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

⚖️ Compare🖨️ Print Report

CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS

Pediatrics·CORPUS CHRISTI, TX·NPI: 1801856786Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $51.0M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-09→2024-12(66 months)

Total Paid

$51.0M

$50,953,469

Total Claims

974K

Beneficiaries

855K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$3K
+1%
2019
$3K
+36215%
2020
$1.1M
+802%
2021
$9.5M
+41%
2022
$13.4M
+9%
2023
$14.6M
-16%
2024
$12.3M

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 15% of total spending.

99214Normal range

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

$7.8M

118K claims · 15.2%

Your Cost: $65.72/claim|Median: $53.41
1.2× median
99213Normal range

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

$7.2M

146K claims · 14.1%

Your Cost: $49.29/claim|Median: $37.81
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$4.0M

31K claims · 7.9%

Your Cost: $129.85/claim|Median: $121.58
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$3.1M

50K claims · 6.1%

Your Cost: $62.44/claim|Median: $49.45
1.3× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$2.7M

33K claims · 5.3%

Your Cost: $82.14/claim|Median: $58.55
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$2.3M

22K claims · 4.5%

Your Cost: $104.02/claim|Median: $74.09
1.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$2.0M

17K claims · 3.8%

Your Cost: $115.29/claim|Median: $106.79
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.9M

21K claims · 3.7%

Your Cost: $90.27/claim|Median: $82.43
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

13K claims · 3.0%

Your Cost: $121.74/claim|Median: $54.68
2.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$1.5M

25K claims · 2.8%

Your Cost: $57.41/claim|Median: $36.79
1.6× median
99203Top 25%

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

$881K

11K claims · 1.7%

Your Cost: $81.26/claim|Median: $57.85
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$780K

11K claims · 1.5%

Your Cost: $68.93/claim|Median: $35.30
2.0× median
93303Normal range

Echocardiography, transthoracic, limited

$693K

7,446 claims · 1.4%

Your Cost: $93.04/claim|Median: $112.83
0.8× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$635K

9,398 claims · 1.2%

Your Cost: $67.57/claim|Median: $47.65
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$596K

8,069 claims · 1.2%

Your Cost: $73.89/claim|Median: $65.64
1.1× median
00170Top 25%

Anesthesia for intraoral procedures

$562K

2,715 claims · 1.1%

Your Cost: $207.01/claim|Median: $132.89
1.6× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$524K

6,015 claims · 1.0%

Your Cost: $87.13/claim|Median: $43.85
2.0× median
69436Normal range

Tympanostomy, general anesthesia

$466K

5,317 claims · 0.9%

Your Cost: $87.59/claim|Median: $205.50
0.4× median
93304Normal range

$463K

7,831 claims · 0.9%

Your Cost: $59.10/claim|Median: $54.29
1.1× median
99245Normal range

Office consultation, high complexity

$385K

2,212 claims · 0.8%

Your Cost: $174.19/claim|Median: $143.30
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$382K

7,660 claims · 0.7%

Your Cost: $49.81/claim|Median: $23.99
2.1× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$367K

1,522 claims · 0.7%

Your Cost: $241.30/claim|Median: $331.68
0.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$333K

11K claims · 0.7%

Your Cost: $29.26/claim|Median: $28.46
1.0× median
99472Normal range

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

$327K

944 claims · 0.6%

Your Cost: $346.33/claim|Median: $307.98
1.1× median
99242Top 25%

Office consultation, low complexity

$320K

4,522 claims · 0.6%

Your Cost: $70.75/claim|Median: $57.97
1.2× median
99223Top 10%

Initial hospital care, per day, high complexity

$316K

2,186 claims · 0.6%

Your Cost: $144.40/claim|Median: $67.32
2.1× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$309K

6,267 claims · 0.6%

Your Cost: $49.25/claim|Median: $39.70
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$299K

4,998 claims · 0.6%

Your Cost: $59.76/claim|Median: $37.22
1.6× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$298K

2,633 claims · 0.6%

Your Cost: $113.34/claim|Median: $51.25
2.2× median
99204Top 25%

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

$293K

2,593 claims · 0.6%

Your Cost: $113.08/claim|Median: $84.03
1.3× median
71045Normal range

Chest X-ray, single view

$266K

37K claims · 0.5%

Your Cost: $7.13/claim|Median: $4.93
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$259K

7,559 claims · 0.5%

Your Cost: $34.33/claim|Median: $35.80
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$259K

8,472 claims · 0.5%

Your Cost: $30.61/claim|Median: $25.06
1.2× median
76770Normal range

Ultrasound, retroperitoneal, complete

$255K

7,462 claims · 0.5%

Your Cost: $34.18/claim|Median: $37.35
0.9× median
99463Top 10%

$230K

2,056 claims · 0.5%

Your Cost: $111.93/claim|Median: $78.46
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$230K

2,978 claims · 0.5%

Your Cost: $77.21/claim|Median: $62.48
1.2× median
93325Normal range

$219K

28K claims · 0.4%

Your Cost: $7.90/claim|Median: $14.61
0.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$213K

17K claims · 0.4%

Your Cost: $12.27/claim|Median: $9.70
1.3× median
74018Normal range

$212K

26K claims · 0.4%

Your Cost: $8.09/claim|Median: $7.00
1.2× median
70551Normal range

MRI brain without contrast

$197K

2,407 claims · 0.4%

Your Cost: $81.71/claim|Median: $85.39
1.0× median
71046Normal range

Chest X-ray, 2 views

$190K

17K claims · 0.4%

Your Cost: $11.15/claim|Median: $8.92
1.3× median
76825Normal range

$185K

1,781 claims · 0.4%

Your Cost: $104.01/claim|Median: $103.74
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$185K

1,762 claims · 0.4%

Your Cost: $105.09/claim|Median: $133.68
0.8× median
93320Normal range

$184K

8,060 claims · 0.4%

Your Cost: $22.87/claim|Median: $28.68
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$167K

6,240 claims · 0.3%

Your Cost: $26.80/claim|Median: $23.81
1.1× median
99479Top 25%

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

$165K

1,303 claims · 0.3%

Your Cost: $126.94/claim|Median: $103.70
1.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$146K

2,355 claims · 0.3%

Your Cost: $61.95/claim|Median: $40.11
1.5× median
93321Normal range

$143K

13K claims · 0.3%

Your Cost: $11.36/claim|Median: $9.69
1.2× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$138K

351 claims · 0.3%

Your Cost: $393.18/claim|Median: $293.45
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$127K

19K claims · 0.2%

Your Cost: $6.69/claim|Median: $5.60
1.2× median

Other Top Providers in Texas

View all →

Girling Health Care Inc.

Home Health

$858.2M

Aoc TX LLC

Home Health

$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

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

← All providersAll providers in Texas →How we detect fraud →