Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Heartland Pediatrics of Lake Wales, LLC

Heartland Pediatrics of Lake Wales, LLC was paid $4.35M by Medicaid between Jan 2019 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoHEARTLAND PEDIATRICS OF LAKE WALES, LLC
LAKE WALES, FL 33853
33aNPI1104989680assigned 12/18/2006
28Total paid$4.35M
24GClaims140,492
24DCodes billed52
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Florida

Rank by total paid#3 of 76
Median peer was paid$164K
This provider vs. median26×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201921,297$685K
202018,828$606K
202122,591$727K
202227,101$805K
202330,486$855K
2024incomplete20,189$670K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 52,026 39,963 $2.63M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.1% 4,999 4,620 $395K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.9% 3,581 3,400 $300K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.8% 3,756 3,518 $294K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.2% 2,373 2,214 $184K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 3,534 2,935 $95K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2.0% 4,324 3,948 $86K
99381 1.4% 908 783 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.3% 4,828 4,466 $57K
90472 Immunization administration, each additional vaccine (list separately) <1% 8,093 6,149 $43K
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 <1% 1,062 890 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,966 6,342 $35K
40 more codes
90460 Immunization administration through 18 years of age via any route, first or only component <1% 10,191 $34K
85018 <1% 9,685 $32K
90648 <1% 2,147 $11K
90633 <1% 1,830 $6K
99203 Doctor's office visit, new patient (routine) <1% 80 $6K
87807 <1% 1,300 $5K
17110 <1% 118 $5K
90686 <1% 1,304 $3K
94664 <1% 471 $3K
90698 <1% 429 $3K
90670 <1% 2,516 $2K
90700 <1% 366 $2K
99382 <1% 18 $1K
90715 <1% 530 $1K
99383 <1% 14 $1K
81002 <1% 1,296 $1K
90651 <1% 1,497 $1K
0072A <1% 56 $995.00
99384 <1% 12 $968.98
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 $936.84
90677 <1% 253 $920.00
0001A <1% 22 $640.00
0071A <1% 42 $520.00
90621 <1% 221 $260.00
90723 <1% 1,456 $250.00
90710 <1% 1,568 $230.00
90685 <1% 115 $230.00
90681 <1% 144 $225.00
90696 <1% 461 $140.00
90734 <1% 1,194 $80.00
90674 <1% 14 $80.00
90620 <1% 412 $75.00
90680 <1% 1,655 $60.00
92552 0% 27 $0.00
99173 0% 42 $0.00
91300 0% 25 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 2,313 $0.00
0208T 0% 48 $0.00
91307 0% 128 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 29 $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 officialHREN, LAURENCE (CEO)
Same official

Other billing entities under HREN, LAURENCE

Full network →
ProviderLocationPaid
Sonni's Pediatrics, INC.Wauchula, FL$2.59M
Avon Park Pediatrics, INC.Avon Park, FL$2.10M
Heartland Pediatrics of Lake Placid, INC.Lake Placid, FL$1.93M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.