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VALLEY CHILDREN'S HOSPITAL

General Acute Care Hospital, Children·MADERA, CA·NPI: 1952312043Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.8M

$22,838,534

Total Claims

681K

Beneficiaries

617K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+27%
2019
$3.7M
-36%
2020
$2.4M
+33%
2021
$3.2M
+15%
2022
$3.6M
+1%
2023
$3.6M
-7%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 24% of total spending.

99199Top 10%

Unlisted special service, procedure, or report

$5.4M

78K claims · 23.9%

Your Cost: $70.18/claim|Median: $5.39
13.0× median
0450Top 25%

Emergency room visit

$4.0M

61K claims · 17.6%

Your Cost: $65.95/claim|Median: $44.95
1.5× median
0510Top 25%

Revenue code, clinic services

$1.7M

32K claims · 7.4%

Your Cost: $52.25/claim|Median: $28.38
1.8× median
0760Top 25%

$1.1M

27K claims · 4.7%

Your Cost: $40.30/claim|Median: $22.01
1.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$971K

13K claims · 4.3%

Your Cost: $73.77/claim|Median: $63.08
1.2× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$522K

2,584 claims · 2.3%

Your Cost: $202.17/claim|Median: $97.61
2.1× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$426K

1,336 claims · 1.9%

Your Cost: $318.73/claim|Median: $144.30
2.2× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$381K

1,721 claims · 1.7%

Your Cost: $221.50/claim|Median: $79.28
2.8× median
76705Top 25%

Ultrasound, abdominal, limited

$324K

4,946 claims · 1.4%

Your Cost: $65.53/claim|Median: $23.81
2.8× median
70450Top 10%

CT head/brain without contrast

$319K

1,425 claims · 1.4%

Your Cost: $224.13/claim|Median: $45.53
4.9× median
0360Top 25%

$309K

1,637 claims · 1.4%

Your Cost: $188.52/claim|Median: $95.40
2.0× median
96361Normal range

IV infusion, hydration, each additional hour

$291K

5,132 claims · 1.3%

Your Cost: $56.76/claim|Median: $38.92
1.5× median
80053Top 25%

Comprehensive metabolic panel

$268K

19K claims · 1.2%

Your Cost: $14.21/claim|Median: $7.24
2.0× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$261K

3,348 claims · 1.1%

Your Cost: $77.94/claim|Median: $61.57
1.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$255K

3,673 claims · 1.1%

Your Cost: $69.48/claim|Median: $21.76
3.2× median
71046Top 25%

Chest X-ray, 2 views

$254K

9,068 claims · 1.1%

Your Cost: $28.04/claim|Median: $8.92
3.1× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$226K

29K claims · 1.0%

Your Cost: $7.85/claim|Median: $28.63
0.3× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$213K

2,221 claims · 0.9%

Your Cost: $95.87/claim|Median: $65.64
1.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$194K

2,775 claims · 0.8%

Your Cost: $69.76/claim|Median: $106.79
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$184K

4,863 claims · 0.8%

Your Cost: $37.82/claim|Median: $58.55
0.6× median
99221Normal range

Initial hospital care, straightforward/low

$180K

6,284 claims · 0.8%

Your Cost: $28.69/claim|Median: $39.96
0.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$178K

19K claims · 0.8%

Your Cost: $9.55/claim|Median: $4.71
2.0× median
70553Top 25%

MRI brain without contrast, then with contrast

$167K

601 claims · 0.7%

Your Cost: $277.78/claim|Median: $133.68
2.1× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$166K

540 claims · 0.7%

Your Cost: $307.09/claim|Median: $169.17
1.8× median
93325Top 25%

$137K

3,518 claims · 0.6%

Your Cost: $39.04/claim|Median: $14.61
2.7× median
76700Normal range

Ultrasound, abdominal, complete

$136K

2,248 claims · 0.6%

Your Cost: $60.33/claim|Median: $50.69
1.2× median
0761Normal range

$127K

5,735 claims · 0.6%

Your Cost: $22.18/claim|Median: $24.10
0.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$127K

1,613 claims · 0.6%

Your Cost: $78.52/claim|Median: $54.77
1.4× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$123K

1,632 claims · 0.5%

Your Cost: $75.52/claim|Median: $35.43
2.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$119K

6,917 claims · 0.5%

Your Cost: $17.25/claim|Median: $7.50
2.3× median
99203Normal range

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

$114K

3,533 claims · 0.5%

Your Cost: $32.25/claim|Median: $57.85
0.6× median
81001Top 25%

Urinalysis, automated, with microscopy

$112K

20K claims · 0.5%

Your Cost: $5.56/claim|Median: $2.03
2.7× median
76770Normal range

Ultrasound, retroperitoneal, complete

$98K

3,463 claims · 0.4%

Your Cost: $28.36/claim|Median: $37.35
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$98K

5,988 claims · 0.4%

Your Cost: $16.37/claim|Median: $15.76
1.0× median
99213Normal range

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

$94K

9,300 claims · 0.4%

Your Cost: $10.12/claim|Median: $37.81
0.3× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$87K

3,493 claims · 0.4%

Your Cost: $24.95/claim|Median: $10.88
2.3× median
87505Top 10%

$87K

594 claims · 0.4%

Your Cost: $146.20/claim|Median: $62.35
2.3× median
70551Normal range

MRI brain without contrast

$86K

797 claims · 0.4%

Your Cost: $108.10/claim|Median: $85.39
1.3× median
87088Normal range

$84K

12K claims · 0.4%

Your Cost: $6.99/claim|Median: $5.45
1.3× median
99214Normal range

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

$81K

7,769 claims · 0.4%

Your Cost: $10.40/claim|Median: $53.41
0.2× median
86140Top 25%

$73K

9,422 claims · 0.3%

Your Cost: $7.70/claim|Median: $3.02
2.5× median
G0378Normal range

Hospital observation service, per hour

$70K

1,329 claims · 0.3%

Your Cost: $52.44/claim|Median: $99.39
0.5× median
0700Normal range

$69K

4,132 claims · 0.3%

Your Cost: $16.65/claim|Median: $38.70
0.4× median
J1100Top 10%

$69K

11K claims · 0.3%

Your Cost: $6.28/claim|Median: $0.52
12.1× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$64K

801 claims · 0.3%

Your Cost: $79.59/claim|Median: $39.70
2.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$63K

1,625 claims · 0.3%

Your Cost: $38.48/claim|Median: $14.92
2.6× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$60K

662 claims · 0.3%

Your Cost: $90.03/claim|Median: $65.45
1.4× median
76856Normal range

Ultrasound, pelvic, complete

$57K

1,526 claims · 0.3%

Your Cost: $37.60/claim|Median: $47.58
0.8× median
74019Top 25%

$55K

1,433 claims · 0.2%

Your Cost: $38.54/claim|Median: $9.82
3.9× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$55K

984 claims · 0.2%

Your Cost: $56.08/claim|Median: $26.72
2.1× median

Other Top Providers in California

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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$248.9M

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