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CHILDRENS HEALTH CARE

Pediatrics·MINNEAPOLIS, MN·NPI: 1932208808Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$25.4M

$25,446,237

Total Claims

400K

Beneficiaries

268K

1.5 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+192%
2019
$4.2M
+12%
2020
$4.7M
+26%
2021
$5.9M
-23%
2022
$4.5M
-43%
2023
$2.6M
-12%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 15% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$3.9M

65K claims · 15.2%

Your Cost: $59.36/claim|Median: $35.30
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$3.7M

51K claims · 14.5%

Your Cost: $72.65/claim|Median: $74.09
1.0× median
99479Normal range

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

$2.1M

25K claims · 8.3%

Your Cost: $83.61/claim|Median: $103.70
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.0M

7,807 claims · 7.9%

Your Cost: $255.89/claim|Median: $293.45
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.9M

25K claims · 7.7%

Your Cost: $79.21/claim|Median: $98.15
0.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.3M

12K claims · 5.3%

Your Cost: $108.59/claim|Median: $67.32
1.6× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.3M

21K claims · 5.2%

Your Cost: $64.13/claim|Median: $43.85
1.5× median
99214Normal range

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

$1.2M

25K claims · 4.7%

Your Cost: $47.60/claim|Median: $53.41
0.9× median
99213Normal range

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

$929K

23K claims · 3.7%

Your Cost: $40.17/claim|Median: $37.81
1.1× median
99472Normal range

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

$854K

3,461 claims · 3.4%

Your Cost: $246.85/claim|Median: $307.98
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$827K

21K claims · 3.2%

Your Cost: $40.19/claim|Median: $23.99
1.7× median
99203Normal range

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

$526K

9,375 claims · 2.1%

Your Cost: $56.12/claim|Median: $57.85
1.0× median
99468Normal range

$391K

648 claims · 1.5%

Your Cost: $603.52/claim|Median: $679.18
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$367K

3,891 claims · 1.4%

Your Cost: $94.42/claim|Median: $111.09
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$320K

5,564 claims · 1.3%

Your Cost: $57.51/claim|Median: $82.43
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$309K

3,712 claims · 1.2%

Your Cost: $83.30/claim|Median: $121.58
0.7× median
99220Top 25%

$298K

2,866 claims · 1.2%

Your Cost: $104.04/claim|Median: $73.56
1.4× median
99417Normal range

$269K

7,522 claims · 1.1%

Your Cost: $35.78/claim|Median: $34.90
1.0× median
99204Normal range

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

$264K

3,314 claims · 1.0%

Your Cost: $79.56/claim|Median: $84.03
0.9× median
99356Top 25%

$245K

4,569 claims · 1.0%

Your Cost: $53.64/claim|Median: $22.76
2.4× median
99477Normal range

$230K

993 claims · 0.9%

Your Cost: $231.28/claim|Median: $276.41
0.8× median
99254Normal range

$229K

2,237 claims · 0.9%

Your Cost: $102.16/claim|Median: $81.43
1.3× median
99253Normal range

$205K

3,094 claims · 0.8%

Your Cost: $66.35/claim|Median: $55.16
1.2× median
92567Normal range

$187K

23K claims · 0.7%

Your Cost: $8.26/claim|Median: $11.50
0.7× median
69436Normal range

Tympanostomy, general anesthesia

$180K

1,563 claims · 0.7%

Your Cost: $115.19/claim|Median: $205.50
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$138K

1,871 claims · 0.5%

Your Cost: $73.66/claim|Median: $51.25
1.4× median
92579Normal range

$136K

5,640 claims · 0.5%

Your Cost: $24.16/claim|Median: $30.58
0.8× median
95251Normal range

$114K

5,693 claims · 0.4%

Your Cost: $20.02/claim|Median: $18.02
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$109K

5,386 claims · 0.4%

Your Cost: $20.25/claim|Median: $16.77
1.2× median
99217Normal range

$80K

2,033 claims · 0.3%

Your Cost: $39.31/claim|Median: $31.89
1.2× median
99605Normal range

$72K

1,589 claims · 0.3%

Your Cost: $45.07/claim|Median: $50.00
0.9× median
99245Normal range

Office consultation, high complexity

$69K

852 claims · 0.3%

Your Cost: $80.77/claim|Median: $143.30
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$63K

2,930 claims · 0.2%

Your Cost: $21.51/claim|Median: $25.06
0.9× median
92582Normal range

$58K

1,792 claims · 0.2%

Your Cost: $32.53/claim|Median: $46.66
0.7× median
92555Normal range

$39K

3,464 claims · 0.2%

Your Cost: $11.24/claim|Median: $14.17
0.8× median
92587Normal range

$33K

3,428 claims · 0.1%

Your Cost: $9.76/claim|Median: $19.24
0.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$32K

189 claims · 0.1%

Your Cost: $171.66/claim|Median: $331.68
0.5× median
99607Normal range

$29K

1,258 claims · 0.1%

Your Cost: $23.44/claim|Median: $50.77
0.5× median
99354Normal range

$24K

468 claims · 0.1%

Your Cost: $50.40/claim|Median: $54.96
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$23K

493 claims · 0.1%

Your Cost: $46.88/claim|Median: $37.22
1.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$22K

318 claims · 0.1%

Your Cost: $70.75/claim|Median: $233.73
0.3× median
99242Normal range

Office consultation, low complexity

$21K

455 claims · 0.1%

Your Cost: $46.01/claim|Median: $57.97
0.8× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$20K

1,071 claims · 0.1%

Your Cost: $19.06/claim|Median: $27.28
0.7× median
99606Normal range

$18K

598 claims · 0.1%

Your Cost: $29.96/claim|Median: $29.91
1.0× median
99255Top 25%

$16K

123 claims · 0.1%

Your Cost: $130.26/claim|Median: $90.45
1.4× median
V5264Normal range

$15K

423 claims · 0.1%

Your Cost: $36.41/claim|Median: $49.58
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$14K

414 claims · 0.1%

Your Cost: $33.52/claim|Median: $40.11
0.8× median
99418Normal range

$14K

391 claims · 0.1%

Your Cost: $35.49/claim|Median: $38.93
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$13K

3,917 claims · 0.1%

Your Cost: $3.27/claim|Median: $5.60
0.6× median
99464Normal range

$12K

265 claims · 0.0%

Your Cost: $46.74/claim|Median: $59.94
0.8× median

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$996.8M

Hennepin Healthcare System INC

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$708.9M

Accra Care

Home Health

$306.8M

Divine House, Inc.

Community Based Residential Treatment Facility, In

$230.9M

Activstyle, LLC

Durable Medical Equipment & Medical Supplies, Pare

$219.6M

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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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