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POKROY MEDICAL GROUP OF NEVADA, LTD.

Pediatrics, Neonatal-Perinatal Medicine·LAS VEGAS, NV·NPI: 1992809412Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.8M

$33,753,652

Total Claims

358K

Beneficiaries

277K

1.3 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$527K
+1188%
2019
$6.8M
-30%
2020
$4.8M
+25%
2021
$5.9M
-4%
2022
$5.7M
+19%
2023
$6.8M
-52%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 19% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$6.6M

114K claims · 19.4%

Your Cost: $57.43/claim|Median: $42.48
1.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$5.3M

16K claims · 15.6%

Your Cost: $331.82/claim|Median: $293.45
1.1× median
99284Top 25%

Emergency dept visit, high complexity

$4.3M

41K claims · 12.7%

Your Cost: $103.97/claim|Median: $69.51
1.5× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$3.4M

32K claims · 10.0%

Your Cost: $104.41/claim|Median: $98.15
1.1× median
99479Normal range

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

$2.5M

23K claims · 7.5%

Your Cost: $109.61/claim|Median: $103.70
1.1× median
99472Normal range

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

$2.3M

6,539 claims · 6.7%

Your Cost: $344.76/claim|Median: $307.98
1.1× median
99214Top 25%

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

$1.3M

14K claims · 3.8%

Your Cost: $89.42/claim|Median: $53.41
1.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$1.2M

18K claims · 3.5%

Your Cost: $63.83/claim|Median: $23.99
2.7× median
99282Normal range

Emergency dept visit, low complexity

$949K

26K claims · 2.8%

Your Cost: $37.05/claim|Median: $37.72
1.0× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$840K

9,124 claims · 2.5%

Your Cost: $92.10/claim|Median: $35.30
2.6× median
99223Top 5%

Initial hospital care, per day, high complexity

$838K

4,843 claims · 2.5%

Your Cost: $173.12/claim|Median: $67.32
2.6× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$771K

12K claims · 2.3%

Your Cost: $64.43/claim|Median: $37.22
1.7× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$593K

4,932 claims · 1.8%

Your Cost: $120.18/claim|Median: $51.25
2.3× median
99204Top 25%

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

$569K

4,781 claims · 1.7%

Your Cost: $118.99/claim|Median: $84.03
1.4× median
95819Normal range

Electroencephalogram with sleep recording

$445K

2,807 claims · 1.3%

Your Cost: $158.52/claim|Median: $62.75
2.5× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$409K

4,311 claims · 1.2%

Your Cost: $94.92/claim|Median: $43.85
2.2× median
99291Top 10%

Critical care, first 30-74 minutes

$283K

1,289 claims · 0.8%

Your Cost: $219.51/claim|Median: $101.24
2.2× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$221K

2,212 claims · 0.7%

Your Cost: $99.82/claim|Median: $47.08
2.1× median
99464Normal range

$155K

2,439 claims · 0.5%

Your Cost: $63.41/claim|Median: $59.94
1.1× median
99468Top 25%

$145K

169 claims · 0.4%

Your Cost: $855.06/claim|Median: $679.18
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$82K

692 claims · 0.2%

Your Cost: $118.44/claim|Median: $74.09
1.6× median
99213Top 25%

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

$73K

1,092 claims · 0.2%

Your Cost: $67.28/claim|Median: $37.81
1.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$73K

470 claims · 0.2%

Your Cost: $154.46/claim|Median: $85.65
1.8× median
95816Top 25%

$66K

356 claims · 0.2%

Your Cost: $186.78/claim|Median: $56.87
3.3× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$66K

1,918 claims · 0.2%

Your Cost: $34.51/claim|Median: $16.77
2.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$62K

533 claims · 0.2%

Your Cost: $116.87/claim|Median: $111.09
1.1× median
92226Normal range

$60K

2,811 claims · 0.2%

Your Cost: $21.34/claim|Median: $12.45
1.7× median
92201Top 25%

$51K

2,527 claims · 0.2%

Your Cost: $20.29/claim|Median: $12.88
1.6× median
92228Normal range

$47K

3,049 claims · 0.1%

Your Cost: $15.29/claim|Median: $11.30
1.4× median
01922Normal range

$42K

193 claims · 0.1%

Your Cost: $217.56/claim|Median: $166.77
1.3× median
99221Top 10%

Initial hospital care, straightforward/low

$31K

331 claims · 0.1%

Your Cost: $93.36/claim|Median: $39.96
2.3× median
99471Normal range

$24K

31 claims · 0.1%

Your Cost: $763.66/claim|Median: $680.99
1.1× median
92250Normal range

Fundus photography with interpretation and report

$20K

1,003 claims · 0.1%

Your Cost: $19.85/claim|Median: $27.95
0.7× median
99203Top 25%

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

$20K

200 claims · 0.1%

Your Cost: $98.19/claim|Median: $57.85
1.7× median
96112Normal range

Developmental test administration

$13K

123 claims · 0.0%

Your Cost: $102.06/claim|Median: $102.95
1.0× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$11K

169 claims · 0.0%

Your Cost: $66.43/claim|Median: $38.23
1.7× median
92015Normal range

Determination of refractive state

$11K

714 claims · 0.0%

Your Cost: $14.83/claim|Median: $10.36
1.4× median
99217Top 10%

$10K

165 claims · 0.0%

Your Cost: $60.72/claim|Median: $31.89
1.9× median
99252Top 25%

$9K

140 claims · 0.0%

Your Cost: $63.65/claim|Median: $38.63
1.6× median
92225Normal range

$8K

347 claims · 0.0%

Your Cost: $23.60/claim|Median: $17.59
1.3× median
99477Top 25%

$8K

24 claims · 0.0%

Your Cost: $325.50/claim|Median: $276.41
1.2× median
92650Normal range

$6K

301 claims · 0.0%

Your Cost: $18.43/claim|Median: $31.90
0.6× median
99236Top 25%

Observation care same day admit and discharge

$5K

29 claims · 0.0%

Your Cost: $188.16/claim|Median: $128.23
1.5× median
99292Top 10%

$5K

35 claims · 0.0%

Your Cost: $147.87/claim|Median: $57.64
2.6× median
99476Normal range

$5K

17 claims · 0.0%

Your Cost: $290.85/claim|Median: $290.39
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$4K

61 claims · 0.0%

Your Cost: $73.08/claim|Median: $62.48
1.2× median
92586Normal range

$4K

85 claims · 0.0%

Your Cost: $47.81/claim|Median: $51.18
0.9× median
99219Top 10%

$3K

29 claims · 0.0%

Your Cost: $105.01/claim|Median: $63.35
1.7× median
95720Normal range

$3K

16 claims · 0.0%

Your Cost: $158.30/claim|Median: $120.95
1.3× median
99220Top 10%

$2K

17 claims · 0.0%

Your Cost: $143.48/claim|Median: $73.56
2.0× median

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