Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PEDIATRIX MEDICAL GROUP OF FLORIDA INC

Pediatrics, Pediatric Cardiology·SUNRISE, FL·NPI: 1083711790Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$36.0M

$35,971,762

Total Claims

665K

Beneficiaries

471K

1.4 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+589%
2019
$11.0M
+7%
2020
$11.7M
-33%
2021
$7.9M
-58%
2022
$3.3M
-93%
2023
$219K
-41%
2024
$130K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92586) accounts for 13% of total spending.

92586Normal range

$4.6M

100K claims · 12.7%

Your Cost: $46.04/claim|Median: $51.18
0.9× median
99479Normal range

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

$3.3M

37K claims · 9.1%

Your Cost: $89.68/claim|Median: $103.70
0.9× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.8M

9,448 claims · 7.7%

Your Cost: $292.53/claim|Median: $293.45
1.0× median
99213Top 10%

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

$2.7M

33K claims · 7.6%

Your Cost: $84.16/claim|Median: $37.81
2.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$2.1M

32K claims · 5.7%

Your Cost: $64.08/claim|Median: $62.48
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.9M

38K claims · 5.2%

Your Cost: $49.33/claim|Median: $58.55
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.8M

21K claims · 5.1%

Your Cost: $85.64/claim|Median: $98.15
0.9× median
99214Top 25%

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

$1.8M

18K claims · 4.9%

Your Cost: $95.46/claim|Median: $53.41
1.8× median
99462Normal range

$1.4M

52K claims · 4.0%

Your Cost: $27.42/claim|Median: $27.49
1.0× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.2M

7,206 claims · 3.3%

Your Cost: $165.38/claim|Median: $121.58
1.4× median
92650Normal range

$1.1M

28K claims · 3.0%

Your Cost: $37.36/claim|Median: $31.90
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$998K

16K claims · 2.8%

Your Cost: $61.72/claim|Median: $54.68
1.1× median
99243Top 5%

Office or other outpatient consultation, low complexity

$961K

5,855 claims · 2.7%

Your Cost: $164.17/claim|Median: $82.43
2.0× median
93303Normal range

Echocardiography, transthoracic, limited

$888K

16K claims · 2.5%

Your Cost: $54.17/claim|Median: $112.83
0.5× median
76818Normal range

$858K

13K claims · 2.4%

Your Cost: $64.06/claim|Median: $68.15
0.9× median
99204Normal range

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

$652K

7,633 claims · 1.8%

Your Cost: $85.46/claim|Median: $84.03
1.0× median
99242Top 5%

Office consultation, low complexity

$575K

4,734 claims · 1.6%

Your Cost: $121.47/claim|Median: $57.97
2.1× median
99203Normal range

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

$571K

7,826 claims · 1.6%

Your Cost: $72.97/claim|Median: $57.85
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$546K

10K claims · 1.5%

Your Cost: $53.53/claim|Median: $106.79
0.5× median
99215Top 25%

Office/outpatient visit, high complexity

$476K

3,551 claims · 1.3%

Your Cost: $133.99/claim|Median: $74.09
1.8× median
54150Top 25%

$434K

2,608 claims · 1.2%

Your Cost: $166.50/claim|Median: $84.60
2.0× median
99464Normal range

$425K

7,335 claims · 1.2%

Your Cost: $57.88/claim|Median: $59.94
1.0× median
99472Normal range

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

$345K

1,219 claims · 1.0%

Your Cost: $282.78/claim|Median: $307.98
0.9× median
54161Normal range

$271K

1,304 claims · 0.8%

Your Cost: $207.50/claim|Median: $252.63
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$243K

7,431 claims · 0.7%

Your Cost: $32.71/claim|Median: $37.22
0.9× median
95716Top 25%

$238K

230 claims · 0.7%

Your Cost: $1,036.07/claim|Median: $685.48
1.5× median
76825Normal range

$229K

3,218 claims · 0.6%

Your Cost: $71.18/claim|Median: $103.74
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$221K

48K claims · 0.6%

Your Cost: $4.60/claim|Median: $9.70
0.5× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$195K

1,938 claims · 0.5%

Your Cost: $100.44/claim|Median: $51.25
2.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$193K

4,012 claims · 0.5%

Your Cost: $48.08/claim|Median: $23.99
2.0× median
93325Normal range

$188K

35K claims · 0.5%

Your Cost: $5.37/claim|Median: $14.61
0.4× median
93010Top 25%

Electrocardiogram, interpretation and report only

$145K

15K claims · 0.4%

Your Cost: $9.39/claim|Median: $5.60
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$136K

2,345 claims · 0.4%

Your Cost: $57.92/claim|Median: $25.06
2.3× median
93320Normal range

$127K

17K claims · 0.4%

Your Cost: $7.66/claim|Median: $28.68
0.3× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$124K

1,561 claims · 0.3%

Your Cost: $79.56/claim|Median: $35.30
2.3× median
76820Normal range

$117K

15K claims · 0.3%

Your Cost: $7.74/claim|Median: $31.79
0.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$97K

1,682 claims · 0.3%

Your Cost: $57.88/claim|Median: $74.78
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$93K

1,745 claims · 0.3%

Your Cost: $53.42/claim|Median: $43.85
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$92K

5,362 claims · 0.3%

Your Cost: $17.08/claim|Median: $47.65
0.4× median
76770Normal range

Ultrasound, retroperitoneal, complete

$86K

1,282 claims · 0.2%

Your Cost: $66.99/claim|Median: $37.35
1.8× median
95816Top 5%

$80K

256 claims · 0.2%

Your Cost: $312.73/claim|Median: $56.87
5.5× median
99219Top 5%

$71K

524 claims · 0.2%

Your Cost: $135.49/claim|Median: $63.35
2.1× median
99468Top 25%

$58K

67 claims · 0.2%

Your Cost: $867.33/claim|Median: $679.18
1.3× median
93976Normal range

$52K

1,433 claims · 0.1%

Your Cost: $36.25/claim|Median: $42.06
0.9× median
95700Normal range

$47K

248 claims · 0.1%

Your Cost: $190.41/claim|Median: $154.31
1.2× median
H1000Normal range

Prenatal care, at-risk assessment

$43K

1,632 claims · 0.1%

Your Cost: $26.50/claim|Median: $50.36
0.5× median
76827Normal range

$42K

2,810 claims · 0.1%

Your Cost: $15.11/claim|Median: $39.58
0.4× median
99253Top 25%

$42K

471 claims · 0.1%

Your Cost: $90.03/claim|Median: $55.16
1.6× median
95720Top 25%

$38K

223 claims · 0.1%

Your Cost: $169.76/claim|Median: $120.95
1.4× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$36K

550 claims · 0.1%

Your Cost: $66.29/claim|Median: $67.14
1.0× median

Other Top Providers in Florida

View all →

Degc Enterprises (u.s.), Inc.

Durable Medical Equipment & Medical Supplies

$262.6M

Saltzman Tanis Pittell Levin and Jacobson

Pediatrics

$201.3M

Quest Diagnostics Clinical Laboratories INC

Clinical Medical Laboratory

$197.6M

Integrated Home Care Services Inc.

Case Management

$175.7M

Variety Children's Hospital

General Acute Care Hospital Children

$175.3M

← All providersAll providers in Florida →How we detect fraud →