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USA HEALTH PHYSICIAN BILLING SERVICES LLC

Pediatrics, Neonatal-Perinatal Medicine·MOBILE, AL·NPI: 1245898683Share
Active Billing Period:2020-04→2024-12(57 months)

Total Paid

$28.2M

$28,167,835

Total Claims

113K

Beneficiaries

44K

2.6 claims/patient

Avg Cost/Claim

$250

Monthly Spending Trend

Yearly Spending

2020
$5.4M
+58%
2021
$8.5M
-35%
2022
$5.6M
-4%
2023
$5.3M
-38%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 34% of total spending.

99469Top 10%

Subsequent intensive care, very low birth weight infant

$9.7M

22K claims · 34.3%

Your Cost: $441.62/claim|Median: $293.45
1.5× median
99472Top 10%

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

$9.5M

22K claims · 33.6%

Your Cost: $432.19/claim|Median: $307.98
1.4× median
99479Top 10%

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

$3.8M

28K claims · 13.6%

Your Cost: $138.27/claim|Median: $103.70
1.3× median
99480Top 10%

Subsequent intensive care, very low birth weight infant

$1.7M

13K claims · 6.1%

Your Cost: $132.33/claim|Median: $98.15
1.3× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$948K

7,057 claims · 3.4%

Your Cost: $134.34/claim|Median: $62.48
2.2× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$872K

8,775 claims · 3.1%

Your Cost: $99.34/claim|Median: $37.22
2.7× median
99468Top 5%

$824K

758 claims · 2.9%

Your Cost: $1,086.46/claim|Median: $679.18
1.6× median
99462Top 5%

$468K

8,223 claims · 1.7%

Your Cost: $56.88/claim|Median: $27.49
2.1× median
99223Top 10%

Initial hospital care, per day, high complexity

$122K

792 claims · 0.4%

Your Cost: $154.09/claim|Median: $67.32
2.3× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$79K

850 claims · 0.3%

Your Cost: $92.48/claim|Median: $35.30
2.6× median
99478Top 10%

$54K

342 claims · 0.2%

Your Cost: $158.72/claim|Median: $106.11
1.5× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$48K

377 claims · 0.2%

Your Cost: $128.59/claim|Median: $43.85
2.9× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$47K

687 claims · 0.2%

Your Cost: $68.94/claim|Median: $23.99
2.9× median
99212Top 25%

Office/outpatient visit, low complexity

$4K

96 claims · 0.0%

Your Cost: $37.85/claim|Median: $25.06
1.5× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$1K

34 claims · 0.0%

Your Cost: $43.07/claim|Median: $16.77
2.6× median

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