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CHILDREN'S HOSPITAL

Pediatrics·WASHINGTON, DC·NPI: 1780800128Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $115.3M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$115.3M

$115,265,711

Total Claims

1.9M

Beneficiaries

1.7M

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$10.6M
-8%
2019
$9.7M
+42%
2020
$13.7M
+37%
2021
$18.8M
+9%
2022
$20.4M
+9%
2023
$22.2M
-11%
2024
$19.8M

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 14% of total spending.

99213Top 25%

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

$16.2M

264K claims · 14.0%

Your Cost: $61.23/claim|Median: $37.81
1.6× median
99214Top 25%

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

$12.6M

141K claims · 10.9%

Your Cost: $89.57/claim|Median: $53.41
1.7× median
99283Normal range

Emergency dept visit, moderate complexity

$10.9M

178K claims · 9.4%

Your Cost: $61.31/claim|Median: $42.48
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$10.5M

102K claims · 9.1%

Your Cost: $102.72/claim|Median: $69.51
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$8.2M

66K claims · 7.1%

Your Cost: $124.68/claim|Median: $74.09
1.7× median
99472Normal range

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

$6.5M

21K claims · 5.6%

Your Cost: $303.33/claim|Median: $307.98
1.0× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$5.8M

67K claims · 5.0%

Your Cost: $86.99/claim|Median: $35.30
2.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$2.8M

19K claims · 2.4%

Your Cost: $143.45/claim|Median: $121.58
1.2× median
99204Top 25%

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

$2.7M

21K claims · 2.4%

Your Cost: $131.09/claim|Median: $84.03
1.6× median
99291Top 10%

Critical care, first 30-74 minutes

$2.7M

14K claims · 2.3%

Your Cost: $197.06/claim|Median: $101.24
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.1M

33K claims · 1.8%

Your Cost: $64.19/claim|Median: $74.82
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.0M

32K claims · 1.7%

Your Cost: $63.58/claim|Median: $75.18
0.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.9M

13K claims · 1.7%

Your Cost: $143.72/claim|Median: $85.65
1.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.8M

19K claims · 1.5%

Your Cost: $90.92/claim|Median: $82.43
1.1× median
99203Top 25%

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

$1.6M

20K claims · 1.4%

Your Cost: $83.03/claim|Median: $57.85
1.4× median
T2022Normal range

Case management, per month

$1.0M

5,444 claims · 0.9%

Your Cost: $191.10/claim|Median: $202.77
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.0M

18K claims · 0.9%

Your Cost: $55.55/claim|Median: $69.35
0.8× median
99282Normal range

Emergency dept visit, low complexity

$991K

23K claims · 0.9%

Your Cost: $42.30/claim|Median: $37.72
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$974K

19K claims · 0.8%

Your Cost: $50.31/claim|Median: $112.83
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$895K

42K claims · 0.8%

Your Cost: $21.24/claim|Median: $17.85
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$826K

12K claims · 0.7%

Your Cost: $68.24/claim|Median: $80.15
0.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$763K

14K claims · 0.7%

Your Cost: $55.13/claim|Median: $37.22
1.5× median
70551Normal range

MRI brain without contrast

$720K

9,884 claims · 0.6%

Your Cost: $72.85/claim|Median: $85.39
0.9× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$718K

8,783 claims · 0.6%

Your Cost: $81.70/claim|Median: $62.48
1.3× median
95720Normal range

$713K

4,465 claims · 0.6%

Your Cost: $159.73/claim|Median: $120.95
1.3× median
99245Normal range

Office consultation, high complexity

$691K

4,101 claims · 0.6%

Your Cost: $168.61/claim|Median: $143.30
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$668K

4,241 claims · 0.6%

Your Cost: $157.62/claim|Median: $111.09
1.4× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$665K

7,276 claims · 0.6%

Your Cost: $91.42/claim|Median: $98.15
0.9× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$632K

11K claims · 0.5%

Your Cost: $59.86/claim|Median: $23.99
2.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$596K

2,547 claims · 0.5%

Your Cost: $233.91/claim|Median: $331.68
0.7× median
70553Normal range

MRI brain without contrast, then with contrast

$560K

4,222 claims · 0.5%

Your Cost: $132.71/claim|Median: $133.68
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$539K

7,888 claims · 0.5%

Your Cost: $68.37/claim|Median: $54.68
1.3× median
99223Top 5%

Initial hospital care, per day, high complexity

$539K

3,079 claims · 0.5%

Your Cost: $175.11/claim|Median: $67.32
2.6× median
99212Normal range

Office/outpatient visit, low complexity

$525K

15K claims · 0.5%

Your Cost: $34.89/claim|Median: $25.06
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$440K

6,107 claims · 0.4%

Your Cost: $72.11/claim|Median: $47.08
1.5× median
70450Normal range

CT head/brain without contrast

$413K

11K claims · 0.4%

Your Cost: $38.28/claim|Median: $45.53
0.8× median
71045Normal range

Chest X-ray, single view

$378K

67K claims · 0.3%

Your Cost: $5.64/claim|Median: $4.93
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$374K

14K claims · 0.3%

Your Cost: $26.02/claim|Median: $35.80
0.7× median
93320Normal range

$344K

21K claims · 0.3%

Your Cost: $16.43/claim|Median: $28.68
0.6× median
71046Normal range

Chest X-ray, 2 views

$331K

38K claims · 0.3%

Your Cost: $8.65/claim|Median: $8.92
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$321K

2,641 claims · 0.3%

Your Cost: $121.50/claim|Median: $99.21
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$311K

4,241 claims · 0.3%

Your Cost: $73.40/claim|Median: $63.65
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$307K

49K claims · 0.3%

Your Cost: $6.22/claim|Median: $5.60
1.1× median
76705Normal range

Ultrasound, abdominal, limited

$286K

12K claims · 0.2%

Your Cost: $23.00/claim|Median: $23.81
1.0× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$269K

12K claims · 0.2%

Your Cost: $22.76/claim|Median: $6.93
3.3× median
99254Top 25%

$262K

1,963 claims · 0.2%

Your Cost: $133.30/claim|Median: $81.43
1.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$251K

3,620 claims · 0.2%

Your Cost: $69.28/claim|Median: $59.72
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$239K

823 claims · 0.2%

Your Cost: $290.06/claim|Median: $293.45
1.0× median
76770Normal range

Ultrasound, retroperitoneal, complete

$235K

8,273 claims · 0.2%

Your Cost: $28.46/claim|Median: $37.35
0.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$229K

2,125 claims · 0.2%

Your Cost: $107.84/claim|Median: $233.73
0.5× median

Other Top Providers in District of Columbia

View all →

Mbi Health Services LLC

Case Management

$270.1M

Children's Hospital

General Acute Care Hospital Children

$243.0M

Medstar Washington Hospital Center

General Acute Care Hospital

$239.1M

Government of the District of Columbia Office of Tax and Revenue

Ambulance Land Transport

$213.4M

Integrated Community Services, Inc.

Clinic/Center, Developmental Disabilities

$145.7M

Similar Providers

Other top providers in Pediatrics

Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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