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TEXAS CHILDREN'S URGENT CARE

Pediatrics·HOUSTON, TX·NPI: 1871998963Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.7M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-05→2024-12(65 months)

Total Paid

$63.7M

$63,683,563

Total Claims

868K

Beneficiaries

787K

1.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$2K
-92%
2019
$132
+2350957%
2020
$3.1M
+329%
2021
$13.3M
+32%
2022
$17.6M
-7%
2023
$16.4M
-19%
2024
$13.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 61% of total spending.

99213Top 5%

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

$38.7M

288K claims · 60.8%

Your Cost: $134.66/claim|Median: $37.81
3.6× median
99203Top 5%

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

$17.0M

129K claims · 26.6%

Your Cost: $131.13/claim|Median: $57.85
2.3× median
99214Top 5%

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

$5.1M

38K claims · 8.0%

Your Cost: $133.52/claim|Median: $53.41
2.5× median
99204Top 25%

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

$2.2M

17K claims · 3.5%

Your Cost: $131.59/claim|Median: $84.03
1.6× median
S9083Top 25%

Global fee, urgent care centers

$260K

2,080 claims · 0.4%

Your Cost: $125.23/claim|Median: $103.99
1.2× median
87426Normal range

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

$166K

89K claims · 0.3%

Your Cost: $1.86/claim|Median: $30.04
0.1× median
99211Top 10%

Office/outpatient visit, minimal complexity

$105K

2,556 claims · 0.2%

Your Cost: $41.21/claim|Median: $12.93
3.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$61K

401 claims · 0.1%

Your Cost: $152.29/claim|Median: $121.16
1.3× median
87804Normal range

Influenza virus detection, rapid test

$47K

131K claims · 0.1%

Your Cost: $0.36/claim|Median: $12.59
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$24K

66K claims · 0.0%

Your Cost: $0.37/claim|Median: $11.48
0.0× median
99000Normal range

$6K

32K claims · 0.0%

Your Cost: $0.18/claim|Median: $2.30
0.1× median
71046Normal range

Chest X-ray, 2 views

$3K

496 claims · 0.0%

Your Cost: $5.46/claim|Median: $8.92
0.6× median
99215Top 25%

Office/outpatient visit, high complexity

$2K

15 claims · 0.0%

Your Cost: $120.27/claim|Median: $74.09
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

12 claims · 0.0%

Your Cost: $134.03/claim|Median: $111.09
1.2× median
99212Top 5%

Office/outpatient visit, low complexity

$1K

12 claims · 0.0%

Your Cost: $120.83/claim|Median: $25.06
4.8× median
31720Normal range

$1K

2,195 claims · 0.0%

Your Cost: $0.60/claim|Median: $39.83
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$216

4,666 claims · 0.0%

Your Cost: $0.05/claim|Median: $1.48
0.0× median
69210Normal range

$189

239 claims · 0.0%

Your Cost: $0.79/claim|Median: $21.74
0.0× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$180

148 claims · 0.0%

Your Cost: $1.22/claim|Median: $12.06
0.1× median
J7644Normal range

$147

865 claims · 0.0%

Your Cost: $0.17/claim|Median: $0.20
0.9× median
90656Normal range

$76

14 claims · 0.0%

Your Cost: $5.43/claim|Median: $8.67
0.6× median
A4627Normal range

$72

2,653 claims · 0.0%

Your Cost: $0.03/claim|Median: $21.89
0.0× median
A4570Normal range

$59

123 claims · 0.0%

Your Cost: $0.48/claim|Median: $6.68
0.1× median
73610Normal range

X-ray of ankle, complete, minimum three views

$48

280 claims · 0.0%

Your Cost: $0.17/claim|Median: $13.55
0.0× median
99051Normal range

$45

55K claims · 0.0%

Your Cost: $0.00/claim|Median: $7.89
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$38

29 claims · 0.0%

Your Cost: $1.31/claim|Median: $7.18
0.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$29

128 claims · 0.0%

Your Cost: $0.22/claim|Median: $10.88
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$7

140 claims · 0.0%

Your Cost: $0.05/claim|Median: $0.79
0.1× median
J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$1

1,160 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
S0119Normal range

$0

3,000 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.40
97169Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.00
73140Normal range

$0

134 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.18
73090Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.95
90715Normal range

Tdap vaccine

$0

106 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
94664Normal range

$0

116 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.88
69209Normal range

$0

250 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.70
51701Normal range

$0

337 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.05
73110Normal range

X-ray of wrist, complete, minimum three views

$0

106 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.64
J8540Normal range

$0

1,664 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.65
E0114Normal range

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.11
73130Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.69
90471Normal range

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

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
73590Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.92

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Consumer Directed Services in Texas Inc.

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Caregivers Home Health TX INC

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$477.7M

Legacy Community Health Services, INC

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$406.5M

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Other top providers in Pediatrics

Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

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$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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