Fialko, Ira

Fialko, Ira was paid $12K by Medicaid between Jun 2023 and Dec 2023, across 11 billing codes. Its largest line is 90461, — 36% of everything it billed.

33Billing provider infoFIALKO, IRA
CRYSTAL RIVER, FL 34429

33aNPI1174571277assigned 05/04/2006

33bProvider typePediatrics Physician

28Total paid$12K

24GClaims815

24DCodes billed11

24AFirst – last monthJun 2023 – Dec 2023

Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#776 of 971

Median peer was paid$238K

This provider vs. median0.1×

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
2023	815	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90461		36%	90	88	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	26%	40	40	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	399	340	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.4%	14	13	$897.86
90460	Immunization administration through 18 years of age via any route, first or only component	6.2%	158	151	$751.67
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.7%	13	13	$451.02
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	1.9%	13	13	$234.93
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	12	$18.60
92551		0%	36	34	$0.00
90670		0%	25	25	$0.00
99188		0%	12	12	$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.