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Children's Hospital & Research Center at Oakland

General Acute Care Hospital·Oakland, CA·NPI: 1003961251Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $161.8M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$161.8M

$161,812,687

Total Claims

2.5M

Beneficiaries

2.1M

1.2 claims/patient

Avg Cost/Claim

$64

#635 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Children's Hospital & Research Center at Oakland is a General Acute Care Hospital provider based in Oakland, CA. From the 2018–2024 period, this provider received $161.8M in Medicaid payments across 2.5M claims.

Why This Matters

This provider received $161.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,226 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 23% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$23.5M
-13%
2019
$20.5M
-14%
2020
$17.7M
+32%
2021
$23.4M
-13%
2022
$20.5M
+34%
2023
$27.4M
+6%
2024
$28.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 31% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$50.2M

176K claims · 31.0%

Your Cost: $285.05/claim|Median: $121.16
2.4× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$9.0M

212K claims · 5.6%

Your Cost: $42.59/claim|Median: $16.77
2.5× median
99284Normal range

Emergency dept visit, high complexity

$7.6M

97K claims · 4.7%

Your Cost: $77.80/claim|Median: $69.51
1.1× median
90378Top 25%

$4.4M

1K claims · 2.7%

Your Cost: $3,180.48/claim|Median: $1,627.19
1.9× median
0510Top 25%

Revenue code, clinic services

$3.2M

69K claims · 2.0%

Your Cost: $46.46/claim|Median: $28.38
1.6× median
0450Top 25%

Emergency room visit

$2.8M

38K claims · 1.7%

Your Cost: $72.81/claim|Median: $44.95
1.6× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$2.8M

1K claims · 1.7%

Your Cost: $1,984.38/claim|Median: $1,587.53
1.3× median
Q3014Top 5%

Telehealth originating site facility fee

$2.4M

65K claims · 1.5%

Your Cost: $37.49/claim|Median: $15.37
2.4× median
Z5946Normal range

$2.4M

890 claims · 1.5%

Your Cost: $2,716.72/claim|Median: $2,716.72
1.0× median
99199Top 10%

Unlisted special service, procedure, or report

$2.3M

40K claims · 1.4%

Your Cost: $57.28/claim|Median: $5.39
10.6× median
70551Top 5%

MRI brain without contrast

$2.2M

4K claims · 1.4%

Your Cost: $621.28/claim|Median: $85.39
7.3× median
Z7500Normal range

$2.1M

177K claims · 1.3%

Your Cost: $11.81/claim|Median: $33.71
0.3× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$1.9M

6K claims · 1.2%

Your Cost: $321.72/claim|Median: $144.30
2.2× median
P9016Top 5%

$1.8M

3K claims · 1.1%

Your Cost: $604.40/claim|Median: $122.26
4.9× median
0123Top 1%

$1.7M

208 claims · 1.1%

Your Cost: $8,350.96/claim|Median: $3,178.88
2.6× median
93325Top 5%

$1.6M

9K claims · 1.0%

Your Cost: $183.00/claim|Median: $14.61
12.5× median
73721Top 5%

MRI joint of lower extremity without contrast

$1.5M

2K claims · 0.9%

Your Cost: $651.04/claim|Median: $127.34
5.1× median
87633Top 5%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.5M

3K claims · 0.9%

Your Cost: $580.96/claim|Median: $169.17
3.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$1.4M

20K claims · 0.9%

Your Cost: $71.16/claim|Median: $40.11
1.8× median
36455Top 1%

$1.4M

3K claims · 0.9%

Your Cost: $435.85/claim|Median: $169.30
2.6× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$1.4M

14K claims · 0.8%

Your Cost: $94.18/claim|Median: $39.70
2.4× median
92557Top 10%

Comprehensive audiometry, air, bone, and speech testing

$1.3M

18K claims · 0.8%

Your Cost: $72.95/claim|Median: $27.28
2.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

3K claims · 0.7%

Your Cost: $341.00/claim|Median: $54.68
6.2× median
99291Top 1%

Critical care, first 30-74 minutes

$1.1M

1K claims · 0.7%

Your Cost: $1,074.31/claim|Median: $101.24
10.6× median
29705Top 25%

$1.1M

7K claims · 0.7%

Your Cost: $158.29/claim|Median: $40.76
3.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.0M

15K claims · 0.6%

Your Cost: $67.60/claim|Median: $63.08
1.1× median
X4500Top 25%

$822K

9K claims · 0.5%

Your Cost: $94.24/claim|Median: $65.47
1.4× median
97139Normal range

$818K

81K claims · 0.5%

Your Cost: $10.06/claim|Median: $28.71
0.3× median
99213Normal range

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

$780K

103K claims · 0.5%

Your Cost: $7.57/claim|Median: $37.81
0.2× median
80053Top 10%

Comprehensive metabolic panel

$778K

33K claims · 0.5%

Your Cost: $23.73/claim|Median: $7.24
3.3× median

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