Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH FLORIDA PEDIATRICS, PA

NPI: 1033114285 · JASPER, FL 32052 · Pediatrics Physician · NPI assigned 06/15/2005

$9K
Total Medicaid Paid
409
Total Claims
326
Beneficiaries
7
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSANTELICES, SAMUEL (PRESIDENT/CEO)
Parent OrganizationNORTH FLORIDA PEDIATRICS
NPI Enumeration Date06/15/2005

Related Entities

Other providers sharing the same authorized official: SANTELICES, SAMUEL

ProviderCityStateTotal Paid
NORTH FLORIDA PEDIATRICS, PA. LAKE CITY FL $18.25M
NORTH FLORIDA PEDIATRICS, PA LIVE OAK FL $9K
NORTH FLORIDA PEDIATRICS, PA LAKE CITY FL $692.51
NORTH FLORIDA PEDIATRICS, PA CROSS CITY FL $84.13

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $831.24
2022 287 $4K
2023 43 $2K
2024 50 $977.09

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 214 178 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 16 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40 31 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 75 51 $320.00
85018 34 26 $16.62
94760 14 12 $0.00
36416 14 12 $0.00