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

⚖️ Compare🖨️ Print Report

SULPHUR PEDIATRIC CLINIC MEDICAL CORPORATION

Pediatrics·SULPHUR, LA·NPI: 1821042086Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.1M is at the below 25th percentile among 14 Pediatrics providers.

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

Total Paid

$19.1M

$19,064,388

Total Claims

643K

Beneficiaries

570K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-3%
2019
$2.7M
-29%
2020
$1.9M
+25%
2021
$2.4M
+21%
2022
$2.9M
+8%
2023
$3.2M
-5%
2024
$3.0M

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 26% of total spending.

99214Normal range

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

$5.0M

80K claims · 26.4%

Your Cost: $63.29/claim|Median: $53.41
1.2× median
99213Normal range

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

$4.5M

110K claims · 23.8%

Your Cost: $41.32/claim|Median: $37.81
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

25K claims · 7.5%

Your Cost: $58.41/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

22K claims · 7.3%

Your Cost: $64.73/claim|Median: $75.18
0.9× median
98960Top 10%

$1.0M

15K claims · 5.4%

Your Cost: $70.73/claim|Median: $12.74
5.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$986K

15K claims · 5.2%

Your Cost: $65.85/claim|Median: $74.82
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$684K

51K claims · 3.6%

Your Cost: $13.34/claim|Median: $9.80
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$654K

9,418 claims · 3.4%

Your Cost: $69.44/claim|Median: $80.15
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$552K

21K claims · 2.9%

Your Cost: $26.88/claim|Median: $28.46
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$514K

35K claims · 2.7%

Your Cost: $14.72/claim|Median: $11.79
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$419K

16K claims · 2.2%

Your Cost: $26.26/claim|Median: $25.06
1.0× median
99051Top 25%

$299K

16K claims · 1.6%

Your Cost: $18.80/claim|Median: $7.89
2.4× median
87804Top 25%

Influenza virus detection, rapid test

$251K

14K claims · 1.3%

Your Cost: $17.99/claim|Median: $12.59
1.4× median
87811Normal range

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

$201K

8,101 claims · 1.1%

Your Cost: $24.79/claim|Median: $30.53
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$132K

16K claims · 0.7%

Your Cost: $8.03/claim|Median: $9.10
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$108K

14K claims · 0.6%

Your Cost: $7.73/claim|Median: $6.61
1.2× median
99188Normal range

$92K

5,203 claims · 0.5%

Your Cost: $17.65/claim|Median: $12.80
1.4× median
90474Normal range

$86K

10K claims · 0.5%

Your Cost: $8.29/claim|Median: $8.42
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$68K

2,295 claims · 0.4%

Your Cost: $29.84/claim|Median: $41.28
0.7× median
83655Normal range

$68K

7,596 claims · 0.4%

Your Cost: $9.01/claim|Median: $10.49
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$56K

830 claims · 0.3%

Your Cost: $68.05/claim|Median: $99.21
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$55K

1,037 claims · 0.3%

Your Cost: $53.31/claim|Median: $63.65
0.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$43K

852 claims · 0.2%

Your Cost: $50.95/claim|Median: $37.22
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$43K

983 claims · 0.2%

Your Cost: $43.31/claim|Median: $62.48
0.7× median
54150Normal range

$42K

337 claims · 0.2%

Your Cost: $124.80/claim|Median: $84.60
1.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$29K

462 claims · 0.2%

Your Cost: $62.32/claim|Median: $65.64
0.9× median
99173Normal range

$25K

14K claims · 0.1%

Your Cost: $1.84/claim|Median: $2.16
0.9× median
87634Normal range

$21K

557 claims · 0.1%

Your Cost: $38.39/claim|Median: $48.78
0.8× median
95117Normal range

$17K

1,915 claims · 0.1%

Your Cost: $8.99/claim|Median: $8.34
1.1× median
87807Normal range

$17K

1,671 claims · 0.1%

Your Cost: $10.26/claim|Median: $10.06
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$17K

196 claims · 0.1%

Your Cost: $85.04/claim|Median: $77.33
1.1× median
96161Normal range

$15K

3,981 claims · 0.1%

Your Cost: $3.74/claim|Median: $2.49
1.5× median
85018Normal range

$14K

7,242 claims · 0.1%

Your Cost: $1.92/claim|Median: $1.71
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$13K

2,192 claims · 0.1%

Your Cost: $5.90/claim|Median: $4.71
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$13K

1,913 claims · 0.1%

Your Cost: $6.71/claim|Median: $11.48
0.6× median
71046Top 25%

Chest X-ray, 2 views

$11K

626 claims · 0.1%

Your Cost: $17.95/claim|Median: $8.92
2.0× median
95004Normal range

Percutaneous allergy skin tests, each

$9K

57 claims · 0.0%

Your Cost: $155.25/claim|Median: $134.97
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$8K

132 claims · 0.0%

Your Cost: $58.15/claim|Median: $85.66
0.7× median
0071ATop 25%

$7K

171 claims · 0.0%

Your Cost: $41.74/claim|Median: $38.71
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$6K

580 claims · 0.0%

Your Cost: $9.87/claim|Median: $10.88
0.9× median
99203Normal range

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

$6K

85 claims · 0.0%

Your Cost: $65.01/claim|Median: $57.85
1.1× median
0072ATop 25%

$5K

111 claims · 0.0%

Your Cost: $48.20/claim|Median: $39.57
1.2× median
99204Normal range

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

$5K

60 claims · 0.0%

Your Cost: $84.65/claim|Median: $84.03
1.0× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$5K

40 claims · 0.0%

Your Cost: $126.33/claim|Median: $144.04
0.9× median
87426Normal range

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

$4K

206 claims · 0.0%

Your Cost: $20.41/claim|Median: $30.04
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

46 claims · 0.0%

Your Cost: $65.15/claim|Median: $72.71
0.9× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

55 claims · 0.0%

Your Cost: $48.50/claim|Median: $33.72
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

52 claims · 0.0%

Your Cost: $47.72/claim|Median: $36.70
1.3× median
81025Normal range

Urine pregnancy test

$2K

466 claims · 0.0%

Your Cost: $5.14/claim|Median: $4.81
1.1× median
36416Normal range

$2K

17K claims · 0.0%

Your Cost: $0.11/claim|Median: $1.31
0.1× median

Other Top Providers in Louisiana

View all →

Acadian Ambulance Service Inc.

Ambulance Air Transport

$422.7M

Lsu Health Sciences Center Shreveport Faculty Group Practice

Oral & Maxillofacial Surgery

$235.7M

Physicians Group Laboratories, LLC

Clinical Medical Laboratory

$208.1M

Our Lady of the Lake Hospital Inc.

General Acute Care Hospital

$205.7M

Ochsner Clinic Foundation

General Acute Care Hospital

$167.0M

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 Louisiana →How we detect fraud →