
2.0× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$688K

18K claims · 1.7%

Your Cost: $37.50/claim|Median: $28.46
1.3× median
96110Top 25%

Developmental screening, per standardized instrument

$532K

23K claims · 1.3%

Your Cost: $23.09/claim|Median: $9.10
2.5× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$524K

11K claims · 1.3%

Your Cost: $46.38/claim|Median: $17.85
2.6× median
90670Top 25%

$415K

27K claims · 1.1%

Your Cost: $15.45/claim|Median: $5.94
2.6× median
90648Top 10%

$406K

28K claims · 1.0%

Your Cost: $14.52/claim|Median: $4.08
3.6× median
90723Top 25%

DTaP-HepB-IPV vaccine

$285K

19K claims · 0.7%

Your Cost: $14.69/claim|Median: $5.78
2.5× median
99212Top 25%

Office/outpatient visit, low complexity

$236K

6,364 claims · 0.6%

Your Cost: $37.15/claim|Median: $25.06
1.5× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$197K

3,919 claims · 0.5%

Your Cost: $50.35/claim|Median: $3.67
13.7× median
90680Top 25%

$194K

13K claims · 0.5%

Your Cost: $14.82/claim|Median: $5.58
2.7× median
90677Normal range

$182K

4,535 claims · 0.5%

Your Cost: $40.08/claim|Median: $12.96
3.1× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$176K

1,319 claims · 0.4%

Your Cost: $133.10/claim|Median: $91.47
1.5× median
90633Top 25%

$151K

11K claims · 0.4%

Your Cost: $14.22/claim|Median: $3.56
4.0× median
0071ANormal range

$100K

2,645 claims · 0.3%

Your Cost: $37.82/claim|Median: $38.71
1.0× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$99K

1,037 claims · 0.3%

Your Cost: $95.52/claim|Median: $65.64
1.5× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$93K

892 claims · 0.2%

Your Cost: $104.35/claim|Median: $62.48
1.7× median
0072ANormal range

$88K

2,309 claims · 0.2%

Your Cost: $37.90/claim|Median: $39.57
1.0× median
90651Normal range

HPV vaccine, 9-valent

$74K

4,225 claims · 0.2%

Your Cost: $17.41/claim|Median: $8.93
2.0× median
92551Top 10%

Screening audiometry, pure tone, air only

$72K

4,792 claims · 0.2%

Your Cost: $15.04/claim|Median: $6.61
2.3× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$61K

854 claims · 0.2%

Your Cost: $71.94/claim|Median: $37.22
1.9× median
80061Top 25%

Lipid panel

$54K

3,792 claims · 0.1%

Your Cost: $14.22/claim|Median: $8.41
1.7× median
90656Normal range

$47K

4,822 claims · 0.1%

Your Cost: $9.65/claim|Median: $8.67
1.1× median
90734Top 25%

$44K

2,534 claims · 0.1%

Your Cost: $17.40/claim|Median: $6.40
2.7× median
0111ANormal range

$43K

1,158 claims · 0.1%

Your Cost: $37.47/claim|Median: $38.84
1.0× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$43K

849 claims · 0.1%

Your Cost: $50.99/claim|Median: $39.70
1.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$42K

1,108 claims · 0.1%

Your Cost: $37.84/claim|Median: $36.70
1.0× median
90471Normal range

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

$39K

2,909 claims · 0.1%

Your Cost: $13.37/claim|Median: $9.80
1.4× median
0124ANormal range

$36K

966 claims · 0.1%

Your Cost: $37.48/claim|Median: $34.32
1.1× median
99203Top 25%

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

$36K

454 claims · 0.1%

Your Cost: $78.91/claim|Median: $57.85
1.4× median
85018Top 25%

$36K

14K claims · 0.1%

Your Cost: $2.53/claim|Median: $1.71
1.5× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$35K

917 claims · 0.1%

Your Cost: $37.83/claim|Median: $33.72
1.1× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$31K

2,061 claims · 0.1%

Your Cost: $15.13/claim|Median: $11.48
1.3× median
0154ANormal range

$30K

802 claims · 0.1%

Your Cost: $37.21/claim|Median: $39.23
0.9× median
90710Top 25%

MMRV vaccine

$29K

1,743 claims · 0.1%

Your Cost: $16.65/claim|Median: $7.00
2.4× median
0112ANormal range

$29K

764 claims · 0.1%

Your Cost: $37.65/claim|Median: $40.00
0.9× median
90696Top 25%

DTaP-IPV vaccine

$25K

1,597 claims · 0.1%

Your Cost: $15.57/claim|Median: $5.95
2.6× median
90681Top 25%

$24K

1,711 claims · 0.1%

Your Cost: $14.03/claim|Median: $5.74
2.4× median
0074ANormal range

$23K

610 claims · 0.1%

Your Cost: $37.79/claim|Median: $39.19
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$23K

6,296 claims · 0.1%

Your Cost: $3.59/claim|Median: $1.57
2.3× median
90672Top 25%

$22K

1,235 claims · 0.1%

Your Cost: $17.77/claim|Median: $3.59
4.9× median
0054ANormal range

$22K

583 claims · 0.1%

Your Cost: $37.23/claim|Median: $35.83
1.0× median
99188Normal range

$20K

1,058 claims · 0.0%

Your Cost: $18.60/claim|Median: $12.80
1.5× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$19K

152 claims · 0.0%

Your Cost: $127.75/claim|Median: $43.85
2.9× median