Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIX MEDICAL GROUP OF FLORIDA INC

NPI: 1083711790 · SUNRISE, FL 33323 · Obstetrics & Gynecology Physician · NPI assigned 09/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SANDERS, NANETTE controls 16+ related entities in our dataset. Read more

$35.97M
Total Medicaid Paid
664,777
Total Claims
471,135
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANDERS, NANETTE (ASSISTANT SECRETARY)
NPI Enumeration Date09/17/2006

Related Entities

Other providers sharing the same authorized official: SANDERS, NANETTE

ProviderCityStateTotal Paid
OBSTETRIX MEDICAL GROUP OF PHOENIX PC MESA AZ $31.04M
PEDIATRIX MEDICAL GROUP OF WASHINGTON INC PS SEATTLE WA $19.97M
PEDIATRIX MEDICAL GROUP OF NEW MEXICO, P.C. ALBUQUERQUE NM $11.93M
ALASKA NEONATOLOGY ASSOCIATES INC ORANGE CA $9.36M
NEONATAL SPECIALISTS, LTD. TUCSON AZ $5.71M
PEDIATRIX CARDIOLOGY OF ORANGE COUNTY, P.C. ORANGE CA $3.62M
PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C. TACOMA WA $3.24M
OBSTETRIX MEDICAL GROUP OF THE CENTRAL COAST PROFESSIONAL CORPORATION ORANGE CA $2.24M
OBSTETRIX MEDICAL GROUP OF WASHINGTON INC PS SEATTLE WA $1.64M
PEDIATRIX MEDICAL GROUP, INC. SUNRISE FL $1.54M
MOUNTAIN STATES NEONATOLOGY, INC. BOISE ID $1.15M
NORTHWEST NEWBORN SPECIALISTS PC ORANGE CA $653K
OBSTETRIX MEDICAL GROUP OF UTAH, PC SALT LAKE CITY UT $364K
PEDIATRIX MEDICAL GROUP OF MONTANA, PC SUNRISE FL $182K
NEONATAL SPECIALISTS LTD TUCSON AZ $783.84
OBSTETRIX MEDICAL GROUP OF PHOENIX PC PHOENIX AZ $437.37

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,419 $1.60M
2019 187,539 $11.02M
2020 185,031 $11.74M
2021 125,705 $7.92M
2022 121,622 $3.34M
2023 2,032 $219K
2024 4,429 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92586 99,518 81,395 $4.58M
99479 Subsequent intensive care, per day, very low birth weight infant 36,660 12,219 $3.29M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 9,448 3,194 $2.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,573 25,571 $2.74M
99460 32,095 25,938 $2.06M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 37,716 29,532 $1.86M
99480 Subsequent intensive care, per day, low birth weight infant 21,388 8,287 $1.83M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,469 13,772 $1.76M
99462 51,895 34,414 $1.42M
99244 Office or other outpatient consultation, moderate to high complexity 7,206 5,955 $1.19M
92650 28,452 19,888 $1.06M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,178 11,915 $998K
99243 5,855 5,169 $961K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 16,398 12,136 $888K
76818 13,389 7,932 $858K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,633 4,864 $652K
99242 4,734 3,508 $575K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,826 5,979 $571K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 10,198 8,426 $546K
99215 Prolong outpt/office vis 3,551 2,853 $476K
54150 2,608 2,201 $434K
99464 7,335 6,458 $425K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,219 261 $345K
54161 1,304 1,068 $271K
99238 Hospital discharge day management, 30 minutes or less 7,431 5,207 $243K
95716 230 216 $238K
76825 3,218 2,898 $229K
93000 47,954 35,403 $221K
99222 Initial hospital care, per day, moderate complexity 1,938 1,230 $195K
99232 Subsequent hospital care, per day, moderate complexity 4,012 1,631 $193K
93325 35,034 25,464 $188K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15,449 11,579 $145K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,345 2,094 $136K
93320 16,552 12,259 $127K
99233 Prolong inpt eval add15 m 1,561 472 $124K
76820 15,075 10,474 $117K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,682 1,442 $97K
99239 Hospital discharge day management, more than 30 minutes 1,745 1,377 $93K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,362 4,325 $92K
76770 1,282 1,032 $86K
95816 256 251 $80K
99219 524 474 $71K
99468 67 65 $58K
93976 1,433 1,376 $52K
95700 248 240 $47K
H1000 Prenatal care, at-risk assessment 1,632 1,041 $43K
76827 2,810 2,536 $42K
99253 471 382 $42K
95720 223 210 $38K
93224 550 459 $36K
99235 289 243 $36K
99072 9,875 5,507 $31K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 208 147 $28K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 143 78 $26K
93304 909 563 $26K
99245 70 66 $23K
76819 Fetal biophysical profile; without non-stress testing 903 609 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 190 171 $18K
54360 12 12 $17K
76821 987 618 $17K
92579 309 308 $13K
81003 1,107 897 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 131 114 $11K
93321 2,911 1,763 $11K
99205 Prolong outpt/office vis 219 102 $9K
99241 100 88 $9K
93280 230 192 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 412 361 $7K
59025 Fetal non-stress test 168 147 $7K
99254 73 69 $7K
99217 257 250 $6K
76775 130 114 $5K
42830 28 26 $4K
99225 86 63 $3K
93308 147 81 $3K
99220 12 12 $2K
95819 89 20 $2K
99252 13 12 $2K
42820 Tonsillectomy and adenoidectomy; younger than age 12 49 12 $2K
92567 712 665 $2K
69210 15 13 $2K
99221 15 14 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 94 88 $1K
92552 76 76 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 97 89 $996.25
92556 14 14 $848.78
59430 17 17 $833.63
76813 14 13 $655.44
92588 12 12 $459.40
92557 13 13 $293.87
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 27 26 $282.01
81002 700 211 $89.24
92504 13 13 $61.76
93227 12 12 $26.40
81000 33 25 $13.58
99024 124 117 $0.00