Compared to Pediatrics Peers
Total spending distribution among 14 providers in this specialty
This provider's total spending of $162.4M is at the 75th percentile among 14 Pediatrics providers.
Total Paid
$162.4M
$162,374,551
Total Claims
2.8M
Beneficiaries
2.4M
1.1 claims/patient
Avg Cost/Claim
$59
#630 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Phoenix Children's Hospital is a Pediatrics provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $162.4M in Medicaid payments across 2.8M claims.
Why This Matters
This provider received $162.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,296 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 11% of total spending.
$17.1M
248K claims
$68.89
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$17.1M
248K claims · 10.5%
$13.8M
234K claims
$59.13
$42.48
Emergency dept visit, moderate complexity
$13.8M
234K claims · 8.5%
$11.0M
106K claims
$104.41
$69.51
Emergency dept visit, high complexity
$11.0M
106K claims · 6.8%
$10.4M
204K claims
$51.07
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$10.4M
204K claims · 6.4%
$8.4M
134K claims
$62.79
$23.99
Subsequent hospital care, per day, moderate complexity
$8.4M
134K claims · 5.2%
$8.0M
90K claims
$89.23
$74.09
Office/outpatient visit, high complexity
$8.0M
90K claims · 5.0%
$7.8M
85K claims
$91.52
$35.30
Subsequent hospital care, per day, high complexity
$7.8M
85K claims · 4.8%
$6.6M
55K claims
$120.25
$47.08
Ophthalmological exam, comprehensive, established patient
$6.6M
55K claims · 4.0%
$5.7M
40K claims
$143.12
$121.58
Office or other outpatient consultation, moderate complexity
$5.7M
40K claims · 3.5%
$5.6M
38K claims
$149.36
$59.72
Ophthalmological exam, comprehensive, new patient
$5.6M
38K claims · 3.5%
$3.6M
36K claims
$99.05
$82.43
Office or other outpatient consultation, low complexity
$3.6M
36K claims · 2.2%
$3.3M
38K claims
$86.83
$38.23
Ophthalmological exam, intermediate, established patient
$3.3M
38K claims · 2.1%
$3.1M
73K claims
$42.23
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$3.1M
73K claims · 1.9%
$3.0M
19K claims
$155.65
$85.65
Emergency dept visit, high/urgent complexity
$3.0M
19K claims · 1.8%
$2.6M
71K claims
$37.43
$37.72
Emergency dept visit, low complexity
$2.6M
71K claims · 1.6%
$2.6M
14K claims
$179.18
$35.80
Surgical pathology, gross and microscopic examination
$2.6M
14K claims · 1.6%
$2.5M
35K claims
$70.84
$112.83
Echocardiography, transthoracic, limited
$2.5M
35K claims · 1.5%
$1.9M
5K claims
$356.63
$307.98
Subsequent pediatric critical care, per day, age 2-5
$1.9M
5K claims · 1.2%
Determination of refractive state
$1.8M
91K claims · 1.1%
$1.8M
29K claims
$60.69
$57.85
Office/outpatient visit, new patient, low-mod complexity
$1.8M
29K claims · 1.1%
$1.7M
23K claims
$74.14
$54.68
Echocardiography, transthoracic, complete, with Doppler
$1.7M
23K claims · 1.1%
Critical care, first 30-74 minutes
$1.6M
9K claims · 1.0%
Therapeutic exercises, each 15 min
$1.5M
27K claims · 0.9%
$1.5M
18K claims
$84.23
$75.18
Preventive medicine, established patient, age 1-4
$1.5M
18K claims · 0.9%
$1.5M
18K claims
$81.38
$69.35
Preventive medicine, established patient, infant (under 1)
$1.5M
18K claims · 0.9%
$1.5M
15K claims
$95.58
$43.85
Hospital discharge day management, more than 30 minutes
$1.5M
15K claims · 0.9%
$1.2M
6K claims · 0.8%
$1.2M
10K claims
$119.61
$51.25
Initial hospital care, per day, moderate complexity
$1.2M
10K claims · 0.7%
MRI brain without contrast
$1.2M
19K claims · 0.7%
$1.1M
12K claims
$93.95
$84.03
Office/outpatient visit, new patient, mod-high complexity
$1.1M
12K claims · 0.7%
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