Physician
Pediatrix Medical Group of Florida INC
Pediatrix Medical Group of Florida INC was paid $35.97M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 92586, — 13% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF FLORIDA INC
SUNRISE, FL 33323
SUNRISE, FL 33323
33aNPI1083711790assigned 09/17/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$35.97M
24GClaims664,777
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Florida
Rank by total paid#1 of 352
Median peer was paid$67K
This provider vs. median540×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SANDERS, NANETTE controls 16+ related entities in our dataset. Read more
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 | 38,419 | $1.60M | |
| 2019 | 187,539 | $11.02M | |
| 2020 | 185,031 | $11.74M | |
| 2021 | 125,705 | $7.92M | |
| 2022 | 121,622 | $3.34M | |
| 2023 | 2,032 | $219K | |
| 2024incomplete | 4,429 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92586 | 13% | 99,518 | 81,395 | $4.58M | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 9.1% | 36,660 | 12,219 | $3.29M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 7.7% | 9,448 | 3,194 | $2.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 32,573 | 25,571 | $2.74M |
| 99460 | 5.7% | 32,095 | 25,938 | $2.06M | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.2% | 37,716 | 29,532 | $1.86M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 5.1% | 21,388 | 8,287 | $1.83M |
| 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 | 4.9% | 18,469 | 13,772 | $1.76M |
| 99462 | 4.0% | 51,895 | 34,414 | $1.42M | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.3% | 7,206 | 5,955 | $1.19M |
| 92650 | 3.0% | 28,452 | 19,888 | $1.06M | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 16,178 | 11,915 | $998K |
84 more codes
| 99243 | 2.7% | 5,855 | $961K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.5% | 16,398 | $888K |
| 76818 | 2.4% | 13,389 | $858K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 7,633 | $652K |
| 99242 | 1.6% | 4,734 | $575K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 7,826 | $571K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 10,198 | $546K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 3,551 | $476K |
| 54150 | 1.2% | 2,608 | $434K | |
| 99464 | 1.2% | 7,335 | $425K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 1,219 | $345K |
| 54161 | <1% | 1,304 | $271K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 7,431 | $243K |
| 95716 | <1% | 230 | $238K | |
| 76825 | <1% | 3,218 | $229K | |
| 93000 | <1% | 47,954 | $221K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,938 | $195K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 4,012 | $193K |
| 93325 | <1% | 35,034 | $188K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15,449 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,345 | $136K |
| 93320 | <1% | 16,552 | $127K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,561 | $124K |
| 76820 | <1% | 15,075 | $117K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,682 | $97K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,745 | $93K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 5,362 | $92K |
| 76770 | <1% | 1,282 | $86K | |
| 95816 | <1% | 256 | $80K | |
| 99219 | <1% | 524 | $71K | |
| 99468 | <1% | 67 | $58K | |
| 93976 | <1% | 1,433 | $52K | |
| 95700 | <1% | 248 | $47K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 1,632 | $43K |
| 76827 | <1% | 2,810 | $42K | |
| 99253 | <1% | 471 | $42K | |
| 95720 | <1% | 223 | $38K | |
| 93224 | <1% | 550 | $36K | |
| 99235 | <1% | 289 | $36K | |
| 99072 | <1% | 9,875 | $31K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 208 | $28K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 143 | $26K |
| 93304 | <1% | 909 | $26K | |
| 99245 | <1% | 70 | $23K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 903 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 190 | $18K |
| 54360 | <1% | 12 | $17K | |
| 76821 | <1% | 987 | $17K | |
| 92579 | <1% | 309 | $13K | |
| 81003 | <1% | 1,107 | $12K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 131 | $11K |
| 93321 | <1% | 2,911 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 219 | $9K |
| 99241 | <1% | 100 | $9K | |
| 93280 | <1% | 230 | $8K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 412 | $7K |
| 59025 | Fetal non-stress test | <1% | 168 | $7K |
| 99254 | <1% | 73 | $7K | |
| 99217 | <1% | 257 | $6K | |
| 76775 | <1% | 130 | $5K | |
| 42830 | <1% | 28 | $4K | |
| 99225 | <1% | 86 | $3K | |
| 93308 | <1% | 147 | $3K | |
| 99220 | <1% | 12 | $2K | |
| 95819 | <1% | 89 | $2K | |
| 99252 | <1% | 13 | $2K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 49 | $2K |
| 92567 | <1% | 712 | $2K | |
| 69210 | <1% | 15 | $2K | |
| 99221 | <1% | 15 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 94 | $1K |
| 92552 | <1% | 76 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 97 | $996.25 |
| 92556 | <1% | 14 | $848.78 | |
| 59430 | <1% | 17 | $833.63 | |
| 76813 | <1% | 14 | $655.44 | |
| 92588 | <1% | 12 | $459.40 | |
| 92557 | <1% | 13 | $293.87 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 27 | $282.01 |
| 81002 | <1% | 700 | $89.24 | |
| 92504 | <1% | 13 | $61.76 | |
| 93227 | <1% | 12 | $26.40 | |
| 81000 | <1% | 33 | $13.58 | |
| 99024 | 0% | 124 | $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 officialSANDERS, NANETTE (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Obstetrix Medical Group of Phoenix PC | Mesa, AZ | $31.04M |
| Pediatrix Medical Group of Washington INC PS | Seattle, WA | $19.97M |
| Pediatrix Medical Group of New Mexico, P.C. | Albuquerque, NM | $11.93M |
| Alaska Neonatology Associates INC | Orange, CA | $9.36M |
| Neonatal Specialists, LTD. | Tucson, AZ | $5.71M |
| Pediatrix Cardiology of Orange County, P.C. | Orange, CA | $3.62M |
| Pediatrix Cardiology of Washington, P.C. | Tacoma, WA | $3.24M |
| Obstetrix Medical Group of the Central Coast Professional Corporation | Orange, CA | $2.24M |
| Obstetrix Medical Group of Washington INC PS | Seattle, WA | $1.64M |
| Pediatrix Medical Group, INC. | Sunrise, FL | $1.54M |
| Mountain States Neonatology, INC. | Boise, ID | $1.15M |
| Northwest Newborn Specialists PC | Orange, CA | $653K |
| Obstetrix Medical Group of Utah, PC | Salt Lake City, UT | $364K |
| Pediatrix Medical Group of Montana, PC | Sunrise, FL | $182K |
| Neonatal Specialists LTD | Tucson, AZ | $783.84 |
| Obstetrix Medical Group of Phoenix PC | Phoenix, AZ | $437.37 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.