Physician
Boca Pediatric Group
Boca Pediatric Group was paid $3.08M by Medicaid between Dec 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoBOCA PEDIATRIC GROUP
BOCA RATON, FL 33486
BOCA RATON, FL 33486
33aNPI1154402097assigned 10/18/2006
33bProvider typePediatrics Physician
28Total paid$3.08M
24GClaims75,056
24DCodes billed44
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#103 of 971
Median peer was paid$238K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 757 | $28K | |
| 2019 | 10,197 | $357K | |
| 2020 | 8,565 | $345K | |
| 2021 | 11,335 | $556K | |
| 2022 | 15,495 | $793K | |
| 2023 | 18,105 | $701K | |
| 2024incomplete | 10,602 | $295K |
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 | 38% | 18,268 | 15,861 | $1.17M |
| 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% | 5,140 | 4,665 | $453K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,539 | 3,442 | $386K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 3,193 | 2,895 | $280K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 2,893 | 2,833 | $279K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 1,912 | 1,868 | $203K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 7,317 | 6,944 | $173K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 6,096 | 2,765 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,409 | 4,949 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,111 | 1,027 | $14K |
| 90461 | <1% | 1,212 | 1,155 | $12K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 160 | 150 | $5K |
32 more codes
| 90716 | <1% | 888 | $4K | |
| 90700 | <1% | 2,895 | $4K | |
| 99381 | <1% | 46 | $4K | |
| 99051 | <1% | 586 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 59 | $3K |
| 90670 | <1% | 1,867 | $3K | |
| 90707 | <1% | 1,003 | $2K | |
| 90686 | <1% | 1,213 | $2K | |
| 90713 | <1% | 2,140 | $2K | |
| 99383 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 90633 | <1% | 1,146 | $1K | |
| 0072A | <1% | 35 | $1K | |
| 90648 | <1% | 2,074 | $837.90 | |
| 85018 | <1% | 613 | $809.74 | |
| 83655 | <1% | 200 | $772.36 | |
| 90744 | <1% | 1,093 | $758.22 | |
| 90715 | <1% | 173 | $553.79 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 135 | $553.36 |
| 90685 | <1% | 222 | $424.81 | |
| 0071A | <1% | 16 | $399.88 | |
| 90671 | <1% | 202 | $306.75 | |
| 90651 | <1% | 403 | $238.29 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 25 | $194.43 |
| 81003 | <1% | 101 | $123.42 | |
| 90680 | <1% | 1,249 | $82.01 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 49 | $45.00 |
| 99050 | <1% | 40 | $44.72 | |
| 90734 | <1% | 166 | $34.01 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 49 | $21.06 |
| 91307 | <1% | 46 | $0.11 | |
| 90619 | 0% | 47 | $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 officialLUCHTAN, ALBERTO (OWNER)