Village Pediatrics of ST Augustine LLC

Village Pediatrics of ST Augustine LLC was paid $9K by Medicaid between Feb 2019 and Dec 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoVILLAGE PEDIATRICS OF ST AUGUSTINE LLC
ST AUGUSTINE, FL 32092

33aNPI1164738191assigned 08/27/2010

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims229

24DCodes billed5

24AFirst – last monthFeb 2019 – Dec 2019

Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#799 of 971

Median peer was paid$238K

This provider vs. median0.0×

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	229	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	120	104	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	45	38	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.3%	13	13	$120.50
85018		0%	27	27	$0.00
96160		0%	24	24	$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 officialELVIR, PATRICIA (OWNER)