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RALEIGH GROUP P.C.

Pediatrics·MEMPHIS, TN·NPI: 1831209873Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.7M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$24.7M

$24,680,624

Total Claims

1.1M

Beneficiaries

986K

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+41%
2019
$4.2M
-26%
2020
$3.1M
+14%
2021
$3.5M
+24%
2022
$4.4M
-17%
2023
$3.6M
-17%
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 14% of total spending.

99214Normal range

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

$3.5M

50K claims · 14.3%

Your Cost: $70.16/claim|Median: $53.41
1.3× median
99213Normal range

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

$3.3M

70K claims · 13.2%

Your Cost: $46.64/claim|Median: $37.81
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$3.1M

79K claims · 12.6%

Your Cost: $39.12/claim|Median: $17.85
2.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.3M

30K claims · 9.4%

Your Cost: $76.62/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.2M

30K claims · 9.1%

Your Cost: $74.67/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.8M

22K claims · 7.2%

Your Cost: $82.77/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.7M

25K claims · 6.9%

Your Cost: $66.94/claim|Median: $69.35
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.2M

16K claims · 4.9%

Your Cost: $73.60/claim|Median: $65.64
1.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$1.1M

68K claims · 4.5%

Your Cost: $16.51/claim|Median: $12.63
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$535K

69K claims · 2.2%

Your Cost: $7.77/claim|Median: $4.71
1.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$528K

16K claims · 2.1%

Your Cost: $33.81/claim|Median: $28.46
1.2× median
99173Top 25%

$401K

68K claims · 1.6%

Your Cost: $5.94/claim|Median: $2.16
2.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$290K

52K claims · 1.2%

Your Cost: $5.56/claim|Median: $3.67
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$274K

8,932 claims · 1.1%

Your Cost: $30.64/claim|Median: $25.06
1.2× median
99401Normal range

$235K

10K claims · 1.0%

Your Cost: $23.40/claim|Median: $16.53
1.4× median
96160Top 5%

Patient-focused health risk assessment

$214K

11K claims · 0.9%

Your Cost: $18.89/claim|Median: $2.10
9.0× median
96110Top 25%

Developmental screening, per standardized instrument

$193K

9,451 claims · 0.8%

Your Cost: $20.47/claim|Median: $9.10
2.2× median
99381Normal range

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

$175K

2,354 claims · 0.7%

Your Cost: $74.36/claim|Median: $73.46
1.0× median
96161Top 25%

$160K

20K claims · 0.6%

Your Cost: $7.84/claim|Median: $2.49
3.1× median
87426Normal range

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

$132K

4,287 claims · 0.5%

Your Cost: $30.86/claim|Median: $30.04
1.0× median
36416Normal range

$124K

70K claims · 0.5%

Your Cost: $1.78/claim|Median: $1.31
1.4× median
87428Normal range

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

$120K

2,328 claims · 0.5%

Your Cost: $51.50/claim|Median: $39.63
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$114K

2,403 claims · 0.5%

Your Cost: $47.48/claim|Median: $39.70
1.2× median
90651Normal range

HPV vaccine, 9-valent

$77K

13K claims · 0.3%

Your Cost: $6.03/claim|Median: $8.93
0.7× median
81003Normal range

Urinalysis, automated without microscopy

$76K

39K claims · 0.3%

Your Cost: $1.97/claim|Median: $1.48
1.3× median
90471Normal range

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

$67K

5,129 claims · 0.3%

Your Cost: $13.01/claim|Median: $9.80
1.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$60K

3,944 claims · 0.2%

Your Cost: $15.34/claim|Median: $10.88
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$56K

5,059 claims · 0.2%

Your Cost: $11.12/claim|Median: $11.48
1.0× median
0071ANormal range

$50K

1,315 claims · 0.2%

Your Cost: $37.68/claim|Median: $38.71
1.0× median
92522Normal range

Evaluation of speech sound production

$42K

2,586 claims · 0.2%

Your Cost: $16.18/claim|Median: $32.17
0.5× median
3008FNormal range

$40K

75K claims · 0.2%

Your Cost: $0.53/claim|Median: $0.06
8.9× median
90734Normal range

$38K

5,900 claims · 0.2%

Your Cost: $6.47/claim|Median: $6.40
1.0× median
92567Top 25%

$35K

2,255 claims · 0.1%

Your Cost: $15.58/claim|Median: $11.50
1.4× median
0072ANormal range

$34K

919 claims · 0.1%

Your Cost: $37.50/claim|Median: $39.57
0.9× median
87804Normal range

Influenza virus detection, rapid test

$30K

2,363 claims · 0.1%

Your Cost: $12.73/claim|Median: $12.59
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$29K

793 claims · 0.1%

Your Cost: $36.54/claim|Median: $33.72
1.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$26K

643 claims · 0.1%

Your Cost: $40.48/claim|Median: $65.45
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$24K

660 claims · 0.1%

Your Cost: $36.48/claim|Median: $36.70
1.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$24K

281 claims · 0.1%

Your Cost: $83.85/claim|Median: $81.92
1.0× median
0081ANormal range

$19K

499 claims · 0.1%

Your Cost: $37.75/claim|Median: $38.21
1.0× median
90710Normal range

MMRV vaccine

$17K

7,869 claims · 0.1%

Your Cost: $2.15/claim|Median: $7.00
0.3× median
90670Normal range

$17K

20K claims · 0.1%

Your Cost: $0.86/claim|Median: $5.94
0.1× median
0054ANormal range

$11K

319 claims · 0.0%

Your Cost: $34.99/claim|Median: $35.83
1.0× median
69210Normal range

$10K

478 claims · 0.0%

Your Cost: $20.86/claim|Median: $21.74
1.0× median
0082ANormal range

$10K

258 claims · 0.0%

Your Cost: $38.55/claim|Median: $39.88
1.0× median
90715Normal range

Tdap vaccine

$8K

4,142 claims · 0.0%

Your Cost: $1.85/claim|Median: $10.32
0.2× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$7K

80 claims · 0.0%

Your Cost: $92.85/claim|Median: $79.89
1.2× median
81001Normal range

Urinalysis, automated, with microscopy

$7K

2,752 claims · 0.0%

Your Cost: $2.60/claim|Median: $2.03
1.3× median
90619Normal range

$7K

3,683 claims · 0.0%

Your Cost: $1.86/claim|Median: $8.36
0.2× median
90633Normal range

$6K

13K claims · 0.0%

Your Cost: $0.50/claim|Median: $3.56
0.1× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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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

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