NP / PA
Pediatrics at River's Edge, INC
Pediatrics at River's Edge, INC was paid $2.26M by Medicaid between Jan 2019 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoPEDIATRICS AT RIVER'S EDGE, INC
NEW PORT RICHEY, FL 34654
NEW PORT RICHEY, FL 34654
33aNPI1003217183assigned 09/09/2014
33bProvider typePediatric Nurse Practitioner
28Total paid$2.26M
24GClaims61,492
24DCodes billed36
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Florida
Rank by total paid#4 of 18
Median peer was paid$20K
This provider vs. median115×
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 | |
|---|---|---|---|
| 2019 | 18,541 | $467K | |
| 2020 | 9,716 | $328K | |
| 2021 | 8,637 | $361K | |
| 2022 | 9,637 | $404K | |
| 2023 | 8,417 | $362K | |
| 2024incomplete | 6,544 | $337K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 12,199 | 8,832 | $728K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 14,395 | 11,260 | $682K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 2,416 | 2,195 | $193K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 2,228 | 1,993 | $192K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 2,064 | 1,875 | $177K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 1,687 | 1,567 | $151K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 6,223 | 5,457 | $40K |
| 90671 | 1.3% | 399 | 389 | $29K | |
| 97802 | 1.1% | 3,717 | 3,083 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,673 | 5,096 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 173 | 128 | $11K |
| 90649 | <1% | 323 | 273 | $3K |
24 more codes
| 99381 | <1% | 45 | $3K | |
| 99383 | <1% | 28 | $3K | |
| 90686 | <1% | 1,326 | $2K | |
| 99384 | <1% | 12 | $1K | |
| 90715 | <1% | 294 | $991.97 | |
| 90620 | <1% | 780 | $936.19 | |
| 90633 | <1% | 957 | $891.91 | |
| 90710 | <1% | 744 | $752.77 | |
| 90647 | <1% | 949 | $537.52 | |
| 90670 | <1% | 1,265 | $414.06 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | $359.73 |
| 90723 | <1% | 1,011 | $318.19 | |
| 99051 | <1% | 90 | $315.74 | |
| 90696 | <1% | 115 | $272.08 | |
| 90734 | <1% | 207 | $114.01 | |
| 81003 | <1% | 275 | $62.51 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $58.07 |
| 85018 | <1% | 110 | $38.69 | |
| 36416 | <1% | 45 | $1.62 | |
| 90697 | 0% | 184 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 14 | $0.00 |
| 90619 | 0% | 15 | $0.00 | |
| 90681 | 0% | 440 | $0.00 | |
| 90700 | 0% | 30 | $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 officialDONDERO, ALDO (PRESIDENT)