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

⚖️ Compare🖨️ Print Report

PEDIATRIX MEDICAL GROUP OF WASHINGTON INC PS

Pediatrics, Neonatal-Perinatal Medicine·SEATTLE, WA·NPI: 1144327859Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.0M

$19,969,064

Total Claims

239K

Beneficiaries

167K

1.4 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-10%
2019
$2.4M
+5%
2020
$2.6M
+14%
2021
$2.9M
+43%
2022
$4.2M
-24%
2023
$3.2M
-35%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 32% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$6.3M

23K claims · 31.5%

Your Cost: $271.54/claim|Median: $293.45
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$4.0M

50K claims · 20.1%

Your Cost: $81.13/claim|Median: $98.15
0.8× median
92586Normal range

$2.5M

46K claims · 12.7%

Your Cost: $55.66/claim|Median: $51.18
1.1× median
99479Normal range

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

$2.1M

26K claims · 10.5%

Your Cost: $81.94/claim|Median: $103.70
0.8× median
99472Normal range

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

$2.1M

6,915 claims · 10.3%

Your Cost: $298.22/claim|Median: $307.98
1.0× median
92650Normal range

$1.0M

62K claims · 5.2%

Your Cost: $16.89/claim|Median: $31.90
0.5× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$807K

9,627 claims · 4.0%

Your Cost: $83.84/claim|Median: $62.48
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$585K

12K claims · 2.9%

Your Cost: $50.71/claim|Median: $37.22
1.4× median
99463Normal range

$166K

1,662 claims · 0.8%

Your Cost: $100.15/claim|Median: $78.46
1.3× median
01922Normal range

$98K

453 claims · 0.5%

Your Cost: $217.42/claim|Median: $166.77
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$92K

639 claims · 0.5%

Your Cost: $143.61/claim|Median: $101.24
1.4× median
99462Top 25%

$60K

1,667 claims · 0.3%

Your Cost: $36.06/claim|Median: $27.49
1.3× median
99468Normal range

$31K

49 claims · 0.2%

Your Cost: $628.50/claim|Median: $679.18
0.9× median
00731Top 25%

$23K

201 claims · 0.1%

Your Cost: $116.23/claim|Median: $64.75
1.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$13K

186 claims · 0.1%

Your Cost: $69.28/claim|Median: $35.30
2.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$13K

175 claims · 0.1%

Your Cost: $73.41/claim|Median: $43.85
1.7× median
99464Normal range

$10K

206 claims · 0.0%

Your Cost: $47.07/claim|Median: $59.94
0.8× median
99471Normal range

$6K

12 claims · 0.0%

Your Cost: $528.21/claim|Median: $680.99
0.8× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$5K

155 claims · 0.0%

Your Cost: $29.39/claim|Median: $16.77
1.8× median
01992Top 10%

$2K

14 claims · 0.0%

Your Cost: $144.69/claim|Median: $54.01
2.7× median
00813Top 25%

$2K

12 claims · 0.0%

Your Cost: $144.42/claim|Median: $71.82
2.0× median

Other Top Providers in Washington

View all →

Stillaguamish Tribe of Indians

Clinic/Center Rehabilitation Substance Use Disor

$349.3M

We Care Daily Clinics LLC

Clinic/Center Methadone Clinic

$260.6M

Ideal Option, PLLC

Preventive Medicine, Addiction Medicine

$259.1M

Seattle Children's Hospital

Prosthetic/Orthotic Supplier

$219.5M

Swinomish Health Services

Clinic/Center Rehabilitation Substance Use Disor

$195.9M

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