Physician
Pediatrix Medical Group of Missouri, P.C.
Pediatrix Medical Group of Missouri, P.C. was paid $3.93M by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 37% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF MISSOURI, P.C.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1164446779assigned 07/27/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$3.93M
24GClaims24,276
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Missouri
Rank by total paid#1 of 36
Median peer was paid$89K
This provider vs. median44×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 167 | $0.00 | |
| 2019 | 228 | $113.32 | |
| 2020 | 894 | $147K | |
| 2021 | 7,333 | $1.13M | |
| 2022 | 5,394 | $944K | |
| 2023 | 7,025 | $1.22M | |
| 2024incomplete | 3,235 | $499K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 37% | 3,514 | 900 | $1.46M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 32% | 10,861 | 2,781 | $1.26M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 29% | 9,184 | 2,479 | $1.15M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 83 | 15 | $23K |
| 99468 | <1% | 12 | 12 | $14K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 84 | 74 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 72 | 65 | $5K |
| 92586 | <1% | 466 | 465 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialASHFORD, MICHAEL (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group of Tennessee, P.C. | Nashville, TN | $32.29M |
| Pediatrix Medical Group of Louisiana, L.L.C. | Richardson, TX | $6.20M |
| Magella Medical Associates Midwest PC | Sunrise, FL | $4.27M |
| Pediatrix Cardiology of Springfield PC | Sunrise, FL | $2.69M |
| Pediatrix Medical Group of Kentucky PSC | Lexington, KY | $1.35M |
| Ozark Neonatal Associates, INC. | Springfield, MO | $1.32M |
| Pediatrix Medical Group Ambulatory Services of TN, PLLC | Sunrise, FL | $742K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.