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PEDIATRIX MEDICAL GROUP OF OHIO CORP

Pediatrics, Neonatal-Perinatal Medicine·DAYTON, OH·NPI: 1467559179Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$21.1M

$21,129,567

Total Claims

232K

Beneficiaries

127K

1.8 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+12%
2019
$3.6M
-16%
2020
$3.0M
+10%
2021
$3.3M
+0%
2022
$3.3M
-4%
2023
$3.2M
-54%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99480 (Subsequent intensive care, very low birth weight infant)) accounts for 23% of total spending.

99480Normal range

Subsequent intensive care, very low birth weight infant

$4.9M

57K claims · 23.2%

Your Cost: $86.05/claim|Median: $98.15
0.9× median
99479Normal range

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

$4.6M

52K claims · 21.9%

Your Cost: $89.54/claim|Median: $103.70
0.9× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$4.1M

15K claims · 19.6%

Your Cost: $275.36/claim|Median: $293.45
0.9× median
99472Normal range

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

$2.8M

9,213 claims · 13.1%

Your Cost: $301.16/claim|Median: $307.98
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$2.4M

33K claims · 11.4%

Your Cost: $72.44/claim|Median: $62.48
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.1M

37K claims · 5.4%

Your Cost: $30.95/claim|Median: $37.22
0.8× median
99462Normal range

$621K

19K claims · 2.9%

Your Cost: $32.10/claim|Median: $27.49
1.2× median
54150Normal range

$255K

5,391 claims · 1.2%

Your Cost: $47.27/claim|Median: $84.60
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$115K

2,803 claims · 0.5%

Your Cost: $40.86/claim|Median: $43.85
0.9× median
99477Normal range

$80K

310 claims · 0.4%

Your Cost: $259.22/claim|Median: $276.41
0.9× median
99468Normal range

$18K

28 claims · 0.1%

Your Cost: $636.14/claim|Median: $679.18
0.9× median
99463Normal range

$15K

169 claims · 0.1%

Your Cost: $86.48/claim|Median: $78.46
1.1× median
99464Normal range

$5K

84 claims · 0.0%

Your Cost: $55.00/claim|Median: $59.94
0.9× median
92586Normal range

$4K

518 claims · 0.0%

Your Cost: $8.66/claim|Median: $51.18
0.2× median
99203Normal range

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

$2K

43 claims · 0.0%

Your Cost: $39.22/claim|Median: $57.85
0.7× median
92650Normal range

$1K

81 claims · 0.0%

Your Cost: $14.94/claim|Median: $31.90
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$655

25 claims · 0.0%

Your Cost: $26.21/claim|Median: $23.99
1.1× median
94780Normal range

$123

26 claims · 0.0%

Your Cost: $4.73/claim|Median: $27.28
0.2× median
94781Normal range

$45

25 claims · 0.0%

Your Cost: $1.80/claim|Median: $4.19
0.4× median

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