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PEDIATRIX MEDICAL GROUP OF NORTH CAROLINA PC

Pediatrics, Neonatal-Perinatal Medicine·SUNRISE, FL·NPI: 1558468256Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.1M

$23,127,892

Total Claims

226K

Beneficiaries

108K

2.1 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+57%
2019
$2.6M
+45%
2020
$3.7M
+21%
2021
$4.5M
+6%
2022
$4.8M
-30%
2023
$3.3M
-23%
2024
$2.6M

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 33% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$7.5M

28K claims · 32.6%

Your Cost: $268.71/claim|Median: $293.45
0.9× median
99479Normal range

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

$5.2M

60K claims · 22.5%

Your Cost: $86.36/claim|Median: $103.70
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$3.1M

38K claims · 13.3%

Your Cost: $80.65/claim|Median: $98.15
0.8× median
99472Normal range

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

$3.0M

11K claims · 12.8%

Your Cost: $265.76/claim|Median: $307.98
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.9M

32K claims · 8.2%

Your Cost: $60.36/claim|Median: $62.48
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.8M

35K claims · 7.6%

Your Cost: $49.73/claim|Median: $37.22
1.3× median
99462Normal range

$473K

17K claims · 2.0%

Your Cost: $28.47/claim|Median: $27.49
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$68K

979 claims · 0.3%

Your Cost: $69.92/claim|Median: $43.85
1.6× median
99464Normal range

$48K

890 claims · 0.2%

Your Cost: $53.95/claim|Median: $59.94
0.9× median
92650Normal range

$31K

861 claims · 0.1%

Your Cost: $35.59/claim|Median: $31.90
1.1× median
92586Normal range

$23K

719 claims · 0.1%

Your Cost: $32.64/claim|Median: $51.18
0.6× median
99468Normal range

$19K

32 claims · 0.1%

Your Cost: $599.49/claim|Median: $679.18
0.9× median
92228Normal range

$9K

1,596 claims · 0.0%

Your Cost: $5.54/claim|Median: $11.30
0.5× median
99477Top 25%

$5K

14 claims · 0.0%

Your Cost: $325.74/claim|Median: $276.41
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2K

44 claims · 0.0%

Your Cost: $39.57/claim|Median: $23.99
1.6× median

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