Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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L&J Pediatrics

L&J Pediatrics was paid $174K by Medicaid between Dec 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoL&J PEDIATRICS
MIAMI, FL 33169
33aNPI1033271499assigned 12/14/2006
28Total paid$174K
24GClaims5,870
24DCodes billed17
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Florida

Rank by total paid#58 of 215
Median peer was paid$25K
This provider vs. median7.0×

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

$0$5.0K$10K2018201920202021202220232024
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
201843$959.79
2019839$26K
2020765$31K
2021481$18K
2022806$23K
20231,651$43K
2024incomplete1,285$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 1,433 1,272 $45K
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 18% 498 478 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17% 502 493 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17% 519 483 $29K
90460 Immunization administration through 18 years of age via any route, first or only component 9.9% 1,100 1,067 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.8% 258 254 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.8% 257 251 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 40 39 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 265 262 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 112 56 $628.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 57 55 $287.08
90670 <1% 39 39 $227.52
5 more codes
90473 <1% 23 $226.88
S9451 Exercise classes, non-physician provider, per session <1% 249 $155.98
97802 <1% 225 $61.24
96127 <1% 281 $5.17
90651 0% 12 $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 officialRUIZ-ACEVEDO, MARIA (PRESIDENT)