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UNIVERSITY PEDIATRICIANS

Pediatrics·DETROIT, MI·NPI: 1811920549Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $107.0M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$107.0M

$107,016,775

Total Claims

1.5M

Beneficiaries

1.2M

1.3 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$13.4M
+4%
2019
$13.9M
-12%
2020
$12.2M
+32%
2021
$16.1M
+9%
2022
$17.6M
-0%
2023
$17.6M
-8%
2024
$16.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 14% of total spending.

99472Normal range

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

$15.2M

45K claims · 14.2%

Your Cost: $339.97/claim|Median: $307.98
1.1× median
99284Normal range

Emergency dept visit, high complexity

$8.7M

140K claims · 8.1%

Your Cost: $62.01/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$6.9M

113K claims · 6.5%

Your Cost: $61.20/claim|Median: $42.48
1.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$6.5M

20K claims · 6.1%

Your Cost: $331.91/claim|Median: $293.45
1.1× median
99214Normal range

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

$6.0M

117K claims · 5.6%

Your Cost: $51.42/claim|Median: $53.41
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$5.9M

75K claims · 5.5%

Your Cost: $78.58/claim|Median: $74.09
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.5M

73K claims · 4.2%

Your Cost: $61.27/claim|Median: $35.30
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$3.9M

31K claims · 3.6%

Your Cost: $123.84/claim|Median: $101.24
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.6M

43K claims · 3.4%

Your Cost: $84.86/claim|Median: $85.65
1.0× median
99468Normal range

$2.8M

3,707 claims · 2.6%

Your Cost: $743.78/claim|Median: $679.18
1.1× median
99282Normal range

Emergency dept visit, low complexity

$2.7M

53K claims · 2.5%

Your Cost: $50.18/claim|Median: $37.72
1.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.6M

64K claims · 2.5%

Your Cost: $41.10/claim|Median: $23.99
1.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.4M

23K claims · 2.3%

Your Cost: $106.56/claim|Median: $67.32
1.6× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$2.4M

24K claims · 2.2%

Your Cost: $100.13/claim|Median: $98.15
1.0× median
99479Normal range

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

$2.4M

23K claims · 2.2%

Your Cost: $102.04/claim|Median: $103.70
1.0× median
99471Normal range

$2.1M

3,246 claims · 2.0%

Your Cost: $655.13/claim|Median: $680.99
1.0× median
99204Normal range

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

$2.0M

27K claims · 1.8%

Your Cost: $72.80/claim|Median: $84.03
0.9× median
99213Normal range

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

$1.7M

50K claims · 1.6%

Your Cost: $34.33/claim|Median: $37.81
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.5M

36K claims · 1.4%

Your Cost: $40.90/claim|Median: $37.22
1.1× median
99476Normal range

$1.3M

4,572 claims · 1.3%

Your Cost: $293.96/claim|Median: $290.39
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.3M

15K claims · 1.2%

Your Cost: $84.28/claim|Median: $121.58
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

25K claims · 1.1%

Your Cost: $46.13/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

20K claims · 1.0%

Your Cost: $54.30/claim|Median: $75.18
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$1.0M

14K claims · 1.0%

Your Cost: $72.80/claim|Median: $51.25
1.4× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$995K

15K claims · 0.9%

Your Cost: $64.45/claim|Median: $43.85
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$933K

9,464 claims · 0.9%

Your Cost: $98.54/claim|Median: $111.09
0.9× median
99254Normal range

$770K

8,803 claims · 0.7%

Your Cost: $87.50/claim|Median: $81.43
1.1× median
99255Normal range

$716K

6,482 claims · 0.7%

Your Cost: $110.42/claim|Median: $90.45
1.2× median
99475Normal range

$697K

1,470 claims · 0.7%

Your Cost: $474.24/claim|Median: $477.80
1.0× median
95720Normal range

$674K

5,821 claims · 0.6%

Your Cost: $115.76/claim|Median: $120.95
1.0× median
99477Normal range

$654K

2,490 claims · 0.6%

Your Cost: $262.65/claim|Median: $276.41
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$619K

12K claims · 0.6%

Your Cost: $53.81/claim|Median: $62.48
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$614K

15K claims · 0.6%

Your Cost: $40.30/claim|Median: $54.68
0.7× median
99292Top 25%

$607K

5,277 claims · 0.6%

Your Cost: $114.97/claim|Median: $57.64
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$605K

12K claims · 0.6%

Your Cost: $51.80/claim|Median: $74.82
0.7× median
93303Normal range

Echocardiography, transthoracic, limited

$566K

16K claims · 0.5%

Your Cost: $35.42/claim|Median: $112.83
0.3× median
99245Normal range

Office consultation, high complexity

$544K

5,082 claims · 0.5%

Your Cost: $107.01/claim|Median: $143.30
0.7× median
01922Normal range

$512K

5,786 claims · 0.5%

Your Cost: $88.53/claim|Median: $166.77
0.5× median
99220Top 25%

$510K

5,189 claims · 0.5%

Your Cost: $98.33/claim|Median: $73.56
1.3× median
99236Normal range

Observation care same day admit and discharge

$462K

3,812 claims · 0.4%

Your Cost: $121.30/claim|Median: $128.23
0.9× median
95951Normal range

$416K

2,639 claims · 0.4%

Your Cost: $157.68/claim|Median: $183.28
0.9× median
99203Normal range

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

$368K

8,213 claims · 0.3%

Your Cost: $44.82/claim|Median: $57.85
0.8× median
99219Normal range

$347K

4,893 claims · 0.3%

Your Cost: $70.87/claim|Median: $63.35
1.1× median
99417Normal range

$332K

15K claims · 0.3%

Your Cost: $22.19/claim|Median: $34.90
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$309K

5,446 claims · 0.3%

Your Cost: $56.76/claim|Median: $80.15
0.7× median
99217Normal range

$289K

7,283 claims · 0.3%

Your Cost: $39.71/claim|Median: $31.89
1.2× median
99235Normal range

$273K

2,983 claims · 0.3%

Your Cost: $91.58/claim|Median: $110.13
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$249K

4,675 claims · 0.2%

Your Cost: $53.28/claim|Median: $82.43
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$244K

3,491 claims · 0.2%

Your Cost: $69.84/claim|Median: $151.68
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$238K

3,626 claims · 0.2%

Your Cost: $65.77/claim|Median: $233.73
0.3× median

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