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PEDIATRIC PHYSICIAN SERVICES, INC.

Pediatrics·ST PETERSBURG, FL·NPI: 1770532798Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$43.4M

$43,400,067

Total Claims

1.0M

Beneficiaries

746K

1.4 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$20K
+39241%
2019
$8.0M
-27%
2020
$5.9M
+22%
2021
$7.2M
-10%
2022
$6.5M
+28%
2023
$8.3M
-8%
2024
$7.6M

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 21% of total spending.

99284Normal range

Emergency dept visit, high complexity

$9.1M

118K claims · 21.0%

Your Cost: $77.48/claim|Median: $69.51
1.1× median
99214Normal range

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

$4.9M

70K claims · 11.2%

Your Cost: $69.51/claim|Median: $53.41
1.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.8M

21K claims · 6.5%

Your Cost: $136.53/claim|Median: $85.65
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$2.8M

28K claims · 6.4%

Your Cost: $98.00/claim|Median: $74.09
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.6M

36K claims · 6.1%

Your Cost: $73.69/claim|Median: $42.48
1.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$2.6M

39K claims · 5.9%

Your Cost: $65.19/claim|Median: $23.99
2.7× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$1.9M

20K claims · 4.4%

Your Cost: $97.17/claim|Median: $35.30
2.8× median
93303Normal range

Echocardiography, transthoracic, limited

$1.5M

19K claims · 3.4%

Your Cost: $78.76/claim|Median: $112.83
0.7× median
99213Normal range

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

$1.4M

32K claims · 3.1%

Your Cost: $42.51/claim|Median: $37.81
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

15K claims · 2.5%

Your Cost: $73.07/claim|Median: $54.68
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$870K

4,857 claims · 2.0%

Your Cost: $179.21/claim|Median: $101.24
1.8× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$850K

7,062 claims · 2.0%

Your Cost: $120.37/claim|Median: $35.80
3.4× median
99282Normal range

Emergency dept visit, low complexity

$791K

24K claims · 1.8%

Your Cost: $33.43/claim|Median: $37.72
0.9× median
70551Normal range

MRI brain without contrast

$653K

9,237 claims · 1.5%

Your Cost: $70.69/claim|Median: $85.39
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$505K

4,691 claims · 1.2%

Your Cost: $107.68/claim|Median: $121.58
0.9× median
93010Top 10%

Electrocardiogram, interpretation and report only

$491K

51K claims · 1.1%

Your Cost: $9.67/claim|Median: $5.60
1.7× median
01922Normal range

$461K

2,306 claims · 1.1%

Your Cost: $199.73/claim|Median: $166.77
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$430K

6,210 claims · 1.0%

Your Cost: $69.22/claim|Median: $75.18
0.9× median
71045Normal range

Chest X-ray, single view

$413K

68K claims · 1.0%

Your Cost: $6.11/claim|Median: $4.93
1.2× median
99204Top 25%

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

$389K

2,744 claims · 0.9%

Your Cost: $141.84/claim|Median: $84.03
1.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$374K

6,618 claims · 0.9%

Your Cost: $56.55/claim|Median: $37.22
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$349K

5,833 claims · 0.8%

Your Cost: $59.81/claim|Median: $69.35
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$304K

2,320 claims · 0.7%

Your Cost: $130.91/claim|Median: $233.73
0.6× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$293K

2,236 claims · 0.7%

Your Cost: $131.01/claim|Median: $51.25
2.6× median
70553Normal range

MRI brain without contrast, then with contrast

$284K

3,076 claims · 0.7%

Your Cost: $92.28/claim|Median: $133.68
0.7× median
74018Normal range

$254K

45K claims · 0.6%

Your Cost: $5.66/claim|Median: $7.00
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$245K

3,926 claims · 0.6%

Your Cost: $62.29/claim|Median: $82.43
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$234K

12K claims · 0.5%

Your Cost: $20.29/claim|Median: $23.81
0.9× median
94375Normal range

$221K

14K claims · 0.5%

Your Cost: $16.05/claim|Median: $17.23
0.9× median
95720Top 25%

$197K

1,158 claims · 0.5%

Your Cost: $170.36/claim|Median: $120.95
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$188K

18K claims · 0.4%

Your Cost: $10.56/claim|Median: $17.85
0.6× median
88304Normal range

$182K

8,792 claims · 0.4%

Your Cost: $20.65/claim|Median: $12.88
1.6× median
93320Normal range

$181K

19K claims · 0.4%

Your Cost: $9.38/claim|Median: $28.68
0.3× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$164K

4,940 claims · 0.4%

Your Cost: $33.16/claim|Median: $16.77
2.0× median
80053Normal range

Comprehensive metabolic panel

$163K

21K claims · 0.4%

Your Cost: $7.73/claim|Median: $7.24
1.1× median
99203Top 25%

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

$161K

1,741 claims · 0.4%

Your Cost: $92.31/claim|Median: $57.85
1.6× median
71046Normal range

Chest X-ray, 2 views

$160K

21K claims · 0.4%

Your Cost: $7.67/claim|Median: $8.92
0.9× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$160K

13K claims · 0.4%

Your Cost: $12.14/claim|Median: $5.50
2.2× median
70450Normal range

CT head/brain without contrast

$152K

4,484 claims · 0.3%

Your Cost: $33.84/claim|Median: $45.53
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$133K

2,200 claims · 0.3%

Your Cost: $60.27/claim|Median: $62.48
1.0× median
76770Normal range

Ultrasound, retroperitoneal, complete

$132K

4,959 claims · 0.3%

Your Cost: $26.54/claim|Median: $37.35
0.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$131K

700 claims · 0.3%

Your Cost: $187.12/claim|Median: $111.09
1.7× median
95782Normal range

$115K

857 claims · 0.3%

Your Cost: $134.59/claim|Median: $216.35
0.6× median
93325Normal range

$95K

28K claims · 0.2%

Your Cost: $3.41/claim|Median: $14.61
0.2× median
95951Normal range

$88K

295 claims · 0.2%

Your Cost: $296.88/claim|Median: $183.28
1.6× median
00731Normal range

$87K

1,055 claims · 0.2%

Your Cost: $82.32/claim|Median: $64.75
1.3× median
00170Normal range

Anesthesia for intraoral procedures

$85K

1,131 claims · 0.2%

Your Cost: $75.38/claim|Median: $132.89
0.6× median
82948Top 5%

$82K

2,322 claims · 0.2%

Your Cost: $35.13/claim|Median: $1.78
19.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$77K

1,075 claims · 0.2%

Your Cost: $71.54/claim|Median: $74.82
1.0× median
99219Normal range

$64K

860 claims · 0.1%

Your Cost: $74.54/claim|Median: $63.35
1.2× median

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