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CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON

Pediatrics·AKRON, OH·NPI: 1841328853Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $86.9M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-012024-12(84 months)

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

2018
$11.3M
+8%
2019
$12.3M
-23%
2020
$9.4M
+22%
2021
$11.4M
+9%
2022
$12.5M
+21%
2023
$15.1M
-1%
2024
$14.9M

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

$24.3M

940K claims · 27.9%

Your Cost: $25.84/claim|Median: $37.81
0.7× median
99214Normal range

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

$11.0M

268K claims · 12.6%

Your Cost: $40.86/claim|Median: $53.41
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$8.2M

242K claims · 9.4%

Your Cost: $33.81/claim|Median: $42.48
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6.1M

177K claims · 7.0%

Your Cost: $34.31/claim|Median: $75.18
0.5× median
99284Normal range

Emergency dept visit, high complexity

$5.6M

97K claims · 6.4%

Your Cost: $57.56/claim|Median: $69.51
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4.7M

159K claims · 5.4%

Your Cost: $29.53/claim|Median: $69.35
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.6M

76K claims · 3.0%

Your Cost: $34.44/claim|Median: $74.82
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$1.9M

33K claims · 2.2%

Your Cost: $58.42/claim|Median: $74.09
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.6M

29K claims · 1.8%

Your Cost: $55.83/claim|Median: $121.58
0.5× median
99204Normal range

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

$1.6M

29K claims · 1.8%

Your Cost: $55.39/claim|Median: $84.03
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

17K claims · 1.7%

Your Cost: $86.65/claim|Median: $85.65
1.0× median
99203Normal range

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

$1.1M

33K claims · 1.2%

Your Cost: $32.75/claim|Median: $57.85
0.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.0M

32K claims · 1.2%

Your Cost: $31.54/claim|Median: $82.43
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$996K

86K claims · 1.1%

Your Cost: $11.61/claim|Median: $17.85
0.7× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$808K

9,034 claims · 0.9%

Your Cost: $89.49/claim|Median: $103.70
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$796K

11K claims · 0.9%

Your Cost: $72.29/claim|Median: $62.48
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$785K

20K claims · 0.9%

Your Cost: $40.08/claim|Median: $80.15
0.5× median
95720Normal range

$758K

4,836 claims · 0.9%

Your Cost: $156.84/claim|Median: $120.95
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$724K

9,559 claims · 0.8%

Your Cost: $75.75/claim|Median: $35.80
2.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$639K

20K claims · 0.7%

Your Cost: $32.10/claim|Median: $58.55
0.5× median
69436Normal range

Tympanostomy, general anesthesia

$587K

4,474 claims · 0.7%

Your Cost: $131.24/claim|Median: $205.50
0.6× median
92015Top 25%

Determination of refractive state

$542K

33K claims · 0.6%

Your Cost: $16.46/claim|Median: $10.36
1.6× median
95004Normal range

Percutaneous allergy skin tests, each

$510K

9,149 claims · 0.6%

Your Cost: $55.79/claim|Median: $134.97
0.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$486K

20K claims · 0.6%

Your Cost: $23.91/claim|Median: $49.45
0.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$437K

7,415 claims · 0.5%

Your Cost: $58.96/claim|Median: $106.79
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$436K

58K claims · 0.5%

Your Cost: $7.56/claim|Median: $5.60
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$432K

14K claims · 0.5%

Your Cost: $30.99/claim|Median: $37.22
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$391K

8,262 claims · 0.5%

Your Cost: $47.38/claim|Median: $54.68
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$382K

4,433 claims · 0.4%

Your Cost: $86.28/claim|Median: $98.15
0.9× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$332K

1,836 claims · 0.4%

Your Cost: $180.58/claim|Median: $331.68
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$329K

12K claims · 0.4%

Your Cost: $27.93/claim|Median: $23.99
1.2× median
95951Normal range

$328K

2,417 claims · 0.4%

Your Cost: $135.79/claim|Median: $183.28
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$302K

23K claims · 0.3%

Your Cost: $13.15/claim|Median: $25.06
0.5× median
93303Normal range

Echocardiography, transthoracic, limited

$291K

6,073 claims · 0.3%

Your Cost: $47.86/claim|Median: $112.83
0.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$278K

11K claims · 0.3%

Your Cost: $24.44/claim|Median: $47.65
0.5× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$277K

1,016 claims · 0.3%

Your Cost: $272.54/claim|Median: $293.45
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$246K

6,394 claims · 0.3%

Your Cost: $38.42/claim|Median: $35.30
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$195K

5,457 claims · 0.2%

Your Cost: $35.81/claim|Median: $74.78
0.5× median
99282Normal range

Emergency dept visit, low complexity

$190K

10K claims · 0.2%

Your Cost: $18.69/claim|Median: $37.72
0.5× median
76770Normal range

Ultrasound, retroperitoneal, complete

$158K

6,892 claims · 0.2%

Your Cost: $22.94/claim|Median: $37.35
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$137K

1,262 claims · 0.2%

Your Cost: $108.45/claim|Median: $151.68
0.7× median
99219Normal range

$125K

2,300 claims · 0.1%

Your Cost: $54.32/claim|Median: $63.35
0.9× median
93320Normal range

$112K

7,474 claims · 0.1%

Your Cost: $15.01/claim|Median: $28.68
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$105K

1,496 claims · 0.1%

Your Cost: $70.13/claim|Median: $111.09
0.6× median
94010Normal range

$103K

18K claims · 0.1%

Your Cost: $5.82/claim|Median: $18.11
0.3× median
99462Normal range

$102K

3,204 claims · 0.1%

Your Cost: $31.91/claim|Median: $27.49
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$95K

4,802 claims · 0.1%

Your Cost: $19.80/claim|Median: $40.11
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$94K

1,432 claims · 0.1%

Your Cost: $65.72/claim|Median: $233.73
0.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$91K

2,673 claims · 0.1%

Your Cost: $34.20/claim|Median: $59.72
0.6× median
67311Normal range

$88K

192 claims · 0.1%

Your Cost: $460.53/claim|Median: $610.94
0.8× median