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PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC

Pediatrics·SANTA MARIA, CA·NPI: 1811091952Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.6M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$27.6M

$27,626,612

Total Claims

963K

Beneficiaries

923K

1.0 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+73%
2019
$4.6M
+9%
2020
$5.0M
+17%
2021
$5.9M
-7%
2022
$5.4M
-50%
2023
$2.7M
-53%
2024
$1.3M

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

$4.1M

105K claims · 14.8%

Your Cost: $38.67/claim|Median: $53.41
0.7× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.9M

31K claims · 10.7%

Your Cost: $95.14/claim|Median: $74.82
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.8M

31K claims · 10.2%

Your Cost: $89.38/claim|Median: $75.18
1.2× median
99213Normal range

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

$2.3M

85K claims · 8.2%

Your Cost: $26.61/claim|Median: $37.81
0.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$2.2M

20K claims · 8.0%

Your Cost: $109.99/claim|Median: $80.15
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.0M

25K claims · 7.1%

Your Cost: $79.14/claim|Median: $69.35
1.1× median
96110Top 1%

Developmental screening, per standardized instrument

$1.9M

15K claims · 6.7%

Your Cost: $124.73/claim|Median: $9.10
13.7× median
99051Top 1%

$1.8M

24K claims · 6.3%

Your Cost: $74.05/claim|Median: $7.89
9.4× median
G9920Top 25%

$1.1M

43K claims · 4.1%

Your Cost: $25.78/claim|Median: $6.56
3.9× median
92551Top 10%

Screening audiometry, pure tone, air only

$874K

64K claims · 3.2%

Your Cost: $13.62/claim|Median: $6.61
2.1× median
87426Top 10%

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

$674K

16K claims · 2.4%

Your Cost: $43.23/claim|Median: $30.04
1.4× median
D1206Normal range

Topical application of fluoride varnish

$512K

23K claims · 1.9%

Your Cost: $22.02/claim|Median: $18.12
1.2× median
87428Top 5%

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

$508K

6,905 claims · 1.8%

Your Cost: $73.60/claim|Median: $39.63
1.9× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$379K

3,935 claims · 1.4%

Your Cost: $96.35/claim|Median: $73.46
1.3× median
99402Top 25%

$263K

3,521 claims · 1.0%

Your Cost: $74.78/claim|Median: $31.79
2.4× median
99173Normal range

$249K

61K claims · 0.9%

Your Cost: $4.06/claim|Median: $2.16
1.9× median
99188Top 25%

$225K

10K claims · 0.8%

Your Cost: $21.93/claim|Median: $12.80
1.7× median
85018Top 25%

$206K

82K claims · 0.7%

Your Cost: $2.52/claim|Median: $1.71
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$196K

21K claims · 0.7%

Your Cost: $9.35/claim|Median: $7.18
1.3× median
90670Normal range

$176K

17K claims · 0.6%

Your Cost: $10.27/claim|Median: $5.94
1.7× median
80061Top 25%

Lipid panel

$160K

12K claims · 0.6%

Your Cost: $13.69/claim|Median: $8.41
1.6× median
90698Normal range

$153K

16K claims · 0.6%

Your Cost: $9.54/claim|Median: $6.32
1.5× median
90680Normal range

$142K

15K claims · 0.5%

Your Cost: $9.47/claim|Median: $5.58
1.7× median
90716Normal range

$113K

11K claims · 0.4%

Your Cost: $10.51/claim|Median: $6.18
1.7× median
83655Top 25%

$109K

8,391 claims · 0.4%

Your Cost: $12.97/claim|Median: $10.49
1.2× median
90651Normal range

HPV vaccine, 9-valent

$101K

8,729 claims · 0.4%

Your Cost: $11.62/claim|Median: $8.93
1.3× median
90707Normal range

MMR vaccine

$101K

10K claims · 0.4%

Your Cost: $9.82/claim|Median: $5.76
1.7× median
90744Normal range

$99K

11K claims · 0.4%

Your Cost: $9.13/claim|Median: $5.00
1.8× median
90633Normal range

$95K

10K claims · 0.3%

Your Cost: $9.39/claim|Median: $3.56
2.6× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$95K

16K claims · 0.3%

Your Cost: $5.89/claim|Median: $3.67
1.6× median
90685Normal range

$92K

9,966 claims · 0.3%

Your Cost: $9.27/claim|Median: $5.96
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$87K

7,051 claims · 0.3%

Your Cost: $12.38/claim|Median: $11.48
1.1× median
82962Top 25%

Blood glucose test by monitoring device

$87K

32K claims · 0.3%

Your Cost: $2.75/claim|Median: $1.40
2.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$86K

12K claims · 0.3%

Your Cost: $7.41/claim|Median: $12.93
0.6× median
87804Normal range

Influenza virus detection, rapid test

$79K

6,415 claims · 0.3%

Your Cost: $12.29/claim|Median: $12.59
1.0× median
G8510Top 25%

$77K

7,762 claims · 0.3%

Your Cost: $9.92/claim|Median: $1.96
5.1× median
87430Normal range

$70K

5,774 claims · 0.3%

Your Cost: $12.20/claim|Median: $9.41
1.3× median
94664Normal range

$64K

5,517 claims · 0.2%

Your Cost: $11.68/claim|Median: $8.88
1.3× median
90700Normal range

$63K

6,860 claims · 0.2%

Your Cost: $9.17/claim|Median: $4.56
2.0× median
90734Normal range

$53K

5,251 claims · 0.2%

Your Cost: $10.06/claim|Median: $6.40
1.6× median
90671Normal range

$46K

3,545 claims · 0.2%

Your Cost: $13.06/claim|Median: $8.59
1.5× median
90621Normal range

$43K

3,639 claims · 0.2%

Your Cost: $11.69/claim|Median: $7.66
1.5× median
90715Normal range

Tdap vaccine

$38K

4,096 claims · 0.1%

Your Cost: $9.33/claim|Median: $10.32
0.9× median
99401Normal range

$36K

3,350 claims · 0.1%

Your Cost: $10.77/claim|Median: $16.53
0.7× median
90648Top 25%

$35K

3,885 claims · 0.1%

Your Cost: $9.14/claim|Median: $4.08
2.2× median
90619Normal range

$28K

2,510 claims · 0.1%

Your Cost: $11.04/claim|Median: $8.36
1.3× median
90660Normal range

$26K

2,727 claims · 0.1%

Your Cost: $9.35/claim|Median: $5.71
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$23K

8,625 claims · 0.1%

Your Cost: $2.71/claim|Median: $17.85
0.2× median
90696Normal range

DTaP-IPV vaccine

$23K

2,236 claims · 0.1%

Your Cost: $10.15/claim|Median: $5.95
1.7× median
90713Normal range

Poliovirus vaccine (IPV)

$22K

2,405 claims · 0.1%

Your Cost: $9.11/claim|Median: $5.41
1.7× median

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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