Physician
Pediatrix Medical Group of Georgia, P.C.
Pediatrix Medical Group of Georgia, P.C. was paid $50.58M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 16% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.
SUNRISE, FL 33323
SUNRISE, FL 33323
33aNPI1972695260assigned 09/28/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$50.58M
24GClaims544,415
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Florida
Rank by total paid#1 of 66
Median peer was paid$97K
This provider vs. median521×
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 | 76,909 | $7.34M | |
| 2019 | 86,025 | $8.36M | |
| 2020 | 80,985 | $7.60M | |
| 2021 | 80,139 | $7.19M | |
| 2022 | 93,345 | $8.61M | |
| 2023 | 76,741 | $6.98M | |
| 2024incomplete | 50,271 | $4.52M |
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 | 16% | 22,352 | 5,717 | $8.18M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 13% | 57,012 | 12,875 | $6.45M |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.7% | 56,167 | 37,417 | $4.40M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.5% | 17,038 | 16,680 | $3.28M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 6.4% | 9,767 | 1,690 | $3.22M |
| 92650 | 6.2% | 62,730 | 55,638 | $3.12M | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.8% | 50,849 | 45,299 | $2.95M |
| 99460 | 5.2% | 32,408 | 31,719 | $2.63M | |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.5% | 36,522 | 35,524 | $2.27M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 4.4% | 20,797 | 5,469 | $2.23M |
| 92586 | 4.3% | 32,514 | 32,279 | $2.16M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 38,769 | 33,275 | $2.08M |
92 more codes
| 76820 | 3.2% | 22,934 | $1.63M | |
| 99214 | Doctor's office visit, returning patient (more involved) | 2.3% | 14,490 | $1.16M |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.9% | 13,721 | $942K |
| 99468 | 1.7% | 1,037 | $879K | |
| 99462 | 1.1% | 14,896 | $533K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 2,402 | $348K |
| 99243 | <1% | 2,670 | $264K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,560 | $209K |
| 76821 | <1% | 1,701 | $143K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,201 | $127K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,374 | $117K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,262 | $108K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,003 | $101K |
| 99464 | <1% | 1,437 | $94K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 861 | $88K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,375 | $87K |
| 76813 | <1% | 788 | $76K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,223 | $66K |
| 54150 | <1% | 629 | $56K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 524 | $55K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 960 | $48K |
| 76825 | <1% | 390 | $48K | |
| 99463 | <1% | 455 | $43K | |
| 99245 | <1% | 230 | $38K | |
| 93325 | <1% | 360 | $34K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 350 | $33K |
| 99429 | <1% | 2,217 | $28K | |
| 76827 | <1% | 330 | $27K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 238 | $27K |
| 99242 | <1% | 301 | $24K | |
| 99241 | <1% | 500 | $22K | |
| 93976 | <1% | 219 | $21K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 226 | $21K |
| 76818 | <1% | 436 | $20K | |
| 99477 | <1% | 50 | $16K | |
| 99478 | <1% | 115 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 513 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 631 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 541 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 234 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 101 | $6K |
| 76801 | <1% | 69 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 339 | $5K |
| 59025 | Fetal non-stress test | <1% | 137 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 89 | $3K |
| 87428 | <1% | 40 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 18 | $2K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 22 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 99 | $2K |
| 83655 | <1% | 173 | $2K | |
| 96127 | <1% | 188 | $2K | |
| 81002 | <1% | 364 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $1K |
| 99221 | <1% | 12 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,648 | $739.20 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 65 | $731.85 |
| 96160 | <1% | 183 | $716.73 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 56 | $506.71 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 22 | $404.18 |
| 99406 | <1% | 17 | $231.59 | |
| 90474 | <1% | 12 | $145.20 | |
| 81000 | <1% | 16 | $66.57 | |
| 90686 | <1% | 435 | $44.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $9.17 |
| 90723 | 0% | 338 | $0.00 | |
| 90716 | 0% | 142 | $0.00 | |
| 90680 | 0% | 60 | $0.00 | |
| 3074F | 0% | 195 | $0.00 | |
| 36416 | 0% | 149 | $0.00 | |
| 90647 | 0% | 342 | $0.00 | |
| 97802 | 0% | 635 | $0.00 | |
| 90651 | 0% | 42 | $0.00 | |
| 92551 | 0% | 43 | $0.00 | |
| 90688 | 0% | 46 | $0.00 | |
| 90697 | 0% | 40 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 55 | $0.00 |
| 90620 | 0% | 17 | $0.00 | |
| 90681 | 0% | 160 | $0.00 | |
| 97803 | 0% | 71 | $0.00 | |
| 99173 | 0% | 280 | $0.00 | |
| 90670 | 0% | 617 | $0.00 | |
| 90633 | 0% | 182 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 90461 | 0% | 12 | $0.00 | |
| 3078F | 0% | 168 | $0.00 | |
| 90707 | 0% | 152 | $0.00 | |
| BADDE | 0% | 34 | $0.00 | |
| 90734 | 0% | 29 | $0.00 | |
| ONACC | 0% | 34 | $0.00 | |
| 0502F | 0% | 47 | $0.00 | |
| 91300 | 0% | 12 | $0.00 |
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 officialDWYER, MICHAEL (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group of Texas Billing, INC. | Houston, TX | $85.33M |
| Magella Medical Associates Billing, INC. | Round Rock, TX | $69.16M |
| Obstetrix Medical Group of Texas Billing, INC. | Richardson, TX | $25.71M |
| Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri PA | Phoenix, AZ | $107K |
| Texas Newborn Services, INC. | Richardson, TX | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.