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COASTAL PEDIATRIC ASSOCIATES, P.A.

Pediatrics·CHARLESTON, SC·NPI: 1770700759Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$25.0M

$25,030,713

Total Claims

524K

Beneficiaries

510K

1.0 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-7%
2019
$3.0M
-7%
2020
$2.8M
+38%
2021
$3.8M
+19%
2022
$4.5M
-3%
2023
$4.4M
-23%
2024
$3.4M

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 32% of total spending.

99214Top 25%

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

$7.9M

85K claims · 31.7%

Your Cost: $92.92/claim|Median: $53.41
1.7× median
99213Top 25%

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

$4.9M

77K claims · 19.6%

Your Cost: $64.20/claim|Median: $37.81
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.4M

24K claims · 9.5%

Your Cost: $97.99/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.3M

26K claims · 9.3%

Your Cost: $90.58/claim|Median: $69.35
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.3M

66K claims · 9.0%

Your Cost: $34.40/claim|Median: $17.85
1.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

12K claims · 4.5%

Your Cost: $96.97/claim|Median: $74.82
1.3× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$486K

20K claims · 1.9%

Your Cost: $23.88/claim|Median: $6.93
3.4× median
G9153Normal range

$427K

8,323 claims · 1.7%

Your Cost: $51.30/claim|Median: $43.70
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$427K

3,982 claims · 1.7%

Your Cost: $107.22/claim|Median: $80.15
1.3× median
87426Top 5%

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

$419K

8,138 claims · 1.7%

Your Cost: $51.51/claim|Median: $30.04
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$303K

2,526 claims · 1.2%

Your Cost: $119.97/claim|Median: $74.09
1.6× median
99188Normal range

$223K

14K claims · 0.9%

Your Cost: $16.03/claim|Median: $12.80
1.3× median
99051Normal range

$206K

16K claims · 0.8%

Your Cost: $12.93/claim|Median: $7.89
1.6× median
92587Normal range

$184K

8,489 claims · 0.7%

Your Cost: $21.72/claim|Median: $19.24
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$144K

6,706 claims · 0.6%

Your Cost: $21.42/claim|Median: $12.59
1.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$129K

2,507 claims · 0.5%

Your Cost: $51.44/claim|Median: $37.22
1.4× median
99499Top 10%

Unlisted evaluation and management service

$117K

1,563 claims · 0.5%

Your Cost: $75.00/claim|Median: $30.88
2.4× median
87428Top 10%

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

$109K

1,699 claims · 0.4%

Your Cost: $63.97/claim|Median: $39.63
1.6× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$108K

1,999 claims · 0.4%

Your Cost: $54.18/claim|Median: $34.62
1.6× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$105K

7,570 claims · 0.4%

Your Cost: $13.91/claim|Median: $11.48
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$98K

1,564 claims · 0.4%

Your Cost: $62.78/claim|Median: $62.48
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$76K

9,333 claims · 0.3%

Your Cost: $8.19/claim|Median: $9.10
0.9× median
87400Top 25%

$60K

3,538 claims · 0.2%

Your Cost: $17.10/claim|Median: $8.40
2.0× median
83655Top 25%

$55K

4,313 claims · 0.2%

Your Cost: $12.83/claim|Median: $10.49
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$39K

916 claims · 0.2%

Your Cost: $42.38/claim|Median: $25.06
1.7× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$36K

4,848 claims · 0.1%

Your Cost: $7.51/claim|Median: $3.67
2.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$29K

1,128 claims · 0.1%

Your Cost: $25.37/claim|Median: $12.70
2.0× median
0071ATop 25%

$27K

628 claims · 0.1%

Your Cost: $42.25/claim|Median: $38.71
1.1× median
0072ATop 25%

$25K

602 claims · 0.1%

Your Cost: $42.28/claim|Median: $39.57
1.1× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$22K

580 claims · 0.1%

Your Cost: $37.97/claim|Median: $30.53
1.2× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$21K

61 claims · 0.1%

Your Cost: $349.91/claim|Median: $169.17
2.1× median
96160Top 25%

Patient-focused health risk assessment

$19K

2,568 claims · 0.1%

Your Cost: $7.27/claim|Median: $2.10
3.5× median
85018Top 25%

$17K

7,009 claims · 0.1%

Your Cost: $2.47/claim|Median: $1.71
1.4× median
54150Normal range

$17K

215 claims · 0.1%

Your Cost: $78.65/claim|Median: $84.60
0.9× median
99177Normal range

$16K

4,020 claims · 0.1%

Your Cost: $3.89/claim|Median: $3.74
1.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$15K

360 claims · 0.1%

Your Cost: $42.55/claim|Median: $36.70
1.2× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$15K

349 claims · 0.1%

Your Cost: $41.72/claim|Median: $33.72
1.2× median
G0447Top 10%

$14K

641 claims · 0.1%

Your Cost: $22.26/claim|Median: $5.19
4.3× median
80061Normal range

Lipid panel

$13K

1,059 claims · 0.1%

Your Cost: $11.84/claim|Median: $8.41
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$12K

409 claims · 0.0%

Your Cost: $28.42/claim|Median: $28.46
1.0× median
99203Top 25%

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

$11K

124 claims · 0.0%

Your Cost: $91.40/claim|Median: $57.85
1.6× median
90837Top 25%

Psychotherapy, 60 minutes

$7K

60 claims · 0.0%

Your Cost: $112.99/claim|Median: $85.66
1.3× median
99462Normal range

$6K

236 claims · 0.0%

Your Cost: $25.44/claim|Median: $27.49
0.9× median
82247Normal range

$5K

1,114 claims · 0.0%

Your Cost: $4.26/claim|Median: $2.74
1.6× median
96161Top 10%

$5K

500 claims · 0.0%

Your Cost: $9.02/claim|Median: $2.49
3.6× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$4K

508 claims · 0.0%

Your Cost: $8.71/claim|Median: $5.50
1.6× median
92552Normal range

Pure tone audiometry, air only, each ear

$3K

242 claims · 0.0%

Your Cost: $13.41/claim|Median: $12.63
1.1× median
0111ATop 25%

$3K

77 claims · 0.0%

Your Cost: $42.13/claim|Median: $38.84
1.1× median
81003Top 25%

Urinalysis, automated without microscopy

$3K

1,098 claims · 0.0%

Your Cost: $2.39/claim|Median: $1.48
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$2K

17 claims · 0.0%

Your Cost: $133.54/claim|Median: $99.21
1.3× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

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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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