Clinic
Heartland Pediatrics Association of Wauchula, P.A.
Heartland Pediatrics Association of Wauchula, P.A. was paid $2.38M by Medicaid between Jan 2019 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoHEARTLAND PEDIATRICS ASSOCIATION OF WAUCHULA, P.A.
WAUCHULA, FL 33873
WAUCHULA, FL 33873
33aNPI1144241134assigned 07/22/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.38M
24GClaims87,416
24DCodes billed40
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Florida
Rank by total paid#6 of 76
Median peer was paid$164K
This provider vs. median15×
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 | 18,625 | $455K | |
| 2020 | 14,787 | $422K | |
| 2021 | 13,762 | $412K | |
| 2022 | 13,666 | $383K | |
| 2023 | 14,948 | $356K | |
| 2024incomplete | 11,628 | $354K |
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 | 50% | 33,703 | 27,395 | $1.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,421 | 3,374 | $257K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,309 | 3,234 | $253K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.4% | 2,638 | 2,594 | $201K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 2,533 | 2,471 | $190K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 7,247 | 7,076 | $107K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 2,892 | 2,832 | $32K |
| 90744 | 1.1% | 877 | 852 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 786 | 764 | $22K |
| 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% | 258 | 251 | $14K |
| 90707 | <1% | 767 | 746 | $13K | |
| 90698 | <1% | 1,382 | 1,348 | $11K |
28 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,505 | $8K |
| 90670 | <1% | 1,367 | $8K | |
| 90686 | <1% | 1,795 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,469 | $4K |
| 90734 | <1% | 630 | $4K | |
| 99381 | <1% | 76 | $4K | |
| 90633 | <1% | 831 | $3K | |
| 90651 | <1% | 1,069 | $3K | |
| 90715 | <1% | 184 | $3K | |
| 85018 | <1% | 1,265 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 294 | $2K |
| 99172 | <1% | 5,415 | $2K | |
| 92551 | <1% | 5,359 | $2K | |
| 90648 | <1% | 108 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $2K |
| 90620 | <1% | 419 | $958.90 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $917.34 |
| 90700 | <1% | 129 | $841.94 | |
| 81002 | <1% | 978 | $774.80 | |
| 90680 | <1% | 1,129 | $445.00 | |
| 90716 | <1% | 814 | $290.00 | |
| 90619 | <1% | 257 | $220.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 328 | $115.88 |
| 90685 | <1% | 29 | $90.00 | |
| 90696 | <1% | 87 | $60.00 | |
| 90677 | 0% | 283 | $0.00 | |
| 90671 | 0% | 145 | $0.00 | |
| 90461 | 0% | 596 | $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 officialMANIK, APURBA (PRESIDENT)