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CHILDRENS HEALTH CARE

General Acute Care Hospital, Children·MINNEAPOLIS, MN·NPI: 1881793750Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$100.0M

$99,953,812

Total Claims

1.0M

Beneficiaries

931K

1.1 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+215%
2019
$13.8M
-32%
2020
$9.4M
+92%
2021
$18.0M
+17%
2022
$21.0M
-14%
2023
$18.0M
-15%
2024
$15.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 33% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$33.2M

189K claims · 33.2%

Your Cost: $176.16/claim|Median: $42.48
4.1× median
99284Top 5%

Emergency dept visit, high complexity

$18.2M

66K claims · 18.2%

Your Cost: $274.53/claim|Median: $69.51
3.9× median
G0463Top 10%

Hospital outpatient clinic visit

$15.4M

161K claims · 15.4%

Your Cost: $95.73/claim|Median: $26.41
3.6× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$6.6M

50K claims · 6.7%

Your Cost: $133.86/claim|Median: $91.47
1.5× median
J1100Top 1%

$3.7M

7,709 claims · 3.7%

Your Cost: $477.93/claim|Median: $0.52
919.1× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$3.0M

2,667 claims · 3.0%

Your Cost: $1,121.31/claim|Median: $57.39
19.5× median
0240UTop 25%

$1.8M

13K claims · 1.8%

Your Cost: $134.87/claim|Median: $89.76
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

21K claims · 1.5%

Your Cost: $70.62/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.4M

21K claims · 1.4%

Your Cost: $68.10/claim|Median: $74.82
0.9× median
C9803Normal range

$1.1M

53K claims · 1.1%

Your Cost: $21.02/claim|Median: $13.20
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

17K claims · 1.1%

Your Cost: $65.21/claim|Median: $69.35
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$988K

11K claims · 1.0%

Your Cost: $86.32/claim|Median: $120.85
0.7× median
99282Top 25%

Emergency dept visit, low complexity

$970K

8,862 claims · 1.0%

Your Cost: $109.42/claim|Median: $37.72
2.9× median
69436Top 25%

Tympanostomy, general anesthesia

$906K

1,004 claims · 0.9%

Your Cost: $902.16/claim|Median: $205.50
4.4× median
90471Top 10%

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

$903K

45K claims · 0.9%

Your Cost: $20.26/claim|Median: $9.80
2.1× median
93303Top 10%

Echocardiography, transthoracic, limited

$902K

2,428 claims · 0.9%

Your Cost: $371.45/claim|Median: $112.83
3.3× median
99212Top 10%

Office/outpatient visit, low complexity

$727K

9,094 claims · 0.7%

Your Cost: $79.89/claim|Median: $25.06
3.2× median
H0035Top 10%

Mental health partial hospitalization, treatment, per hour

$670K

2,015 claims · 0.7%

Your Cost: $332.67/claim|Median: $148.53
2.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$646K

8,858 claims · 0.6%

Your Cost: $72.91/claim|Median: $80.15
0.9× median
71046Top 10%

Chest X-ray, 2 views

$421K

8,650 claims · 0.4%

Your Cost: $48.68/claim|Median: $8.92
5.5× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$391K

527 claims · 0.4%

Your Cost: $742.42/claim|Median: $233.73
3.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$357K

3,779 claims · 0.4%

Your Cost: $94.46/claim|Median: $10.88
8.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$260K

720 claims · 0.3%

Your Cost: $360.70/claim|Median: $54.68
6.6× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$257K

80 claims · 0.3%

Your Cost: $3,207.74/claim|Median: $331.68
9.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$247K

3,251 claims · 0.2%

Your Cost: $75.83/claim|Median: $63.08
1.2× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$202K

2,174 claims · 0.2%

Your Cost: $93.09/claim|Median: $37.35
2.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$201K

20K claims · 0.2%

Your Cost: $10.17/claim|Median: $28.46
0.4× median
43239Top 5%

Upper GI endoscopy with biopsy

$180K

281 claims · 0.2%

Your Cost: $638.91/claim|Median: $151.68
4.2× median
D1510Top 1%

$178K

178 claims · 0.2%

Your Cost: $1,001.75/claim|Median: $147.00
6.8× median
90670Top 5%

$175K

4,416 claims · 0.2%

Your Cost: $39.71/claim|Median: $5.94
6.7× median
92610Top 25%

Evaluation of swallowing function

$158K

2,192 claims · 0.2%

Your Cost: $71.90/claim|Median: $45.22
1.6× median
90837Top 25%

Psychotherapy, 60 minutes

$126K

1,230 claims · 0.1%

Your Cost: $102.15/claim|Median: $85.66
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$120K

1,452 claims · 0.1%

Your Cost: $82.87/claim|Median: $63.65
1.3× median
94060Top 10%

$119K

981 claims · 0.1%

Your Cost: $120.88/claim|Median: $25.18
4.8× median
92551Top 5%

Screening audiometry, pure tone, air only

$114K

3,544 claims · 0.1%

Your Cost: $32.18/claim|Median: $6.61
4.9× median
80050Normal range

General health panel

$112K

3,120 claims · 0.1%

Your Cost: $35.74/claim|Median: $25.59
1.4× median
70551Top 25%

MRI brain without contrast

$110K

606 claims · 0.1%

Your Cost: $182.15/claim|Median: $85.39
2.1× median
D2933Normal range

$104K

1,200 claims · 0.1%

Your Cost: $86.78/claim|Median: $145.67
0.6× median
93325Normal range

$102K

6,088 claims · 0.1%

Your Cost: $16.70/claim|Median: $14.61
1.1× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$99K

1,462 claims · 0.1%

Your Cost: $67.94/claim|Median: $12.70
5.3× median
74019Top 25%

$98K

2,273 claims · 0.1%

Your Cost: $43.08/claim|Median: $9.82
4.4× median
97530Top 25%

Therapeutic activities, each 15 min

$93K

1,179 claims · 0.1%

Your Cost: $79.21/claim|Median: $33.11
2.4× median
95782Normal range

$91K

128 claims · 0.1%

Your Cost: $710.75/claim|Median: $216.35
3.3× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$90K

6,099 claims · 0.1%

Your Cost: $14.84/claim|Median: $15.76
0.9× median
97166Top 25%

OT evaluation, moderate complexity

$88K

1,009 claims · 0.1%

Your Cost: $87.13/claim|Median: $48.74
1.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$85K

23K claims · 0.1%

Your Cost: $3.73/claim|Median: $7.18
0.5× median
D3220Normal range

Therapeutic pulpotomy

$80K

2,549 claims · 0.1%

Your Cost: $31.56/claim|Median: $81.27
0.4× median
70553Top 25%

MRI brain without contrast, then with contrast

$78K

201 claims · 0.1%

Your Cost: $388.16/claim|Median: $133.68
2.9× median
36415Normal range

Collection of venous blood by venipuncture

$78K

42K claims · 0.1%

Your Cost: $1.86/claim|Median: $1.57
1.2× median
93320Normal range

$75K

2,451 claims · 0.1%

Your Cost: $30.74/claim|Median: $28.68
1.1× median

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