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NASHVILLE PEDIATRIC PROVIDERS, LLC

Nurse Practitioner, Pediatrics·NASHVILLE, TN·NPI: 1992144380Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.8M

$19,779,130

Total Claims

922K

Beneficiaries

689K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+40%
2019
$2.2M
-2%
2020
$2.2M
+43%
2021
$3.1M
+16%
2022
$3.6M
+7%
2023
$3.9M
-18%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 15% of total spending.

99214Normal range

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

$2.9M

46K claims · 14.8%

Your Cost: $63.02/claim|Median: $53.41
1.2× median
99213Normal range

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

$2.8M

66K claims · 13.9%

Your Cost: $41.58/claim|Median: $37.81
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2.5M

97K claims · 12.6%

Your Cost: $25.68/claim|Median: $17.85
1.4× median
96110Top 25%

Developmental screening, per standardized instrument

$2.1M

126K claims · 10.5%

Your Cost: $16.60/claim|Median: $9.10
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.7M

25K claims · 8.4%

Your Cost: $68.13/claim|Median: $75.18
0.9× median
96160Top 25%

Patient-focused health risk assessment

$1.3M

113K claims · 6.6%

Your Cost: $11.58/claim|Median: $2.10
5.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

21K claims · 6.4%

Your Cost: $60.91/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

16K claims · 5.6%

Your Cost: $67.09/claim|Median: $74.82
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$817K

22K claims · 4.1%

Your Cost: $36.96/claim|Median: $30.53
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$710K

9,569 claims · 3.6%

Your Cost: $74.23/claim|Median: $80.15
0.9× median
92507Normal range

Speech/hearing/language treatment

$378K

8,872 claims · 1.9%

Your Cost: $42.64/claim|Median: $49.45
0.9× median
87804Normal range

Influenza virus detection, rapid test

$322K

30K claims · 1.6%

Your Cost: $10.75/claim|Median: $12.59
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$249K

37K claims · 1.3%

Your Cost: $6.71/claim|Median: $6.61
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$241K

31K claims · 1.2%

Your Cost: $7.74/claim|Median: $11.48
0.7× median
99177Normal range

$219K

41K claims · 1.1%

Your Cost: $5.40/claim|Median: $3.74
1.4× median
99401Normal range

$132K

6,360 claims · 0.7%

Your Cost: $20.73/claim|Median: $16.53
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$120K

4,688 claims · 0.6%

Your Cost: $25.69/claim|Median: $25.06
1.0× median
99173Normal range

$98K

26K claims · 0.5%

Your Cost: $3.74/claim|Median: $2.16
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$69K

2,694 claims · 0.3%

Your Cost: $25.48/claim|Median: $41.28
0.6× median
69210Top 25%

$68K

2,019 claims · 0.3%

Your Cost: $33.87/claim|Median: $21.74
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$49K

1,127 claims · 0.2%

Your Cost: $43.18/claim|Median: $63.65
0.7× median
83655Normal range

$47K

5,662 claims · 0.2%

Your Cost: $8.35/claim|Median: $10.49
0.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$46K

717 claims · 0.2%

Your Cost: $64.76/claim|Median: $73.46
0.9× median
D1206Normal range

Topical application of fluoride varnish

$42K

3,114 claims · 0.2%

Your Cost: $13.37/claim|Median: $18.12
0.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$40K

1,006 claims · 0.2%

Your Cost: $39.28/claim|Median: $36.70
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$38K

9,663 claims · 0.2%

Your Cost: $3.90/claim|Median: $3.67
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$35K

927 claims · 0.2%

Your Cost: $37.82/claim|Median: $33.72
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$35K

424 claims · 0.2%

Your Cost: $82.69/claim|Median: $74.09
1.1× median
92523Normal range

Evaluation of speech sound production with language comprehension

$34K

287 claims · 0.2%

Your Cost: $119.60/claim|Median: $110.87
1.1× median
0072ANormal range

$34K

874 claims · 0.2%

Your Cost: $38.35/claim|Median: $39.57
1.0× median
90670Normal range

$31K

11K claims · 0.2%

Your Cost: $2.83/claim|Median: $5.94
0.5× median
0071ANormal range

$27K

735 claims · 0.1%

Your Cost: $36.66/claim|Median: $38.71
0.9× median
90480Top 25%

$27K

670 claims · 0.1%

Your Cost: $39.60/claim|Median: $25.29
1.6× median
D0190Normal range

$24K

3,133 claims · 0.1%

Your Cost: $7.82/claim|Median: $12.78
0.6× median
85018Normal range

$20K

12K claims · 0.1%

Your Cost: $1.71/claim|Median: $1.71
1.0× median
90677Normal range

$20K

3,158 claims · 0.1%

Your Cost: $6.46/claim|Median: $12.96
0.5× median
90651Normal range

HPV vaccine, 9-valent

$20K

2,857 claims · 0.1%

Your Cost: $7.01/claim|Median: $8.93
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$19K

11K claims · 0.1%

Your Cost: $1.68/claim|Median: $1.57
1.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$13K

24K claims · 0.1%

Your Cost: $0.53/claim|Median: $6.93
0.1× median
90680Normal range

$11K

9,596 claims · 0.1%

Your Cost: $1.18/claim|Median: $5.58
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

21K claims · 0.1%

Your Cost: $0.54/claim|Median: $7.18
0.1× median
90671Normal range

$11K

2,455 claims · 0.1%

Your Cost: $4.28/claim|Median: $8.59
0.5× median
90698Normal range

$8K

6,457 claims · 0.0%

Your Cost: $1.23/claim|Median: $6.32
0.2× median
0112ANormal range

$8K

205 claims · 0.0%

Your Cost: $38.20/claim|Median: $40.00
1.0× median
0004ANormal range

$6K

159 claims · 0.0%

Your Cost: $39.75/claim|Median: $35.62
1.1× median
90697Normal range

$6K

2,332 claims · 0.0%

Your Cost: $2.69/claim|Median: $7.24
0.4× median
0111ANormal range

$6K

160 claims · 0.0%

Your Cost: $38.99/claim|Median: $38.84
1.0× median
99203Normal range

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

$5K

85 claims · 0.0%

Your Cost: $58.96/claim|Median: $57.85
1.0× median
90619Normal range

$4K

977 claims · 0.0%

Your Cost: $4.39/claim|Median: $8.36
0.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$4K

338 claims · 0.0%

Your Cost: $12.66/claim|Median: $10.88
1.2× median

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