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OBSTETRIX MEDICAL GROUP OF PHOENIX PC

Pediatrics, Neonatal-Perinatal Medicine·MESA, AZ·NPI: 1407957152Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.0M

$31,036,420

Total Claims

352K

Beneficiaries

242K

1.5 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+2%
2019
$6.3M
-10%
2020
$5.6M
-19%
2021
$4.5M
-16%
2022
$3.8M
-32%
2023
$2.6M
-19%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99479 (Subsequent intensive care, 2,501-5,000 grams)) accounts for 23% of total spending.

99479Normal range

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

$7.1M

67K claims · 22.9%

Your Cost: $105.30/claim|Median: $103.70
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$6.8M

68K claims · 22.0%

Your Cost: $101.00/claim|Median: $98.15
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$4.5M

13K claims · 14.3%

Your Cost: $332.93/claim|Median: $293.45
1.1× median
92586Normal range

$4.2M

63K claims · 13.5%

Your Cost: $66.61/claim|Median: $51.18
1.3× median
92650Normal range

$2.2M

50K claims · 6.9%

Your Cost: $42.93/claim|Median: $31.90
1.3× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$865K

13K claims · 2.8%

Your Cost: $67.96/claim|Median: $58.55
1.2× median
99472Normal range

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

$760K

2,380 claims · 2.4%

Your Cost: $319.49/claim|Median: $307.98
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$672K

5,784 claims · 2.2%

Your Cost: $116.12/claim|Median: $106.79
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$594K

9,807 claims · 1.9%

Your Cost: $60.52/claim|Median: $37.22
1.6× median
99214Normal range

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

$515K

7,081 claims · 1.7%

Your Cost: $72.75/claim|Median: $53.41
1.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$442K

8,775 claims · 1.4%

Your Cost: $50.40/claim|Median: $49.45
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$426K

6,406 claims · 1.4%

Your Cost: $66.49/claim|Median: $62.48
1.1× median
99464Normal range

$338K

6,134 claims · 1.1%

Your Cost: $55.04/claim|Median: $59.94
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$277K

2,879 claims · 0.9%

Your Cost: $96.19/claim|Median: $74.09
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$246K

6,294 claims · 0.8%

Your Cost: $39.04/claim|Median: $36.79
1.1× median
96112Normal range

Developmental test administration

$193K

1,448 claims · 0.6%

Your Cost: $133.13/claim|Median: $102.95
1.3× median
59025Normal range

Fetal non-stress test

$173K

5,753 claims · 0.6%

Your Cost: $30.09/claim|Median: $26.45
1.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$173K

3,379 claims · 0.6%

Your Cost: $51.20/claim|Median: $47.65
1.1× median
99213Normal range

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

$154K

3,109 claims · 0.5%

Your Cost: $49.61/claim|Median: $37.81
1.3× median
96111Normal range

$81K

839 claims · 0.3%

Your Cost: $96.54/claim|Median: $86.72
1.1× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$62K

1,959 claims · 0.2%

Your Cost: $31.46/claim|Median: $16.77
1.9× median
99243Top 25%

Office or other outpatient consultation, low complexity

$60K

561 claims · 0.2%

Your Cost: $106.76/claim|Median: $82.43
1.3× median
99253Top 25%

$54K

651 claims · 0.2%

Your Cost: $83.59/claim|Median: $55.16
1.5× median
99462Normal range

$54K

1,809 claims · 0.2%

Your Cost: $30.03/claim|Median: $27.49
1.1× median
99468Normal range

$29K

37 claims · 0.1%

Your Cost: $792.05/claim|Median: $679.18
1.2× median
76820Normal range

$27K

880 claims · 0.1%

Your Cost: $31.10/claim|Median: $31.79
1.0× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$26K

302 claims · 0.1%

Your Cost: $84.95/claim|Median: $43.85
1.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$18K

341 claims · 0.1%

Your Cost: $52.06/claim|Median: $74.78
0.7× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$18K

119 claims · 0.1%

Your Cost: $147.66/claim|Median: $121.58
1.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$9K

162 claims · 0.0%

Your Cost: $58.22/claim|Median: $23.99
2.4× median
99242Top 25%

Office consultation, low complexity

$9K

117 claims · 0.0%

Your Cost: $74.81/claim|Median: $57.97
1.3× median
99463Normal range

$7K

92 claims · 0.0%

Your Cost: $76.62/claim|Median: $78.46
1.0× median
99477Normal range

$7K

24 claims · 0.0%

Your Cost: $278.42/claim|Median: $276.41
1.0× median
99284Top 25%

Emergency dept visit, high complexity

$6K

53 claims · 0.0%

Your Cost: $109.80/claim|Median: $69.51
1.6× median
99354Normal range

$5K

70 claims · 0.0%

Your Cost: $69.48/claim|Median: $54.96
1.3× median
99417Top 10%

$4K

29 claims · 0.0%

Your Cost: $128.45/claim|Median: $34.90
3.7× median
99478Normal range

$3K

29 claims · 0.0%

Your Cost: $100.66/claim|Median: $106.11
0.9× median
76825Top 25%

$2K

12 claims · 0.0%

Your Cost: $206.40/claim|Median: $103.74
2.0× median
99245Normal range

Office consultation, high complexity

$2K

13 claims · 0.0%

Your Cost: $136.04/claim|Median: $143.30
0.9× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$2K

18 claims · 0.0%

Your Cost: $94.24/claim|Median: $35.30
2.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$2K

14 claims · 0.0%

Your Cost: $108.33/claim|Median: $51.25
2.1× median
99219Top 25%

$1K

14 claims · 0.0%

Your Cost: $89.38/claim|Median: $63.35
1.4× median
76818Normal range

$1K

15 claims · 0.0%

Your Cost: $80.93/claim|Median: $68.15
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$818

26 claims · 0.0%

Your Cost: $31.47/claim|Median: $25.06
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$741

12 claims · 0.0%

Your Cost: $61.77/claim|Median: $42.48
1.5× median
99217Top 10%

$734

12 claims · 0.0%

Your Cost: $61.17/claim|Median: $31.89
1.9× median
76827Normal range

$661

12 claims · 0.0%

Your Cost: $55.12/claim|Median: $39.58
1.4× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$499

15 claims · 0.0%

Your Cost: $33.26/claim|Median: $70.87
0.5× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$285

15 claims · 0.0%

Your Cost: $19.03/claim|Median: $9.80
1.9× median
90674Normal range

$70

12 claims · 0.0%

Your Cost: $5.84/claim|Median: $15.16
0.4× median

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