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ATLANTA PERINATAL ASSOCIATES

Obstetrics & Gynecology, Maternal & Fetal Medicine·ATLANTA, GA·NPI: 1104973064Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.4M

$38,364,474

Total Claims

457K

Beneficiaries

369K

1.2 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$5.1M
+21%
2019
$6.2M
+14%
2020
$7.0M
-18%
2021
$5.8M
-2%
2022
$5.7M
-7%
2023
$5.3M
-38%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 16% of total spending.

99213Top 25%

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

$6.1M

102K claims · 15.8%

Your Cost: $59.09/claim|Median: $37.81
1.6× median
76819Top 25%

Fetal biophysical profile with non-stress test

$5.6M

65K claims · 14.7%

Your Cost: $87.29/claim|Median: $49.45
1.8× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$5.1M

24K claims · 13.3%

Your Cost: $212.38/claim|Median: $106.79
2.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$5.0M

77K claims · 12.9%

Your Cost: $64.50/claim|Median: $58.55
1.1× median
76818Normal range

$2.9M

32K claims · 7.6%

Your Cost: $89.85/claim|Median: $68.15
1.3× median
76821Top 10%

$1.3M

14K claims · 3.4%

Your Cost: $92.55/claim|Median: $46.75
2.0× median
99214Top 25%

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

$1.3M

15K claims · 3.3%

Your Cost: $85.22/claim|Median: $53.41
1.6× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$1.3M

11K claims · 3.3%

Your Cost: $115.39/claim|Median: $74.78
1.5× median
76820Top 5%

$1.3M

15K claims · 3.3%

Your Cost: $83.96/claim|Median: $31.79
2.6× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.2M

15K claims · 3.3%

Your Cost: $82.63/claim|Median: $47.65
1.7× median
76825Normal range

$1.2M

8,891 claims · 3.2%

Your Cost: $138.07/claim|Median: $103.74
1.3× median
99204Top 25%

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

$1.0M

7,857 claims · 2.7%

Your Cost: $131.21/claim|Median: $84.03
1.6× median
99203Top 25%

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

$881K

9,649 claims · 2.3%

Your Cost: $91.28/claim|Median: $57.85
1.6× median
93325Top 5%

$847K

8,190 claims · 2.2%

Your Cost: $103.38/claim|Median: $14.61
7.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$711K

9,381 claims · 1.9%

Your Cost: $75.80/claim|Median: $58.16
1.3× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$665K

6,504 claims · 1.7%

Your Cost: $102.28/claim|Median: $70.87
1.4× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$659K

8,927 claims · 1.7%

Your Cost: $73.82/claim|Median: $36.79
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$608K

15K claims · 1.6%

Your Cost: $39.94/claim|Median: $25.06
1.6× median
99243Top 25%

Office or other outpatient consultation, low complexity

$543K

4,974 claims · 1.4%

Your Cost: $109.08/claim|Median: $82.43
1.3× median
93976Top 25%

$89K

669 claims · 0.2%

Your Cost: $132.69/claim|Median: $42.06
3.2× median
99242Top 25%

Office consultation, low complexity

$73K

890 claims · 0.2%

Your Cost: $82.31/claim|Median: $57.97
1.4× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$14K

140 claims · 0.0%

Your Cost: $101.77/claim|Median: $51.25
2.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$8K

4,392 claims · 0.0%

Your Cost: $1.92/claim|Median: $12.93
0.1× median
99241Normal range

Office consultation, straightforward

$5K

95 claims · 0.0%

Your Cost: $52.00/claim|Median: $36.49
1.4× median
76828Top 25%

$4K

76 claims · 0.0%

Your Cost: $55.53/claim|Median: $30.36
1.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

218 claims · 0.0%

Your Cost: $15.68/claim|Median: $40.11
0.4× median
81002Top 10%

Urinalysis, non-automated without microscopy

$2K

608 claims · 0.0%

Your Cost: $3.16/claim|Median: $2.00
1.6× median
99234Top 25%

$2K

17 claims · 0.0%

Your Cost: $102.57/claim|Median: $80.89
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1K

12 claims · 0.0%

Your Cost: $117.42/claim|Median: $121.58
1.0× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$629

16 claims · 0.0%

Your Cost: $39.34/claim|Median: $16.77
2.3× median
36415Normal range

Collection of venous blood by venipuncture

$230

120 claims · 0.0%

Your Cost: $1.92/claim|Median: $1.57
1.2× median
81025Top 25%

Urine pregnancy test

$96

12 claims · 0.0%

Your Cost: $7.96/claim|Median: $4.81
1.7× median
82948Top 25%

$57

17 claims · 0.0%

Your Cost: $3.35/claim|Median: $1.78
1.9× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$0

317 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.38

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