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

⚖️ Compare🖨️ Print Report

CHILDRENS HOSPITAL MEDICAL PRACTICE CORPORATION

Pediatrics·NEW ORLEANS, LA·NPI: 1821090713Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.1M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$33.1M

$33,104,883

Total Claims

1.5M

Beneficiaries

1.3M

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+39%
2019
$4.6M
-19%
2020
$3.7M
+23%
2021
$4.5M
+20%
2022
$5.4M
+11%
2023
$6.1M
-9%
2024
$5.5M

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 28% of total spending.

99213Normal range

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

$9.3M

217K claims · 28.0%

Your Cost: $42.64/claim|Median: $37.81
1.1× median
99214Normal range

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

$6.6M

107K claims · 19.9%

Your Cost: $61.55/claim|Median: $53.41
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.3M

51K claims · 10.0%

Your Cost: $64.26/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.1M

55K claims · 9.4%

Your Cost: $57.34/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.9M

30K claims · 5.8%

Your Cost: $64.92/claim|Median: $74.82
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$1.4M

52K claims · 4.1%

Your Cost: $26.05/claim|Median: $25.06
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.2M

18K claims · 3.7%

Your Cost: $70.15/claim|Median: $80.15
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$695K

18K claims · 2.1%

Your Cost: $37.74/claim|Median: $23.99
1.6× median
99204Normal range

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

$586K

7,196 claims · 1.8%

Your Cost: $81.38/claim|Median: $84.03
1.0× median
99203Normal range

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

$513K

9,113 claims · 1.5%

Your Cost: $56.24/claim|Median: $57.85
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$390K

7,146 claims · 1.2%

Your Cost: $54.53/claim|Median: $35.30
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$295K

6,303 claims · 0.9%

Your Cost: $46.78/claim|Median: $37.22
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$279K

3,922 claims · 0.8%

Your Cost: $71.04/claim|Median: $74.09
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$261K

1,774 claims · 0.8%

Your Cost: $147.01/claim|Median: $101.24
1.5× median
99472Normal range

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

$224K

1,056 claims · 0.7%

Your Cost: $211.88/claim|Median: $307.98
0.7× median
90471Normal range

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

$215K

17K claims · 0.6%

Your Cost: $12.40/claim|Median: $9.80
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$194K

4,660 claims · 0.6%

Your Cost: $41.68/claim|Median: $62.48
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$165K

2,132 claims · 0.5%

Your Cost: $77.42/claim|Median: $54.68
1.4× median
93303Normal range

Echocardiography, transthoracic, limited

$145K

2,372 claims · 0.4%

Your Cost: $61.00/claim|Median: $112.83
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$136K

793 claims · 0.4%

Your Cost: $171.06/claim|Median: $233.73
0.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$131K

1,716 claims · 0.4%

Your Cost: $76.30/claim|Median: $51.25
1.5× median
90472Normal range

Immunization administration, each additional vaccine

$126K

9,295 claims · 0.4%

Your Cost: $13.51/claim|Median: $11.79
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$122K

1,223 claims · 0.4%

Your Cost: $99.50/claim|Median: $111.09
0.9× median
93304Normal range

$113K

2,830 claims · 0.3%

Your Cost: $39.96/claim|Median: $54.29
0.7× median
93325Normal range

$106K

7,416 claims · 0.3%

Your Cost: $14.33/claim|Median: $14.61
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$93K

2,283 claims · 0.3%

Your Cost: $40.58/claim|Median: $40.11
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$91K

13K claims · 0.3%

Your Cost: $6.78/claim|Median: $9.10
0.7× median
95782Normal range

$85K

392 claims · 0.3%

Your Cost: $216.43/claim|Median: $216.35
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$81K

4,118 claims · 0.2%

Your Cost: $19.65/claim|Median: $16.77
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$75K

1,861 claims · 0.2%

Your Cost: $40.08/claim|Median: $63.65
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$68K

999 claims · 0.2%

Your Cost: $67.74/claim|Median: $108.91
0.6× median
99173Normal range

$59K

38K claims · 0.2%

Your Cost: $1.57/claim|Median: $2.16
0.7× median
93320Normal range

$54K

2,481 claims · 0.2%

Your Cost: $21.56/claim|Median: $28.68
0.8× median
95720Normal range

$53K

390 claims · 0.2%

Your Cost: $136.37/claim|Median: $120.95
1.1× median
69436Normal range

Tympanostomy, general anesthesia

$45K

313 claims · 0.1%

Your Cost: $144.97/claim|Median: $205.50
0.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$43K

418 claims · 0.1%

Your Cost: $103.27/claim|Median: $67.32
1.5× median
87804Normal range

Influenza virus detection, rapid test

$41K

6,258 claims · 0.1%

Your Cost: $6.62/claim|Median: $12.59
0.5× median
93321Normal range

$40K

4,164 claims · 0.1%

Your Cost: $9.71/claim|Median: $9.69
1.0× median
99051Normal range

$38K

4,183 claims · 0.1%

Your Cost: $9.15/claim|Median: $7.89
1.2× median
D1120Normal range

Prophylaxis, adult

$35K

1,075 claims · 0.1%

Your Cost: $32.30/claim|Median: $33.86
1.0× median
95951Normal range

$31K

205 claims · 0.1%

Your Cost: $149.71/claim|Median: $183.28
0.8× median
93308Normal range

$30K

1,115 claims · 0.1%

Your Cost: $27.30/claim|Median: $20.08
1.4× median
54150Normal range

$30K

324 claims · 0.1%

Your Cost: $91.60/claim|Median: $84.60
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$26K

565 claims · 0.1%

Your Cost: $46.89/claim|Median: $39.96
1.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$24K

522 claims · 0.1%

Your Cost: $46.77/claim|Median: $32.07
1.5× median
99471Normal range

$24K

51 claims · 0.1%

Your Cost: $477.99/claim|Median: $680.99
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$24K

121 claims · 0.1%

Your Cost: $194.62/claim|Median: $331.68
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$23K

518 claims · 0.1%

Your Cost: $44.91/claim|Median: $43.85
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$21K

731 claims · 0.1%

Your Cost: $28.45/claim|Median: $41.28
0.7× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$20K

60 claims · 0.1%

Your Cost: $333.00/claim|Median: $293.45
1.1× 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 →