Physician
Jacksonville Pediatrics
Jacksonville Pediatrics was paid $1.39M by Medicaid between Feb 2019 and Jan 2022, across 43 billing codes. Its largest line is 99401, — 48% of everything it billed.
33Billing provider infoJACKSONVILLE PEDIATRICS
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
33aNPI1043346745assigned 02/26/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.39M
24GClaims46,946
24DCodes billed43
24AFirst – last monthFeb 2019 – Jan 2022
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Florida
Rank by total paid#9 of 56
Median peer was paid$221K
This provider vs. median6.3×
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 | 13,781 | $267K | |
| 2020 | 15,163 | $463K | |
| 2021 | 17,923 | $654K | |
| 2022 | 79 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99401 | 48% | 4,220 | 3,999 | $663K | |
| 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 | 26% | 4,268 | 4,109 | $357K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,532 | 3,380 | $224K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 3,349 | 3,167 | $28K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 512 | 485 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 579 | 570 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 710 | 682 | $16K |
| 90461 | <1% | 1,177 | 1,137 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 169 | 166 | $11K |
| 94760 | <1% | 11,331 | 10,461 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 462 | 459 | $8K |
| 92587 | <1% | 1,991 | 1,913 | $4K |
31 more codes
| 90686 | <1% | 717 | $3K | |
| 99072 | <1% | 536 | $932.82 | |
| 97803 | <1% | 5,385 | $757.19 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $653.34 |
| 0072A | <1% | 13 | $440.00 | |
| 0002A | <1% | 13 | $440.00 | |
| 0071A | <1% | 12 | $440.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 475 | $120.20 |
| 99000 | <1% | 189 | $99.42 | |
| 91300 | <1% | 30 | $80.00 | |
| 90698 | <1% | 166 | $72.01 | |
| 90651 | <1% | 71 | $64.01 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 41 | $59.58 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,086 | $46.34 |
| 96127 | <1% | 208 | $43.88 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 40 | $43.48 |
| 90680 | <1% | 76 | $20.00 | |
| 99051 | <1% | 45 | $15.14 | |
| 96160 | <1% | 114 | $2.57 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,104 | $0.00 |
| S8301 | Infection control supplies, not otherwise specified | 0% | 43 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 27 | $0.00 |
| 92551 | 0% | 48 | $0.00 | |
| 91307 | 0% | 23 | $0.00 | |
| 90697 | 0% | 49 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 99173 | 0% | 1,725 | $0.00 | |
| 90670 | 0% | 327 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $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 officialTHORNTON, RANDOLPH (SENIOR PHYSICIAN)