Pediatrix Medical Group PC
Pediatrix Medical Group PC was paid $10.80M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 20% of everything it billed.
WINCHESTER, VA 22601
Next to other Audiologist providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,570 | $1.76M | |
| 2019 | 25,652 | $1.87M | |
| 2020 | 24,273 | $2.03M | |
| 2021 | 21,702 | $1.20M | |
| 2022 | 30,948 | $1.70M | |
| 2023 | 22,060 | $916K | |
| 2024incomplete | 24,790 | $1.33M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 20% | 8,003 | 1,399 | $2.13M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 14% | 18,515 | 2,733 | $1.55M |
| 99460 | 13% | 23,829 | 20,038 | $1.39M | |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 27,823 | 23,438 | $1.29M |
| 92586 | 12% | 21,259 | 18,871 | $1.27M | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 7.2% | 10,195 | 1,749 | $780K |
| 92650 | 5.4% | 26,702 | 18,019 | $579K | |
| 99462 | 5.0% | 20,882 | 14,334 | $542K | |
| 99468 | 4.0% | 708 | 628 | $437K | |
| 99464 | 2.1% | 5,204 | 4,402 | $228K | |
| 54150 | 1.7% | 2,693 | 2,170 | $189K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 1,955 | 1,737 | $139K |
9 more codes
| 99477 | 1.2% | 570 | $135K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 348 | $51K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 362 | $31K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 435 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 237 | $16K |
| 99465 | <1% | 161 | $15K | |
| 99223 | Prolong inpt eval add15 m | <1% | 32 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 66 | $1K |
| 99217 | <1% | 16 | $737.08 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.