Hospital
Benton Pediatrics
Benton Pediatrics was paid $585K by Medicaid between Feb 2019 and Jan 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoBENTON PEDIATRICS
GAINESVILLE, FL 32653
GAINESVILLE, FL 32653
33aNPI1093956526assigned 03/12/2009
33bProvider typeChildren's Hospital
28Total paid$585K
24GClaims10,602
24DCodes billed24
24AFirst – last monthFeb 2019 – Jan 2024
Compared with peers
Next to other Children's Hospital providers in Florida
Rank by total paid#5 of 6
Median peer was paid$668K
This provider vs. median0.9×
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 | 2,888 | $151K | |
| 2020 | 3,275 | $174K | |
| 2021 | 4,246 | $250K | |
| 2022 | 92 | $8K | |
| 2023 | 80 | $2K | |
| 2024incomplete | 21 | $423.76 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,500 | 2,191 | $189K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 931 | 811 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 817 | 797 | $95K |
| 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 | 15% | 833 | 770 | $87K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 1,242 | 1,175 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 160 | 160 | $20K |
| 97802 | 3.1% | 758 | 734 | $18K | |
| 92552 | 1.5% | 694 | 674 | $9K | |
| 87428 | <1% | 174 | 163 | $5K | |
| 99188 | <1% | 173 | 166 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 25 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 165 | 146 | $2K |
12 more codes
| 83655 | <1% | 88 | $526.97 | |
| 85018 | <1% | 319 | $400.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $364.12 |
| 90461 | <1% | 12 | $216.00 | |
| 90670 | <1% | 246 | $74.35 | |
| 90686 | <1% | 90 | $53.91 | |
| 90680 | 0% | 71 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 300 | $0.00 |
| 96127 | 0% | 198 | $0.00 | |
| 90723 | 0% | 56 | $0.00 | |
| 99173 | 0% | 530 | $0.00 | |
| 90648 | 0% | 179 | $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 officialPOWERS, CHARLES (MD/OWNER)