Is EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C flagged for Medicaid fraud?

EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C (NPI: 1659485761) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C bill Medicaid?

EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Pediatrics, Neonatal-Perinatal Medicine provider. Located in MEMPHIS, TN.

What is NPI 1659485761?

NPI 1659485761 is the National Provider Identifier for EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C. They are a Pediatrics, Neonatal-Perinatal Medicine provider based in MEMPHIS, TN. This NPI is registered with the CMS NPI Registry.

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EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C

Pediatrics, Neonatal-Perinatal Medicine·MEMPHIS, TN·NPI: 1659485761Share

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.7M

$20,713,313

Total Claims

83K

Beneficiaries

35K

2.4 claims/patient

Avg Cost/Claim

$249

Monthly Spending Trend

Yearly Spending

2018

$2.5M

+23%

2019

$3.1M

+4%

2020

$3.2M

+14%

2021

$3.6M

-27%

2022

$2.7M

+22%

2023

$3.2M

-24%

2024

$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 64% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

99469Subsequent intensive care, very low birth weight infantSee all providers →

$13.2M

44K claims

$303.34

$293.45

1.0×

Normal range

99469Normal range

Subsequent intensive care, very low birth weight infant

$13.2M

44K claims · 64.0%

Your Cost: $303.34/claim|Median: $293.45

1.0× median

99472Subsequent pediatric critical care, per day, age 2-5See all providers →

$4.3M

14K claims

$315.31

$307.98

1.0×

Normal range

99472Normal range

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

$4.3M

14K claims · 20.9%

Your Cost: $315.31/claim|Median: $307.98

1.0× median

99479Subsequent intensive care, 2,501-5,000 gramsSee all providers →

$1.5M

16K claims

$98.01

$103.70

0.9×

Normal range

99479Normal range

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

$1.5M

16K claims · 7.4%

Your Cost: $98.01/claim|Median: $103.70

0.9× median

99468 See all providers →

$985K

1,449 claims

$679.71

$679.18

1.0×

Normal range

99468Normal range

$985K

1,449 claims · 4.8%

Your Cost: $679.71/claim|Median: $679.18

1.0× median

99464 See all providers →

$327K

5,703 claims

$57.33

$59.94

1.0×

Normal range

99464Normal range

$327K

5,703 claims · 1.6%

Your Cost: $57.33/claim|Median: $59.94

1.0× median

99480Subsequent intensive care, very low birth weight infantSee all providers →

$296K

3,118 claims

$94.99

$98.15

1.0×

Normal range

99480Normal range

Subsequent intensive care, very low birth weight infant

$296K

3,118 claims · 1.4%

Your Cost: $94.99/claim|Median: $98.15

1.0× median

99465 See all providers →

$2K

14 claims

$131.38

$99.16

1.3×

Normal range

99465Normal range

$2K

14 claims · 0.0%

Your Cost: $131.38/claim|Median: $99.16

1.3× median

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