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WEST COAST NEONATOLOGY, INC.

Pediatrics, Neonatal-Perinatal Medicine·ST PETERSBURG, FL·NPI: 1225085715Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.8M

$18,812,379

Total Claims

117K

Beneficiaries

65K

1.8 claims/patient

Avg Cost/Claim

$160

Monthly Spending Trend

Yearly Spending

2018
$186K
+1975%
2019
$3.9M
+43%
2020
$5.5M
-53%
2021
$2.6M
-24%
2022
$2.0M
+42%
2023
$2.8M
-33%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 26% of total spending.

99472Top 5%

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

$4.9M

9,655 claims · 25.8%

Your Cost: $502.58/claim|Median: $307.98
1.6× median
99480Top 10%

Subsequent intensive care, very low birth weight infant

$4.8M

36K claims · 25.5%

Your Cost: $131.85/claim|Median: $98.15
1.3× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$3.9M

9,516 claims · 20.5%

Your Cost: $405.38/claim|Median: $293.45
1.4× median
99479Top 10%

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

$3.1M

22K claims · 16.6%

Your Cost: $140.04/claim|Median: $103.70
1.4× median
92586Normal range

$809K

17K claims · 4.3%

Your Cost: $48.87/claim|Median: $51.18
1.0× median
92650Normal range

$749K

15K claims · 4.0%

Your Cost: $49.31/claim|Median: $31.90
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$195K

2,544 claims · 1.0%

Your Cost: $76.66/claim|Median: $62.48
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$153K

2,485 claims · 0.8%

Your Cost: $61.61/claim|Median: $37.22
1.7× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$70K

694 claims · 0.4%

Your Cost: $101.36/claim|Median: $43.85
2.3× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$48K

368 claims · 0.3%

Your Cost: $129.92/claim|Median: $58.55
2.2× median
99243Top 1%

Office or other outpatient consultation, low complexity

$34K

182 claims · 0.2%

Your Cost: $186.35/claim|Median: $82.43
2.3× median
99468Top 1%

$23K

13 claims · 0.1%

Your Cost: $1,785.86/claim|Median: $679.18
2.6× median
99464Top 25%

$22K

267 claims · 0.1%

Your Cost: $83.11/claim|Median: $59.94
1.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$17K

213 claims · 0.1%

Your Cost: $78.31/claim|Median: $106.79
0.7× median
99462Top 25%

$12K

329 claims · 0.1%

Your Cost: $35.67/claim|Median: $27.49
1.3× median
H1000Normal range

Prenatal care, at-risk assessment

$11K

291 claims · 0.1%

Your Cost: $36.87/claim|Median: $50.36
0.7× median
76819Top 25%

Fetal biophysical profile with non-stress test

$10K

119 claims · 0.1%

Your Cost: $80.50/claim|Median: $49.45
1.6× median
99477Top 25%

$4K

13 claims · 0.0%

Your Cost: $326.15/claim|Median: $276.41
1.2× median
99478Top 10%

$4K

22 claims · 0.0%

Your Cost: $166.79/claim|Median: $106.11
1.6× median
99223Top 1%

Initial hospital care, per day, high complexity

$3K

12 claims · 0.0%

Your Cost: $249.29/claim|Median: $67.32
3.7× median
99463Normal range

$1K

18 claims · 0.0%

Your Cost: $75.41/claim|Median: $78.46
1.0× median
76820Normal range

$642

145 claims · 0.0%

Your Cost: $4.43/claim|Median: $31.79
0.1× median
76815Normal range

Ultrasound, pregnant uterus, limited

$75

20 claims · 0.0%

Your Cost: $3.76/claim|Median: $36.79
0.1× median

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