Physician
Pediatrix Medical Group, INC.
Pediatrix Medical Group, INC. was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 24 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, INC.
SUNRISE, FL 33323
SUNRISE, FL 33323
33aNPI1730265919assigned 10/31/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.54M
24GClaims15,250
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Florida
Rank by total paid#6 of 66
Median peer was paid$97K
This provider vs. median16×
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 SANDERS, NANETTE controls 16+ related entities in our dataset. Read more
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 | 1,452 | $97K | |
| 2019 | 1,671 | $118K | |
| 2020 | 844 | $60K | |
| 2021 | 1,058 | $52K | |
| 2022 | 719 | $23K | |
| 2023 | 4,448 | $529K | |
| 2024incomplete | 5,058 | $665K |
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 | 33% | 2,058 | 406 | $516K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 27% | 5,652 | 1,138 | $413K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 15% | 3,292 | 432 | $239K |
| 99468 | 12% | 322 | 310 | $191K | |
| 92586 | 5.2% | 1,542 | 1,509 | $81K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 609 | 585 | $26K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.2% | 266 | 257 | $19K |
| 99477 | 1.1% | 75 | 75 | $17K | |
| 92650 | <1% | 844 | 831 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 139 | 121 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 88 | 78 | $7K |
| 99460 | <1% | 14 | 14 | $2K |
12 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 29 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $1K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 20 | $1K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 17 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $947.02 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 154 | $763.30 |
| 99221 | <1% | 12 | $761.64 | |
| 99205 | Prolong outpt/office vis | <1% | 17 | $638.25 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $509.37 |
| 93320 | <1% | 18 | $186.24 | |
| 93325 | <1% | 23 | $40.95 |
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 officialSANDERS, NANETTE (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group of Florida INC | Sunrise, FL | $35.97M |
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.