Physician
Sumter Pediatrics PA
Sumter Pediatrics PA was paid $446K by Medicaid between Feb 2019 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoSUMTER PEDIATRICS PA
SUMTERVILLE, FL 33585
SUMTERVILLE, FL 33585
33aNPI1174924757assigned 09/15/2014
33bProvider typePediatrics Physician
28Total paid$446K
24GClaims15,991
24DCodes billed23
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#412 of 971
Median peer was paid$238K
This provider vs. median1.9×
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 | 3,295 | $105K | |
| 2020 | 2,644 | $81K | |
| 2021 | 2,708 | $77K | |
| 2022 | 2,322 | $59K | |
| 2023 | 3,024 | $66K | |
| 2024incomplete | 1,998 | $58K |
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 | 62% | 8,123 | 6,196 | $277K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 687 | 678 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 534 | 495 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 370 | 366 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 1,797 | 1,757 | $14K |
| 92587 | 1.7% | 716 | 690 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 1,010 | 990 | $7K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.2% | 149 | 143 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 394 | 337 | $3K |
| 99072 | <1% | 347 | 293 | $3K | |
| 99173 | <1% | 936 | 768 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 30 | $2K |
11 more codes
| 87428 | <1% | 63 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 224 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 171 | $1K |
| 87807 | <1% | 110 | $575.88 | |
| 90700 | <1% | 16 | $170.00 | |
| 90648 | <1% | 24 | $130.00 | |
| 90670 | <1% | 78 | $130.00 | |
| 90656 | <1% | 28 | $86.33 | |
| 90633 | <1% | 30 | $80.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 96160 | 0% | 141 | $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 officialAFZAL, MOHAMMAD (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Leesburg Pediatrics PA | Leesburg, FL | $3.26M |
| Excel Pediatrics PA | Clermont, FL | $1.34M |
| Tavares Pediatrics INC | Tavares, FL | $1.11M |
| Delaware Medicine & Obgyn LLC | Elkton, MD | $356K |
| Professional Pediatrics | Clermont, FL | $312K |
| Halfmoon 786 INC. | Clifton Park, NY | $109K |
| Excel Pediatrics and Family Care | Clermont, FL | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.