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UAHSF NEONATOLOGY

Pediatrics, Neonatal-Perinatal Medicine·BIRMINGHAM, AL·NPI: 1619987302Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$94.0M

$93,989,166

Total Claims

325K

Beneficiaries

136K

2.4 claims/patient

Avg Cost/Claim

$289

Monthly Spending Trend

Yearly Spending

2018
$14.5M
+7%
2019
$15.6M
-21%
2020
$12.4M
+12%
2021
$13.8M
-4%
2022
$13.2M
+4%
2023
$13.8M
-23%
2024
$10.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 43% of total spending.

99472Top 5%

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

$40.8M

74K claims · 43.4%

Your Cost: $550.75/claim|Median: $307.98
1.8× median
99469Top 5%

Subsequent intensive care, very low birth weight infant

$17.0M

31K claims · 18.1%

Your Cost: $547.96/claim|Median: $293.45
1.9× median
99479Top 5%

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

$11.0M

65K claims · 11.7%

Your Cost: $168.64/claim|Median: $103.70
1.6× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$10.9M

77K claims · 11.6%

Your Cost: $142.01/claim|Median: $35.30
4.0× median
99468Top 5%

$5.7M

4,672 claims · 6.1%

Your Cost: $1,223.43/claim|Median: $679.18
1.8× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$2.6M

26K claims · 2.8%

Your Cost: $100.47/claim|Median: $37.22
2.7× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$2.5M

18K claims · 2.6%

Your Cost: $135.90/claim|Median: $62.48
2.2× median
99223Top 1%

Initial hospital care, per day, high complexity

$1.0M

3,987 claims · 1.1%

Your Cost: $258.38/claim|Median: $67.32
3.8× median
99478Top 5%

$812K

4,268 claims · 0.9%

Your Cost: $190.32/claim|Median: $106.11
1.8× median
54150Top 25%

$747K

4,976 claims · 0.8%

Your Cost: $150.05/claim|Median: $84.60
1.8× median
99462Top 5%

$722K

13K claims · 0.8%

Your Cost: $56.29/claim|Median: $27.49
2.0× median
99251Top 5%

$75K

1,192 claims · 0.1%

Your Cost: $63.23/claim|Median: $28.38
2.2× median
99464Top 25%

$51K

673 claims · 0.1%

Your Cost: $75.71/claim|Median: $59.94
1.3× median
99252Top 5%

$30K

357 claims · 0.0%

Your Cost: $82.94/claim|Median: $38.63
2.1× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$16K

100 claims · 0.0%

Your Cost: $161.91/claim|Median: $51.25
3.2× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$9K

207 claims · 0.0%

Your Cost: $43.48/claim|Median: $16.77
2.6× median
99221Top 5%

Initial hospital care, straightforward/low

$7K

64 claims · 0.0%

Your Cost: $115.55/claim|Median: $39.96
2.9× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$7K

81 claims · 0.0%

Your Cost: $80.72/claim|Median: $23.99
3.4× median
93010Top 5%

Electrocardiogram, interpretation and report only

$773

62 claims · 0.0%

Your Cost: $12.46/claim|Median: $5.60
2.2× median

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