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PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.

Obstetrics & Gynecology, Maternal & Fetal Medicine·SUNRISE, FL·NPI: 1972695260Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.6M

$50,584,289

Total Claims

544K

Beneficiaries

404K

1.3 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$7.3M
+14%
2019
$8.4M
-9%
2020
$7.6M
-5%
2021
$7.2M
+20%
2022
$8.6M
-19%
2023
$7.0M
-35%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 16% of total spending.

99469Top 25%

Subsequent intensive care, very low birth weight infant

$8.2M

22K claims · 16.2%

Your Cost: $366.01/claim|Median: $293.45
1.2× median
99479Normal range

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

$6.5M

57K claims · 12.8%

Your Cost: $113.15/claim|Median: $103.70
1.1× median
76819Top 25%

Fetal biophysical profile with non-stress test

$4.4M

56K claims · 8.7%

Your Cost: $78.36/claim|Median: $49.45
1.6× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$3.3M

17K claims · 6.5%

Your Cost: $192.27/claim|Median: $106.79
1.8× median
99472Normal range

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

$3.2M

9,767 claims · 6.4%

Your Cost: $329.21/claim|Median: $307.98
1.1× median
92650Normal range

$3.1M

63K claims · 6.2%

Your Cost: $49.69/claim|Median: $31.90
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$2.9M

51K claims · 5.8%

Your Cost: $57.96/claim|Median: $58.55
1.0× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$2.6M

32K claims · 5.2%

Your Cost: $81.21/claim|Median: $62.48
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$2.3M

37K claims · 4.5%

Your Cost: $62.18/claim|Median: $37.22
1.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$2.2M

21K claims · 4.4%

Your Cost: $107.41/claim|Median: $98.15
1.1× median
92586Normal range

$2.2M

33K claims · 4.3%

Your Cost: $66.38/claim|Median: $51.18
1.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.1M

39K claims · 4.1%

Your Cost: $53.54/claim|Median: $37.81
1.4× median
76820Top 10%

$1.6M

23K claims · 3.2%

Your Cost: $71.03/claim|Median: $31.79
2.2× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$1.2M

14K claims · 2.3%

Your Cost: $79.87/claim|Median: $53.41
1.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$942K

14K claims · 1.9%

Your Cost: $68.64/claim|Median: $47.65
1.4× median
99468Top 25%

$879K

1,037 claims · 1.7%

Your Cost: $847.81/claim|Median: $679.18
1.2× median
99462Top 25%

$533K

15K claims · 1.1%

Your Cost: $35.75/claim|Median: $27.49
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$348K

2,402 claims · 0.7%

Your Cost: $144.78/claim|Median: $121.58
1.2× median
99243Top 25%

Office or other outpatient consultation, low complexity

$264K

2,670 claims · 0.5%

Your Cost: $98.86/claim|Median: $82.43
1.2× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$209K

1,560 claims · 0.4%

Your Cost: $133.94/claim|Median: $84.03
1.6× median
76821Top 25%

$143K

1,701 claims · 0.3%

Your Cost: $84.10/claim|Median: $46.75
1.8× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$127K

1,201 claims · 0.3%

Your Cost: $106.01/claim|Median: $75.18
1.4× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$117K

2,374 claims · 0.2%

Your Cost: $49.09/claim|Median: $17.85
2.8× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$108K

1,262 claims · 0.2%

Your Cost: $85.28/claim|Median: $57.85
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$101K

1,003 claims · 0.2%

Your Cost: $100.45/claim|Median: $69.35
1.4× median
99464Normal range

$94K

1,437 claims · 0.2%

Your Cost: $65.50/claim|Median: $59.94
1.1× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$88K

861 claims · 0.2%

Your Cost: $102.47/claim|Median: $74.78
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$87K

2,375 claims · 0.2%

Your Cost: $36.84/claim|Median: $25.06
1.5× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$76K

788 claims · 0.1%

Your Cost: $96.21/claim|Median: $70.87
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$66K

1,223 claims · 0.1%

Your Cost: $53.68/claim|Median: $36.79
1.5× median
54150Normal range

$56K

629 claims · 0.1%

Your Cost: $88.81/claim|Median: $84.60
1.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$55K

524 claims · 0.1%

Your Cost: $104.10/claim|Median: $74.82
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$48K

960 claims · 0.1%

Your Cost: $49.94/claim|Median: $23.99
2.1× median
76825Normal range

$48K

390 claims · 0.1%

Your Cost: $122.92/claim|Median: $103.74
1.2× median
99463Normal range

$43K

455 claims · 0.1%

Your Cost: $93.75/claim|Median: $78.46
1.2× median
99245Normal range

Office consultation, high complexity

$38K

230 claims · 0.1%

Your Cost: $165.51/claim|Median: $143.30
1.2× median
93325Top 10%

$34K

360 claims · 0.1%

Your Cost: $93.20/claim|Median: $14.61
6.4× median
99215Normal range

Office/outpatient visit, high complexity

$33K

350 claims · 0.1%

Your Cost: $95.31/claim|Median: $74.09
1.3× median
99429Normal range

$28K

2,217 claims · 0.1%

Your Cost: $12.78/claim|Median: $28.58
0.4× median
76827Top 10%

$27K

330 claims · 0.1%

Your Cost: $82.95/claim|Median: $39.58
2.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$27K

238 claims · 0.1%

Your Cost: $114.73/claim|Median: $80.15
1.4× median
99242Top 25%

Office consultation, low complexity

$24K

301 claims · 0.0%

Your Cost: $78.40/claim|Median: $57.97
1.4× median
99241Normal range

Office consultation, straightforward

$22K

500 claims · 0.0%

Your Cost: $44.99/claim|Median: $36.49
1.2× median
93976Top 25%

$21K

219 claims · 0.0%

Your Cost: $96.25/claim|Median: $42.06
2.3× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$21K

226 claims · 0.0%

Your Cost: $91.33/claim|Median: $43.85
2.1× median
76818Normal range

$20K

436 claims · 0.0%

Your Cost: $45.77/claim|Median: $68.15
0.7× median
99477Normal range

$16K

50 claims · 0.0%

Your Cost: $321.72/claim|Median: $276.41
1.2× median
99478Top 25%

$16K

115 claims · 0.0%

Your Cost: $135.70/claim|Median: $106.11
1.3× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$13K

513 claims · 0.0%

Your Cost: $24.45/claim|Median: $9.80
2.5× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$10K

631 claims · 0.0%

Your Cost: $15.97/claim|Median: $11.48
1.4× median

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