Physician
Malcolm, Marcia
Malcolm, Marcia was paid $858K by Medicaid between Dec 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoMALCOLM, MARCIA
DELRAY BEACH, FL 33484
DELRAY BEACH, FL 33484
33aNPI1033125257assigned 07/31/2006
33bProvider typePediatrics Physician
28Total paid$858K
24GClaims24,581
24DCodes billed27
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#289 of 971
Median peer was paid$238K
This provider vs. median3.6×
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 | 337 | $8K | |
| 2019 | 5,032 | $170K | |
| 2020 | 4,304 | $146K | |
| 2021 | 4,065 | $154K | |
| 2022 | 4,259 | $159K | |
| 2023 | 3,814 | $146K | |
| 2024incomplete | 2,770 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 5,940 | 5,550 | $224K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 2,026 | 1,993 | $182K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 1,696 | 1,611 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,573 | 1,535 | $113K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 1,121 | 1,088 | $88K |
| 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 | 7.2% | 1,147 | 1,097 | $61K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 4,159 | 3,735 | $21K |
| 90461 | <1% | 820 | 727 | $4K | |
| 90633 | <1% | 763 | 748 | $1K | |
| 99381 | <1% | 13 | 12 | $951.36 | |
| 90670 | <1% | 1,267 | 1,217 | $764.87 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 384 | 372 | $704.79 |
15 more codes
| 90686 | <1% | 88 | $505.94 | |
| 90648 | <1% | 830 | $310.26 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 132 | $296.72 |
| 90651 | <1% | 327 | $290.00 | |
| 90680 | <1% | 660 | $170.00 | |
| 90696 | <1% | 40 | $170.00 | |
| 90707 | <1% | 349 | $110.00 | |
| 90715 | <1% | 193 | $70.00 | |
| 85018 | <1% | 95 | $66.62 | |
| 90716 | <1% | 332 | $30.00 | |
| 90734 | <1% | 251 | $10.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 52 | $0.00 |
| 90700 | 0% | 16 | $0.00 | |
| 90723 | 0% | 293 | $0.00 | |
| 90698 | 0% | 14 | $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.