Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatrix Medical Group of North Carolina PC

Pediatrix Medical Group of North Carolina PC was paid $23.13M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 33% of everything it billed.

33Billing provider infoPEDIATRIX MEDICAL GROUP OF NORTH CAROLINA PC
SUNRISE, FL 33323
33aNPI1558468256assigned 09/17/2006
28Total paid$23.13M
24GClaims226,281
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Florida

Rank by total paid#3 of 37
Median peer was paid$127K
This provider vs. median182×

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.

Entity ProliferationAuthorized official GLASER, NICHOLAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201819,391$1.64M
201921,611$2.57M
202034,790$3.73M
202145,575$4.51M
202245,715$4.76M
202334,755$3.34M
2024incomplete24,444$2.58M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 33% 28,055 9,944 $7.54M
99479 Subsequent intensive care, per day, very low birth weight infant 23% 60,372 18,676 $5.21M
99480 Subsequent intensive care, per day, low birth weight infant 13% 38,126 11,527 $3.07M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 13% 11,157 3,013 $2.97M
99460 8.2% 31,504 23,563 $1.90M
99238 Hospital discharge day management, 30 minutes or less 7.6% 35,319 26,637 $1.76M
99462 2.0% 16,613 11,456 $473K
99239 Hospital discharge day management, more than 30 minutes <1% 979 667 $68K
99464 <1% 890 726 $48K
92650 <1% 861 614 $31K
92586 <1% 719 640 $23K
99468 <1% 32 25 $19K
3 more codes
92228 <1% 1,596 $9K
99477 <1% 14 $5K
99232 Hospital visit by a doctor, follow-up day <1% 44 $2K

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 officialGLASER, NICHOLAS (ASSISTANT SECRETARY)
Same official

Other billing entities under GLASER, NICHOLAS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.