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PEDIATRIX MEDICAL GROUP OF MICHIGAN PC

Pediatrics, Neonatal-Perinatal Medicine·SUNRISE, FL·NPI: 1720185432Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.4M

$26,392,380

Total Claims

170K

Beneficiaries

79K

2.2 claims/patient

Avg Cost/Claim

$155

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+23%
2019
$3.4M
+18%
2020
$4.0M
-0%
2021
$4.0M
+6%
2022
$4.3M
+2%
2023
$4.3M
-20%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 35% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$9.1M

27K claims · 34.6%

Your Cost: $340.08/claim|Median: $293.45
1.2× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$3.7M

36K claims · 13.8%

Your Cost: $101.17/claim|Median: $98.15
1.0× median
99472Normal range

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

$3.4M

9,860 claims · 12.8%

Your Cost: $343.83/claim|Median: $307.98
1.1× median
99468Normal range

$3.4M

4,313 claims · 12.7%

Your Cost: $779.15/claim|Median: $679.18
1.1× median
99479Normal range

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

$3.3M

32K claims · 12.7%

Your Cost: $103.90/claim|Median: $103.70
1.0× median
99477Normal range

$806K

2,811 claims · 3.1%

Your Cost: $286.76/claim|Median: $276.41
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$696K

16K claims · 2.6%

Your Cost: $42.38/claim|Median: $37.22
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$634K

12K claims · 2.4%

Your Cost: $53.96/claim|Median: $62.48
0.9× median
99464Normal range

$436K

10K claims · 1.7%

Your Cost: $41.98/claim|Median: $59.94
0.7× median
54150Normal range

$426K

7,555 claims · 1.6%

Your Cost: $56.36/claim|Median: $84.60
0.7× median
99462Normal range

$162K

6,830 claims · 0.6%

Your Cost: $23.69/claim|Median: $27.49
0.9× median
99465Normal range

$147K

1,781 claims · 0.6%

Your Cost: $82.42/claim|Median: $99.16
0.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$109K

1,718 claims · 0.4%

Your Cost: $63.69/claim|Median: $43.85
1.5× median
99463Normal range

$80K

1,271 claims · 0.3%

Your Cost: $63.29/claim|Median: $78.46
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$7K

158 claims · 0.0%

Your Cost: $41.89/claim|Median: $23.99
1.7× median
99252Normal range

$6K

158 claims · 0.0%

Your Cost: $40.53/claim|Median: $38.63
1.0× median
99251Normal range

$711

28 claims · 0.0%

Your Cost: $25.39/claim|Median: $28.38
0.9× median

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