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THE CHILDREN'S MERCY HOSPITAL

Pediatrics·KANSAS CITY, MO·NPI: 1851437719Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.6M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$53.6M

$53,567,055

Total Claims

1.3M

Beneficiaries

1.2M

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+2%
2019
$1.9M
+17%
2020
$2.2M
+298%
2021
$8.7M
+54%
2022
$13.3M
+18%
2023
$15.7M
-36%
2024
$10.0M

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 21% of total spending.

99213Normal range

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

$11.3M

211K claims · 21.1%

Your Cost: $53.55/claim|Median: $37.81
1.4× median
99214Normal range

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

$6.6M

90K claims · 12.3%

Your Cost: $73.32/claim|Median: $53.41
1.4× median
99283Normal range

Emergency dept visit, moderate complexity

$6.2M

140K claims · 11.5%

Your Cost: $44.24/claim|Median: $42.48
1.0× median
99472Normal range

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

$4.2M

13K claims · 7.8%

Your Cost: $320.41/claim|Median: $307.98
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$3.7M

35K claims · 6.9%

Your Cost: $105.36/claim|Median: $74.09
1.4× median
99284Normal range

Emergency dept visit, high complexity

$3.5M

43K claims · 6.5%

Your Cost: $80.91/claim|Median: $69.51
1.2× median
99203Normal range

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

$1.9M

26K claims · 3.6%

Your Cost: $74.97/claim|Median: $57.85
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$939K

8,289 claims · 1.8%

Your Cost: $113.34/claim|Median: $85.65
1.3× median
93303Normal range

Echocardiography, transthoracic, limited

$913K

16K claims · 1.7%

Your Cost: $57.61/claim|Median: $112.83
0.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$733K

16K claims · 1.4%

Your Cost: $44.63/claim|Median: $23.99
1.9× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$608K

6,881 claims · 1.1%

Your Cost: $88.29/claim|Median: $35.80
2.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$599K

19K claims · 1.1%

Your Cost: $31.94/claim|Median: $75.18
0.4× median
93320Normal range

$576K

17K claims · 1.1%

Your Cost: $33.21/claim|Median: $28.68
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$497K

7,713 claims · 0.9%

Your Cost: $64.49/claim|Median: $54.68
1.2× median
93325Normal range

$467K

29K claims · 0.9%

Your Cost: $16.05/claim|Median: $14.61
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$453K

15K claims · 0.8%

Your Cost: $30.70/claim|Median: $69.35
0.4× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$432K

3,883 claims · 0.8%

Your Cost: $111.16/claim|Median: $98.15
1.1× median
99204Normal range

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

$427K

3,942 claims · 0.8%

Your Cost: $108.41/claim|Median: $84.03
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$409K

7,992 claims · 0.8%

Your Cost: $51.13/claim|Median: $37.22
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$408K

13K claims · 0.8%

Your Cost: $31.85/claim|Median: $74.82
0.4× median
90839Normal range

Psychotherapy for crisis, first 60 min

$387K

3,832 claims · 0.7%

Your Cost: $101.10/claim|Median: $83.98
1.2× median
70551Normal range

MRI brain without contrast

$373K

5,748 claims · 0.7%

Your Cost: $64.97/claim|Median: $85.39
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$352K

51K claims · 0.7%

Your Cost: $6.95/claim|Median: $5.60
1.2× median
96110Top 25%

Developmental screening, per standardized instrument

$352K

16K claims · 0.7%

Your Cost: $21.73/claim|Median: $9.10
2.4× median
90471Normal range

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

$313K

32K claims · 0.6%

Your Cost: $9.79/claim|Median: $9.80
1.0× median
71045Normal range

Chest X-ray, single view

$295K

60K claims · 0.6%

Your Cost: $4.92/claim|Median: $4.93
1.0× median
90723Top 5%

DTaP-HepB-IPV vaccine

$295K

9,094 claims · 0.5%

Your Cost: $32.39/claim|Median: $5.78
5.6× median
71046Normal range

Chest X-ray, 2 views

$257K

36K claims · 0.5%

Your Cost: $7.07/claim|Median: $8.92
0.8× median
92567Normal range

$250K

19K claims · 0.5%

Your Cost: $13.19/claim|Median: $11.50
1.1× median
74018Normal range

$234K

42K claims · 0.4%

Your Cost: $5.58/claim|Median: $7.00
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$216K

13K claims · 0.4%

Your Cost: $16.11/claim|Median: $11.79
1.4× median
V2020Top 25%

Frames, purchases

$214K

5,686 claims · 0.4%

Your Cost: $37.70/claim|Median: $19.33
2.0× median
S9083Normal range

Global fee, urgent care centers

$195K

4,021 claims · 0.4%

Your Cost: $48.39/claim|Median: $103.99
0.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$171K

2,855 claims · 0.3%

Your Cost: $59.99/claim|Median: $35.30
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$162K

6,456 claims · 0.3%

Your Cost: $25.05/claim|Median: $25.06
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$160K

6,310 claims · 0.3%

Your Cost: $25.43/claim|Median: $80.15
0.3× median
76770Normal range

Ultrasound, retroperitoneal, complete

$160K

6,463 claims · 0.3%

Your Cost: $24.70/claim|Median: $37.35
0.7× median
69436Normal range

Tympanostomy, general anesthesia

$158K

892 claims · 0.3%

Your Cost: $177.39/claim|Median: $205.50
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$141K

1,521 claims · 0.3%

Your Cost: $92.99/claim|Median: $133.68
0.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$138K

1,459 claims · 0.3%

Your Cost: $94.46/claim|Median: $51.25
1.8× median
93304Normal range

$131K

2,546 claims · 0.2%

Your Cost: $51.29/claim|Median: $54.29
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$128K

28K claims · 0.2%

Your Cost: $4.57/claim|Median: $7.18
0.6× median
99243Top 25%

Office or other outpatient consultation, low complexity

$128K

1,284 claims · 0.2%

Your Cost: $99.47/claim|Median: $82.43
1.2× median
95720Normal range

$127K

935 claims · 0.2%

Your Cost: $135.31/claim|Median: $120.95
1.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$125K

417 claims · 0.2%

Your Cost: $299.15/claim|Median: $293.45
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$114K

756 claims · 0.2%

Your Cost: $150.30/claim|Median: $101.24
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$112K

956 claims · 0.2%

Your Cost: $117.15/claim|Median: $233.73
0.5× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$108K

4,843 claims · 0.2%

Your Cost: $22.27/claim|Median: $9.70
2.3× median
76705Normal range

Ultrasound, abdominal, limited

$108K

5,645 claims · 0.2%

Your Cost: $19.09/claim|Median: $23.81
0.8× median
70450Normal range

CT head/brain without contrast

$107K

3,036 claims · 0.2%

Your Cost: $35.13/claim|Median: $45.53
0.8× median

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

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

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