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TENNESSEE VALLEY NEONATOLOGY, INC

Pediatrics, Neonatal-Perinatal Medicine·HUNTSVILLE, AL·NPI: 1376831636Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$22.3M

$22,290,613

Total Claims

326K

Beneficiaries

101K

3.2 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+22%
2019
$3.3M
+1%
2020
$3.3M
+11%
2021
$3.7M
-5%
2022
$3.5M
+9%
2023
$3.8M
-47%
2024
$2.0M

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 38% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$8.4M

49K claims · 37.6%

Your Cost: $172.08/claim|Median: $293.45
0.6× median
99479Normal range

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

$5.2M

94K claims · 23.3%

Your Cost: $55.34/claim|Median: $103.70
0.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$3.3M

57K claims · 14.7%

Your Cost: $57.76/claim|Median: $98.15
0.6× median
99472Normal range

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

$2.1M

13K claims · 9.6%

Your Cost: $164.80/claim|Median: $307.98
0.5× median
99468Normal range

$962K

3,405 claims · 4.3%

Your Cost: $282.49/claim|Median: $679.18
0.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$817K

31K claims · 3.7%

Your Cost: $26.33/claim|Median: $62.48
0.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$773K

35K claims · 3.5%

Your Cost: $22.17/claim|Median: $37.22
0.6× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$343K

28K claims · 1.5%

Your Cost: $12.10/claim|Median: $73.46
0.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$142K

3,047 claims · 0.6%

Your Cost: $46.74/claim|Median: $43.85
1.1× median
99462Normal range

$101K

9,825 claims · 0.5%

Your Cost: $10.25/claim|Median: $27.49
0.4× median
99478Normal range

$99K

2,504 claims · 0.4%

Your Cost: $39.38/claim|Median: $106.11
0.4× median
99477Normal range

$59K

629 claims · 0.3%

Your Cost: $93.14/claim|Median: $276.41
0.3× median
54150Normal range

$3K

36 claims · 0.0%

Your Cost: $81.22/claim|Median: $84.60
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$2K

273 claims · 0.0%

Your Cost: $7.05/claim|Median: $16.77
0.4× median
99221Normal range

Initial hospital care, straightforward/low

$623

18 claims · 0.0%

Your Cost: $34.60/claim|Median: $39.96
0.9× median

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