Physician
Primary Care Physicians of Sanford LLC
Primary Care Physicians of Sanford LLC was paid $7K by Medicaid between Jan 2019 and Feb 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoPRIMARY CARE PHYSICIANS OF SANFORD LLC
SANFORD, FL 32771
SANFORD, FL 32771
33aNPI1083873897assigned 06/06/2008
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims448
24DCodes billed5
24AFirst – last monthJan 2019 – Feb 2021
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#809 of 971
Median peer was paid$238K
This provider vs. median0.0×
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 | 55 | $1K | |
| 2020 | 331 | $6K | |
| 2021 | 62 | $0.00 |
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 | 86% | 201 | 174 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 55 | 51 | $1K |
| 1160F | 0% | 80 | 68 | $0.00 | |
| 1159F | 0% | 81 | 69 | $0.00 | |
| 3008F | 0% | 31 | 28 | $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 officialMAMONE, VINCENT (PRESIDENT)