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THE CHILDRENS MEDICAL GROUP

Pediatrics·POUGHKEEPSIE, NY·NPI: 1841224508Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.7M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$28.7M

$28,659,091

Total Claims

697K

Beneficiaries

672K

1.0 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+38%
2019
$3.3M
+10%
2020
$3.7M
+43%
2021
$5.3M
+11%
2022
$5.9M
-18%
2023
$4.8M
-30%
2024
$3.3M

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 29% of total spending.

99213Top 5%

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

$8.3M

84K claims · 29.1%

Your Cost: $99.76/claim|Median: $37.81
2.6× median
99214Top 5%

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

$8.2M

55K claims · 28.5%

Your Cost: $147.33/claim|Median: $53.41
2.8× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.1M

18K claims · 7.5%

Your Cost: $117.87/claim|Median: $69.35
1.7× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.9M

15K claims · 6.6%

Your Cost: $126.03/claim|Median: $75.18
1.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.8M

14K claims · 6.1%

Your Cost: $124.94/claim|Median: $74.82
1.7× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$1.4M

10K claims · 4.8%

Your Cost: $136.33/claim|Median: $80.15
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.3M

29K claims · 4.6%

Your Cost: $46.17/claim|Median: $39.70
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

50K claims · 3.9%

Your Cost: $22.07/claim|Median: $17.85
1.2× median
99051Top 25%

$700K

43K claims · 2.4%

Your Cost: $16.41/claim|Median: $7.89
2.1× median
36416Top 5%

$362K

41K claims · 1.3%

Your Cost: $8.90/claim|Median: $1.31
6.8× median
87804Normal range

Influenza virus detection, rapid test

$279K

19K claims · 1.0%

Your Cost: $15.03/claim|Median: $12.59
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$155K

5,399 claims · 0.5%

Your Cost: $28.62/claim|Median: $28.46
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$132K

41K claims · 0.5%

Your Cost: $3.26/claim|Median: $4.71
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$97K

21K claims · 0.3%

Your Cost: $4.53/claim|Median: $3.67
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$89K

34K claims · 0.3%

Your Cost: $2.64/claim|Median: $6.61
0.4× median
99212Top 10%

Office/outpatient visit, low complexity

$76K

1,249 claims · 0.3%

Your Cost: $60.78/claim|Median: $25.06
2.4× median
99215Top 5%

Office/outpatient visit, high complexity

$71K

337 claims · 0.2%

Your Cost: $211.03/claim|Median: $74.09
2.8× median
90471Normal range

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

$64K

6,349 claims · 0.2%

Your Cost: $10.06/claim|Median: $9.80
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$58K

14K claims · 0.2%

Your Cost: $4.07/claim|Median: $11.48
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$57K

5,083 claims · 0.2%

Your Cost: $11.21/claim|Median: $6.93
1.6× median
87081Normal range

Culture screening for pathogenic organisms

$53K

10K claims · 0.2%

Your Cost: $5.07/claim|Median: $5.09
1.0× median
83655Top 25%

$51K

3,828 claims · 0.2%

Your Cost: $13.34/claim|Median: $10.49
1.3× median
87426Top 10%

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

$41K

928 claims · 0.1%

Your Cost: $44.54/claim|Median: $30.04
1.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$41K

319 claims · 0.1%

Your Cost: $128.47/claim|Median: $72.71
1.8× median
82465Top 25%

$23K

4,937 claims · 0.1%

Your Cost: $4.68/claim|Median: $3.41
1.4× median
0072ATop 25%

$22K

502 claims · 0.1%

Your Cost: $44.29/claim|Median: $39.57
1.1× median
0071ATop 25%

$22K

496 claims · 0.1%

Your Cost: $43.90/claim|Median: $38.71
1.1× median
99177Normal range

$21K

6,110 claims · 0.1%

Your Cost: $3.47/claim|Median: $3.74
0.9× median
99381Top 10%

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

$19K

160 claims · 0.1%

Your Cost: $118.40/claim|Median: $73.46
1.6× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$15K

350 claims · 0.1%

Your Cost: $44.15/claim|Median: $36.70
1.2× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$14K

134 claims · 0.1%

Your Cost: $108.08/claim|Median: $62.48
1.7× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$14K

323 claims · 0.0%

Your Cost: $44.20/claim|Median: $33.72
1.3× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$12K

145 claims · 0.0%

Your Cost: $81.12/claim|Median: $37.22
2.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

7,450 claims · 0.0%

Your Cost: $1.34/claim|Median: $7.18
0.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$10K

780 claims · 0.0%

Your Cost: $12.64/claim|Median: $10.88
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$9K

2,382 claims · 0.0%

Your Cost: $3.62/claim|Median: $1.57
2.3× median
90697Normal range

$7K

457 claims · 0.0%

Your Cost: $16.13/claim|Median: $7.24
2.2× median
96110Normal range

Developmental screening, per standardized instrument

$7K

701 claims · 0.0%

Your Cost: $10.05/claim|Median: $9.10
1.1× median
90480Normal range

$6K

176 claims · 0.0%

Your Cost: $33.30/claim|Median: $25.29
1.3× median
69210Top 5%

$3K

52 claims · 0.0%

Your Cost: $56.76/claim|Median: $21.74
2.6× median
0053ATop 25%

$2K

48 claims · 0.0%

Your Cost: $40.00/claim|Median: $37.33
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

735 claims · 0.0%

Your Cost: $2.01/claim|Median: $2.00
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$1K

100 claims · 0.0%

Your Cost: $14.70/claim|Median: $11.79
1.2× median
99462Top 5%

$1K

26 claims · 0.0%

Your Cost: $47.81/claim|Median: $27.49
1.7× median
0124ATop 25%

$1K

29 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.32
1.2× median
0081ANormal range

$1K

27 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.21
1.0× median
0074ATop 25%

$1K

24 claims · 0.0%

Your Cost: $43.80/claim|Median: $39.19
1.1× median
0082ATop 25%

$804

17 claims · 0.0%

Your Cost: $47.27/claim|Median: $39.88
1.2× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$640

16 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.49
1.1× median
0154ANormal range

$600

15 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.23
1.0× median

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Assistcarehome Healthcare Services

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