Physician
Pensacola Pediatrics PA
Pensacola Pediatrics PA was paid $20.38M by Medicaid between Jan 2019 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPENSACOLA PEDIATRICS PA
PENSACOLA, FL 32504
PENSACOLA, FL 32504
33aNPI1144302324assigned 10/19/2006
33bProvider typePediatrics Physician
28Total paid$20.38M
24GClaims607,655
24DCodes billed79
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#6 of 971
Median peer was paid$238K
This provider vs. median86×
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 | 78,067 | $3.12M | |
| 2020 | 68,489 | $2.50M | |
| 2021 | 100,233 | $3.75M | |
| 2022 | 163,564 | $3.80M | |
| 2023 | 116,721 | $4.16M | |
| 2024incomplete | 80,581 | $3.05M |
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 | 31% | 85,162 | 67,505 | $6.26M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 30,355 | 24,679 | $3.79M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 26,296 | 22,835 | $3.70M |
| 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% | 28,224 | 22,888 | $3.06M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 11,358 | 9,609 | $1.33M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 124,323 | 48,432 | $436K |
| 99460 | 2.0% | 4,965 | 4,194 | $408K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 2,035 | 1,691 | $244K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 4,213 | 3,027 | $230K |
| 99221 | <1% | 1,711 | 1,400 | $141K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,859 | 2,450 | $122K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,084 | 2,848 | $101K |
67 more codes
| 54150 | <1% | 1,394 | $83K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,014 | $79K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 49,805 | $75K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,125 | $57K |
| 92587 | <1% | 5,005 | $41K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 7,897 | $41K |
| 99188 | <1% | 9,458 | $40K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15,208 | $27K |
| 99462 | <1% | 846 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,156 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 695 | $15K |
| 83655 | <1% | 3,584 | $11K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,351 | $8K |
| 90670 | <1% | 15,080 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 947 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 744 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | $5K |
| 99177 | <1% | 14,191 | $5K | |
| 90686 | <1% | 10,644 | $4K | |
| 97802 | <1% | 29,134 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $2K |
| 90698 | <1% | 13,832 | $1K | |
| 96380 | <1% | 101 | $1K | |
| 90633 | <1% | 4,887 | $1K | |
| 99174 | <1% | 221 | $1K | |
| 85018 | <1% | 1,503 | $921.93 | |
| 92551 | <1% | 9,835 | $913.93 | |
| 90688 | <1% | 547 | $810.64 | |
| 92588 | <1% | 1,723 | $715.58 | |
| 90680 | <1% | 8,490 | $707.56 | |
| 99173 | <1% | 16,657 | $619.64 | |
| 87070 | <1% | 928 | $619.05 | |
| 99050 | <1% | 843 | $576.55 | |
| 90677 | <1% | 1,837 | $574.00 | |
| 96160 | <1% | 4,834 | $510.08 | |
| 90674 | <1% | 579 | $380.00 | |
| 90744 | <1% | 5,377 | $265.27 | |
| 90671 | <1% | 1,143 | $238.00 | |
| 90651 | <1% | 86 | $238.00 | |
| 90696 | <1% | 48 | $232.73 | |
| 94760 | <1% | 1,106 | $208.84 | |
| 87807 | <1% | 323 | $160.84 | |
| 88720 | <1% | 100 | $105.76 | |
| 90661 | <1% | 929 | $83.00 | |
| 36416 | <1% | 9,715 | $60.51 | |
| 90381 | <1% | 15 | $60.00 | |
| 81002 | <1% | 369 | $57.51 | |
| 99070 | <1% | 9,596 | $45.30 | |
| 96161 | <1% | 851 | $33.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 218 | $20.00 |
| 96127 | <1% | 1,806 | $19.20 | |
| 80061 | Lipid panel | <1% | 134 | $12.89 |
| 90656 | <1% | 290 | $10.00 | |
| 90461 | 0% | 707 | $0.00 | |
| 90707 | 0% | 214 | $0.00 | |
| 90648 | 0% | 63 | $0.00 | |
| 90681 | 0% | 153 | $0.00 | |
| 90700 | 0% | 99 | $0.00 | |
| 90672 | 0% | 45 | $0.00 | |
| 90685 | 0% | 26 | $0.00 | |
| 87634 | 0% | 12 | $0.00 | |
| 90710 | 0% | 108 | $0.00 | |
| 90687 | 0% | 83 | $0.00 | |
| 90621 | 0% | 13 | $0.00 | |
| 90716 | 0% | 232 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| 90697 | 0% | 26 | $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 officialHECKATHORN, PETER (ADMINISTRATOR)