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PEDIATRIX MEDICAL GROUP OF SOUTH CAROLINA PA

Pediatrics, Neonatal-Perinatal Medicine·SUNRISE, FL·NPI: 1992802607Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$51.2M

$51,219,746

Total Claims

327K

Beneficiaries

176K

1.9 claims/patient

Avg Cost/Claim

$157

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+15%
2019
$7.0M
+12%
2020
$7.8M
+9%
2021
$8.5M
+12%
2022
$9.6M
-32%
2023
$6.5M
-14%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 39% of total spending.

99469Top 25%

Subsequent intensive care, very low birth weight infant

$20.0M

54K claims · 39.1%

Your Cost: $371.71/claim|Median: $293.45
1.3× median
99479Normal range

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

$11.5M

98K claims · 22.5%

Your Cost: $117.69/claim|Median: $103.70
1.1× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$5.9M

52K claims · 11.5%

Your Cost: $112.20/claim|Median: $98.15
1.1× median
99472Top 25%

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

$5.0M

13K claims · 9.8%

Your Cost: $386.82/claim|Median: $307.98
1.3× median
92650Top 10%

$2.7M

31K claims · 5.3%

Your Cost: $86.92/claim|Median: $31.90
2.7× median
92586Normal range

$1.8M

28K claims · 3.6%

Your Cost: $66.66/claim|Median: $51.18
1.3× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$1.6M

18K claims · 3.0%

Your Cost: $85.43/claim|Median: $62.48
1.4× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$1.3M

20K claims · 2.6%

Your Cost: $66.70/claim|Median: $37.22
1.8× median
99468Top 25%

$549K

634 claims · 1.1%

Your Cost: $866.66/claim|Median: $679.18
1.3× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$253K

2,669 claims · 0.5%

Your Cost: $94.76/claim|Median: $43.85
2.2× median
99462Top 25%

$230K

6,433 claims · 0.4%

Your Cost: $35.69/claim|Median: $27.49
1.3× median
99235Top 25%

$63K

460 claims · 0.1%

Your Cost: $137.31/claim|Median: $110.13
1.2× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$63K

541 claims · 0.1%

Your Cost: $115.59/claim|Median: $51.25
2.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$47K

730 claims · 0.1%

Your Cost: $64.75/claim|Median: $23.99
2.7× median
54150Normal range

$28K

366 claims · 0.1%

Your Cost: $76.31/claim|Median: $84.60
0.9× median
99217Top 10%

$23K

367 claims · 0.0%

Your Cost: $62.02/claim|Median: $31.89
1.9× median
99219Top 10%

$21K

194 claims · 0.0%

Your Cost: $108.37/claim|Median: $63.35
1.7× median
99478Top 25%

$16K

110 claims · 0.0%

Your Cost: $144.95/claim|Median: $106.11
1.4× median
99464Normal range

$14K

285 claims · 0.0%

Your Cost: $50.26/claim|Median: $59.94
0.8× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$9K

110 claims · 0.0%

Your Cost: $86.01/claim|Median: $35.30
2.4× median
99463Normal range

$5K

51 claims · 0.0%

Your Cost: $93.95/claim|Median: $78.46
1.2× median
99477Normal range

$4K

15 claims · 0.0%

Your Cost: $295.05/claim|Median: $276.41
1.1× median
99223Top 5%

Initial hospital care, per day, high complexity

$3K

15 claims · 0.0%

Your Cost: $170.27/claim|Median: $67.32
2.5× median
94780Normal range

$296

12 claims · 0.0%

Your Cost: $24.64/claim|Median: $27.28
0.9× median
94781Top 25%

$108

12 claims · 0.0%

Your Cost: $9.02/claim|Median: $4.19
2.2× median

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