Physician
Lighthouse Pediatrics PLLC
Lighthouse Pediatrics PLLC was paid $1.42M by Medicaid between Feb 2019 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoLIGHTHOUSE PEDIATRICS PLLC
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
33aNPI1043630353assigned 04/25/2014
33bProvider typePediatrics Physician
28Total paid$1.42M
24GClaims86,360
24DCodes billed60
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#211 of 971
Median peer was paid$238K
This provider vs. median6.0×
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
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 | 9,006 | $179K | |
| 2020 | 10,395 | $173K | |
| 2021 | 15,425 | $275K | |
| 2022 | 16,800 | $284K | |
| 2023 | 19,294 | $274K | |
| 2024incomplete | 15,440 | $235K |
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 | 26% | 9,383 | 7,663 | $365K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 12,463 | 10,333 | $293K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 4,070 | 3,609 | $265K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 3,495 | 3,138 | $239K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 699 | 670 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 5,894 | 5,180 | $51K |
| 97802 | 2.3% | 2,857 | 2,669 | $32K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 310 | 297 | $17K |
| 99460 | 1.2% | 316 | 278 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 7,980 | 6,934 | $15K |
| 99381 | <1% | 176 | 165 | $13K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 516 | 441 | $12K |
48 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,985 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 702 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,319 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 87 | $5K |
| 90474 | <1% | 836 | $4K | |
| 90670 | <1% | 2,277 | $3K | |
| 90697 | <1% | 436 | $3K | |
| 99382 | <1% | 29 | $3K | |
| H0049 | Alcohol and/or drug screening | <1% | 254 | $3K |
| 90461 | <1% | 3,976 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 265 | $1K |
| 85018 | <1% | 2,506 | $957.85 | |
| 83655 | <1% | 471 | $657.54 | |
| 99462 | <1% | 44 | $541.62 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 63 | $423.57 |
| 87807 | <1% | 196 | $418.26 | |
| 90633 | <1% | 872 | $359.12 | |
| 90710 | <1% | 125 | $286.43 | |
| 90619 | <1% | 14 | $257.25 | |
| 90686 | <1% | 1,092 | $194.82 | |
| 90716 | <1% | 115 | $128.22 | |
| 90744 | <1% | 633 | $108.00 | |
| 90707 | <1% | 146 | $84.24 | |
| 90700 | <1% | 165 | $53.26 | |
| 90647 | <1% | 345 | $42.53 | |
| 90473 | <1% | 454 | $29.00 | |
| 90698 | <1% | 968 | $27.00 | |
| 90681 | <1% | 66 | $20.00 | |
| 81003 | <1% | 295 | $16.16 | |
| 36416 | <1% | 2,615 | $10.00 | |
| 90677 | <1% | 218 | $10.00 | |
| 90648 | <1% | 24 | $9.00 | |
| 99177 | 0% | 771 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,004 | $0.00 |
| 90671 | 0% | 64 | $0.00 | |
| 99173 | 0% | 24 | $0.00 | |
| 90685 | 0% | 25 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 36 | $0.00 |
| 90734 | 0% | 17 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 20 | $0.00 |
| 90680 | 0% | 1,575 | $0.00 | |
| 94760 | 0% | 8,428 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 2,045 | $0.00 |
| 90723 | 0% | 67 | $0.00 | |
| 99000 | 0% | 407 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| 90696 | 0% | 81 | $0.00 | |
| 1036F | 0% | 15 | $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 officialLUZ, VINCENT (OWNER)