Pediatrix Medical Group of South Carolina PA

Pediatrix Medical Group of South Carolina PA was paid $51.22M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 39% of everything it billed.

33Billing provider infoPEDIATRIX MEDICAL GROUP OF SOUTH CAROLINA PA
SUNRISE, FL 33323

33aNPI1992802607assigned 09/17/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$51.22M

24GClaims326,852

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Florida

Rank by total paid#1 of 37

Median peer was paid$127K

This provider vs. median402×

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	46,035	$6.08M
2019	50,296	$7.00M
2020	50,565	$7.84M
2021	50,351	$8.54M
2022	53,027	$9.60M
2023	39,931	$6.54M
2024incomplete	36,647	$5.61M

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	39%	53,923	17,982	$20.04M
99479	Subsequent intensive care, per day, very low birth weight infant	22%	97,749	30,828	$11.50M
99480	Subsequent intensive care, per day, low birth weight infant	11%	52,421	18,743	$5.88M
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	9.8%	13,018	3,696	$5.04M
92650		5.3%	31,293	30,694	$2.72M
92586		3.6%	27,574	27,485	$1.84M
99460		3.0%	18,234	17,459	$1.56M
99238	Hospital discharge day management, 30 minutes or less	2.6%	19,636	18,737	$1.31M
99468		1.1%	634	603	$549K
99239	Hospital discharge day management, more than 30 minutes	<1%	2,669	2,501	$253K
99462		<1%	6,433	4,970	$230K
99235		<1%	460	431	$63K

13 more codes

99222	Initial hospital care, per day, moderate complexity	<1%	541	$63K
99232	Hospital visit by a doctor, follow-up day	<1%	730	$47K
54150		<1%	366	$28K
99217		<1%	367	$23K
99219		<1%	194	$21K
99478		<1%	110	$16K
99464		<1%	285	$14K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	110	$9K
99463		<1%	51	$5K
99477		<1%	15	$4K
99223	Prolong inpt eval add15 m	<1%	15	$3K
94780		<1%	12	$295.62
94781		<1%	12	$108.24

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, NICOLAS (ASSISTANT SECRETARY)