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NEO NATAL ASSOCIATES PLC

Pediatrics, Neonatal-Perinatal Medicine·GRAND RAPIDS, MI·NPI: 1720489453Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.7M

$27,670,860

Total Claims

148K

Beneficiaries

34K

4.3 claims/patient

Avg Cost/Claim

$187

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+19%
2019
$3.4M
+31%
2020
$4.4M
+2%
2021
$4.5M
+3%
2022
$4.7M
-11%
2023
$4.1M
-9%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99472 (Subsequent pediatric critical care, per day, age 2-5)) accounts for 29% of total spending.

99472Normal range

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

$8.1M

23K claims · 29.3%

Your Cost: $349.74/claim|Median: $307.98
1.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$6.7M

20K claims · 24.1%

Your Cost: $337.13/claim|Median: $293.45
1.1× median
99479Normal range

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

$4.6M

43K claims · 16.6%

Your Cost: $106.64/claim|Median: $103.70
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$4.1M

39K claims · 14.7%

Your Cost: $102.71/claim|Median: $98.15
1.0× median
99468Normal range

$2.7M

3,456 claims · 9.7%

Your Cost: $773.21/claim|Median: $679.18
1.1× median
99477Normal range

$568K

1,970 claims · 2.1%

Your Cost: $288.33/claim|Median: $276.41
1.0× median
99478Normal range

$287K

2,410 claims · 1.0%

Your Cost: $119.27/claim|Median: $106.11
1.1× median
99464Normal range

$257K

6,100 claims · 0.9%

Your Cost: $42.18/claim|Median: $59.94
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$140K

2,360 claims · 0.5%

Your Cost: $59.41/claim|Median: $43.85
1.4× median
99465Normal range

$123K

1,514 claims · 0.4%

Your Cost: $81.10/claim|Median: $99.16
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$101K

2,267 claims · 0.4%

Your Cost: $44.73/claim|Median: $37.22
1.2× median
54150Normal range

$90K

1,597 claims · 0.3%

Your Cost: $56.19/claim|Median: $84.60
0.7× median
99251Normal range

$14K

512 claims · 0.1%

Your Cost: $27.40/claim|Median: $28.38
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$2K

104 claims · 0.0%

Your Cost: $21.96/claim|Median: $16.77
1.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2K

39 claims · 0.0%

Your Cost: $49.87/claim|Median: $23.99
2.1× median
99252Normal range

$2K

40 claims · 0.0%

Your Cost: $44.02/claim|Median: $38.63
1.1× median

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