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

Pediatrix Medical Group PC

Pediatrix Medical Group PC was paid $3.67M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 29% of everything it billed.

33Billing provider infoPEDIATRIX MEDICAL GROUP PC
CHARLESTON, WV 25302
33aNPI1992728117assigned 07/26/2006
28Total paid$3.67M
24GClaims31,787
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024

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$100K$200K2018201920202021202220232024
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
20183,236$626K
20191,487$369K
20205,655$777K
20215,404$422K
20227,230$716K
20234,520$380K
2024incomplete4,255$385K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 29% 3,783 954 $1.07M
99479 Subsequent intensive care, per day, very low birth weight infant 29% 9,847 2,298 $1.05M
99238 Hospital discharge day management, 30 minutes or less 9.7% 5,997 5,499 $357K
99480 Subsequent intensive care, per day, low birth weight infant 7.9% 3,266 863 $291K
99460 7.8% 3,847 3,625 $287K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 6.4% 938 157 $236K
99468 5.5% 395 353 $201K
99462 1.7% 1,908 1,564 $61K
99464 1.1% 951 888 $40K
99471 <1% 79 72 $35K
99239 Hospital discharge day management, more than 30 minutes <1% 256 216 $13K
99477 <1% 50 42 $9K
4 more codes
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 328 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 81 $7K
99465 <1% 26 $2K
99232 Hospital visit by a doctor, follow-up day <1% 35 $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

Full network →

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