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PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC

Obstetrics & Gynecology, Maternal & Fetal Medicine·ROCKVILLE, MD·NPI: 1205859691Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.3M

$28,335,919

Total Claims

389K

Beneficiaries

301K

1.3 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$426K
-16%
2019
$359K
+1196%
2020
$4.7M
+9%
2021
$5.1M
-4%
2022
$4.9M
+23%
2023
$6.0M
+16%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 20% of total spending.

99213Top 10%

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

$5.8M

72K claims · 20.4%

Your Cost: $79.90/claim|Median: $37.81
2.1× median
76819Top 25%

Fetal biophysical profile with non-stress test

$4.3M

58K claims · 15.0%

Your Cost: $73.27/claim|Median: $49.45
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$3.3M

33K claims · 11.7%

Your Cost: $100.55/claim|Median: $74.78
1.3× median
76820Top 25%

$2.7M

60K claims · 9.7%

Your Cost: $45.83/claim|Median: $31.79
1.4× median
93976Top 25%

$2.2M

16K claims · 7.9%

Your Cost: $142.58/claim|Median: $42.06
3.4× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$1.6M

11K claims · 5.7%

Your Cost: $152.13/claim|Median: $106.79
1.4× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$1.6M

18K claims · 5.6%

Your Cost: $89.81/claim|Median: $58.55
1.5× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$1.5M

23K claims · 5.2%

Your Cost: $62.78/claim|Median: $36.79
1.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$986K

15K claims · 3.5%

Your Cost: $66.99/claim|Median: $47.65
1.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$773K

11K claims · 2.7%

Your Cost: $67.95/claim|Median: $40.11
1.7× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$662K

7,388 claims · 2.3%

Your Cost: $89.65/claim|Median: $58.16
1.5× median
92586Normal range

$621K

11K claims · 2.2%

Your Cost: $57.84/claim|Median: $51.18
1.1× median
76821Top 25%

$600K

7,928 claims · 2.1%

Your Cost: $75.72/claim|Median: $46.75
1.6× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$481K

5,408 claims · 1.7%

Your Cost: $89.00/claim|Median: $70.87
1.3× median
93303Normal range

Echocardiography, transthoracic, limited

$327K

2,877 claims · 1.2%

Your Cost: $113.71/claim|Median: $112.83
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$264K

5,420 claims · 0.9%

Your Cost: $48.64/claim|Median: $25.06
1.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$111K

8,766 claims · 0.4%

Your Cost: $12.62/claim|Median: $9.70
1.3× median
93320Normal range

$85K

3,030 claims · 0.3%

Your Cost: $27.95/claim|Median: $28.68
1.0× median
93325Normal range

$74K

6,206 claims · 0.3%

Your Cost: $11.98/claim|Median: $14.61
0.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$69K

445 claims · 0.2%

Your Cost: $154.73/claim|Median: $54.68
2.8× median
92650Normal range

$50K

2,515 claims · 0.2%

Your Cost: $19.93/claim|Median: $31.90
0.6× median
99241Normal range

Office consultation, straightforward

$50K

1,228 claims · 0.2%

Your Cost: $40.36/claim|Median: $36.49
1.1× median
59409Normal range

Vaginal delivery only

$28K

41 claims · 0.1%

Your Cost: $671.22/claim|Median: $619.91
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$27K

284 claims · 0.1%

Your Cost: $93.80/claim|Median: $82.43
1.1× median
99203Top 10%

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

$25K

237 claims · 0.1%

Your Cost: $104.69/claim|Median: $57.85
1.8× median
76825Top 25%

$19K

102 claims · 0.1%

Your Cost: $188.66/claim|Median: $103.74
1.8× median
99214Top 25%

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

$13K

154 claims · 0.0%

Your Cost: $84.62/claim|Median: $53.41
1.6× median
59514Top 25%

Cesarean delivery only

$12K

16 claims · 0.0%

Your Cost: $760.60/claim|Median: $452.80
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$11K

5,240 claims · 0.0%

Your Cost: $2.10/claim|Median: $1.57
1.3× median
99242Top 25%

Office consultation, low complexity

$8K

108 claims · 0.0%

Your Cost: $77.32/claim|Median: $57.97
1.3× median
76827Normal range

$6K

115 claims · 0.0%

Your Cost: $53.49/claim|Median: $39.58
1.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$2K

17 claims · 0.0%

Your Cost: $127.94/claim|Median: $121.58
1.1× median
S9460Normal range

$2K

79 claims · 0.0%

Your Cost: $20.57/claim|Median: $97.87
0.2× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$1K

18 claims · 0.0%

Your Cost: $76.98/claim|Median: $37.22
2.1× median
76810Normal range

$1K

15 claims · 0.0%

Your Cost: $78.10/claim|Median: $41.41
1.9× median
92585Normal range

$1K

38 claims · 0.0%

Your Cost: $26.60/claim|Median: $77.69
0.3× median
92567Normal range

$629

70 claims · 0.0%

Your Cost: $8.98/claim|Median: $11.50
0.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$440

223 claims · 0.0%

Your Cost: $1.97/claim|Median: $2.00
1.0× median
99072Normal range

$195

3,110 claims · 0.0%

Your Cost: $0.06/claim|Median: $0.54
0.1× median
98960Normal range

$77

72 claims · 0.0%

Your Cost: $1.07/claim|Median: $12.74
0.1× median

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