Physician
First Coast Pediatrics
First Coast Pediatrics was paid $2.34M by Medicaid between Feb 2019 and Jul 2023, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoFIRST COAST PEDIATRICS
FERNANDINA BEACH, FL 32034
FERNANDINA BEACH, FL 32034
33aNPI1053432252assigned 04/03/2007
33bProvider typePediatrics Physician
28Total paid$2.34M
24GClaims65,650
24DCodes billed34
24AFirst – last monthFeb 2019 – Jul 2023
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#138 of 971
Median peer was paid$238K
This provider vs. median9.8×
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 | 11,476 | $332K | |
| 2020 | 10,304 | $233K | |
| 2021 | 15,134 | $571K | |
| 2022 | 18,027 | $740K | |
| 2023 | 10,709 | $465K |
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 | 39% | 10,774 | 9,832 | $922K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 8,459 | 7,880 | $470K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,623 | 2,506 | $302K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 2,142 | 1,921 | $231K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 1,508 | 1,453 | $158K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 8,963 | 5,481 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 573 | 554 | $63K |
| 90461 | 1.6% | 1,632 | 1,533 | $37K | |
| 99188 | <1% | 1,217 | 1,185 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 854 | 775 | $8K |
| 81002 | <1% | 4,727 | 4,542 | $7K | |
| 96127 | <1% | 1,553 | 1,416 | $4K |
22 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 272 | $4K |
| 83655 | <1% | 233 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $870.72 |
| 99381 | <1% | 17 | $820.60 | |
| 97803 | <1% | 12,766 | $448.52 | |
| 85018 | <1% | 140 | $197.14 | |
| 99173 | <1% | 3,086 | $170.45 | |
| 87420 | <1% | 15 | $155.54 | |
| 90657 | <1% | 13 | $10.00 | |
| 90648 | <1% | 255 | $10.00 | |
| 90658 | <1% | 34 | $10.00 | |
| 90670 | <1% | 356 | $10.00 | |
| 92551 | 0% | 2,699 | $0.00 | |
| 90686 | 0% | 202 | $0.00 | |
| 97802 | 0% | 125 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 187 | $0.00 |
| 90723 | 0% | 75 | $0.00 | |
| 90688 | 0% | 17 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90680 | 0% | 26 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90633 | 0% | 57 | $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 officialMARRERO, CARMITA (PARTNER)