Compared to Pediatrics Peers
Total spending distribution among 14 providers in this specialty
This provider's total spending of $86.9M is at the 25th percentile among 14 Pediatrics providers.
Total Paid
$86.9M
$86,936,220
Total Claims
2.8M
Beneficiaries
2.6M
1.1 claims/patient
Avg Cost/Claim
$31
Monthly Spending Trend
Yearly Spending
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.
$24.3M
940K claims
$25.84
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$24.3M
940K claims · 27.9%
$11.0M
268K claims
$40.86
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$11.0M
268K claims · 12.6%
$8.2M
242K claims
$33.81
$42.48
Emergency dept visit, moderate complexity
$8.2M
242K claims · 9.4%
$6.1M
177K claims
$34.31
$75.18
Preventive medicine, established patient, age 1-4
$6.1M
177K claims · 7.0%
$5.6M
97K claims
$57.56
$69.51
Emergency dept visit, high complexity
$5.6M
97K claims · 6.4%
$4.7M
159K claims
$29.53
$69.35
Preventive medicine, established patient, infant (under 1)
$4.7M
159K claims · 5.4%
$2.6M
76K claims
$34.44
$74.82
Preventive medicine, established patient, age 5-11
$2.6M
76K claims · 3.0%
$1.9M
33K claims
$58.42
$74.09
Office/outpatient visit, high complexity
$1.9M
33K claims · 2.2%
$1.6M
29K claims
$55.83
$121.58
Office or other outpatient consultation, moderate complexity
$1.6M
29K claims · 1.8%
$1.6M
29K claims
$55.39
$84.03
Office/outpatient visit, new patient, mod-high complexity
$1.6M
29K claims · 1.8%
$1.5M
17K claims
$86.65
$85.65
Emergency dept visit, high/urgent complexity
$1.5M
17K claims · 1.7%
$1.1M
33K claims
$32.75
$57.85
Office/outpatient visit, new patient, low-mod complexity
$1.1M
33K claims · 1.2%
$1.0M
32K claims
$31.54
$82.43
Office or other outpatient consultation, low complexity
$1.0M
32K claims · 1.2%
$996K
86K claims
$11.61
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$996K
86K claims · 1.1%
$808K
9,034 claims
$89.49
$103.70
Subsequent intensive care, 2,501-5,000 grams
$808K
9,034 claims · 0.9%
$796K
11K claims
$72.29
$62.48
Initial hospital or birthing center care, newborn, per day
$796K
11K claims · 0.9%
$785K
20K claims
$40.08
$80.15
Preventive medicine, established patient, age 12-17
$785K
20K claims · 0.9%
$758K
4,836 claims · 0.9%
$724K
9,559 claims
$75.75
$35.80
Surgical pathology, gross and microscopic examination
$724K
9,559 claims · 0.8%
$639K
20K claims
$32.10
$58.55
Ultrasound, pregnant uterus, follow-up
$639K
20K claims · 0.7%
$587K
4,474 claims
$131.24
$205.50
Tympanostomy, general anesthesia
$587K
4,474 claims · 0.7%
Determination of refractive state
$542K
33K claims · 0.6%
$510K
9,149 claims
$55.79
$134.97
Percutaneous allergy skin tests, each
$510K
9,149 claims · 0.6%
$486K
20K claims
$23.91
$49.45
Fetal biophysical profile with non-stress test
$486K
20K claims · 0.6%
$437K
7,415 claims
$58.96
$106.79
Ultrasound, pregnant uterus, detailed, single fetus
$437K
7,415 claims · 0.5%
$436K
58K claims
$7.56
$5.60
Electrocardiogram, interpretation and report only
$436K
58K claims · 0.5%
$432K
14K claims
$30.99
$37.22
Hospital discharge day management, 30 minutes or less
$432K
14K claims · 0.5%
$391K
8,262 claims
$47.38
$54.68
Echocardiography, transthoracic, complete, with Doppler
$391K
8,262 claims · 0.5%
$382K
4,433 claims
$86.28
$98.15
Subsequent intensive care, very low birth weight infant
$382K
4,433 claims · 0.4%
$332K
1,836 claims
$180.58
$331.68
Tonsillectomy and adenoidectomy, under age 12
$332K
1,836 claims · 0.4%
$329K
12K claims
$27.93
$23.99
Subsequent hospital care, per day, moderate complexity
$329K
12K claims · 0.4%
$328K
2,417 claims · 0.4%
$302K
23K claims
$13.15
$25.06
Office/outpatient visit, low complexity
$302K
23K claims · 0.3%
$291K
6,073 claims
$47.86
$112.83
Echocardiography, transthoracic, limited
$291K
6,073 claims · 0.3%
$278K
11K claims
$24.44
$47.65
Ultrasound, pregnant uterus, transvaginal
$278K
11K claims · 0.3%
$277K
1,016 claims
$272.54
$293.45
Subsequent intensive care, very low birth weight infant
$277K
1,016 claims · 0.3%
$246K
6,394 claims
$38.42
$35.30
Subsequent hospital care, per day, high complexity
$246K
6,394 claims · 0.3%
$195K
5,457 claims
$35.81
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$195K
5,457 claims · 0.2%
$190K
10K claims
$18.69
$37.72
Emergency dept visit, low complexity
$190K
10K claims · 0.2%
$158K
6,892 claims
$22.94
$37.35
Ultrasound, retroperitoneal, complete
$158K
6,892 claims · 0.2%
$137K
1,262 claims
$108.45
$151.68
Upper GI endoscopy with biopsy
$137K
1,262 claims · 0.2%
$125K
2,300 claims · 0.1%
$112K
7,474 claims · 0.1%
$105K
1,496 claims
$70.13
$111.09
Office/outpatient visit, new patient, high complexity
$105K
1,496 claims · 0.1%
$103K
18K claims · 0.1%
$102K
3,204 claims · 0.1%
$95K
4,802 claims
$19.80
$40.11
Office/outpatient visit, new patient, low complexity
$95K
4,802 claims · 0.1%
$94K
1,432 claims
$65.72
$233.73
Polysomnography, sleep study, 6+ hours
$94K
1,432 claims · 0.1%
$91K
2,673 claims
$34.20
$59.72
Ophthalmological exam, comprehensive, new patient
$91K
2,673 claims · 0.1%
$88K
192 claims · 0.1%
Other Top Providers in Ohio
View all →The Cleveland Clinic Foundation
General Acute Care Hospital
$863.5M
Nationwide Children's Hospital
General Acute Care Hospital
$777.5M
Laboratory Corporation of America Holdings
Clinical Medical Laboratory
$617.0M
The Metrohealth System
General Acute Care Hospital
$574.1M
Children's Hospital Medical Center of Akron
General Acute Care Hospital Children
$556.6M
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