Physician
Torneria Pediatrics
Torneria Pediatrics was paid $4.74M by Medicaid between Jan 2019 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoTORNERIA PEDIATRICS
KISSIMMEE, FL 32835
KISSIMMEE, FL 32835
33aNPI1194271700assigned 09/01/2016
33bProvider typePediatrics Physician
28Total paid$4.74M
24GClaims112,676
24DCodes billed52
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#75 of 971
Median peer was paid$238K
This provider vs. median20×
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 | 16,132 | $412K | |
| 2020 | 15,308 | $588K | |
| 2021 | 21,250 | $1.03M | |
| 2022 | 30,782 | $1.17M | |
| 2023 | 20,338 | $1.04M | |
| 2024incomplete | 8,866 | $507K |
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 | 39% | 30,633 | 25,837 | $1.84M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 6,923 | 6,691 | $874K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 4,870 | 4,403 | $494K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 3,375 | 3,269 | $412K |
| 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 | 6.2% | 3,428 | 3,276 | $293K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 1,612 | 1,592 | $229K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 11,681 | 11,152 | $99K |
| 92552 | 1.8% | 3,876 | 3,562 | $85K | |
| 99383 | 1.4% | 442 | 429 | $67K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 7,839 | 7,438 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 848 | 716 | $52K |
| 99381 | <1% | 363 | 347 | $36K |
40 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,439 | $33K |
| 99382 | <1% | 221 | $32K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,699 | $30K |
| 99384 | <1% | 152 | $26K | |
| 99188 | <1% | 3,526 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 437 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,339 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 140 | $7K |
| 90686 | <1% | 2,041 | $4K | |
| 94664 | <1% | 668 | $3K | |
| 85018 | <1% | 3,501 | $2K | |
| 90670 | <1% | 3,192 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,543 | $2K |
| 90710 | <1% | 614 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 90633 | <1% | 2,394 | $859.69 | |
| 90651 | <1% | 706 | $820.17 | |
| 90744 | <1% | 940 | $692.23 | |
| 90700 | <1% | 726 | $634.10 | |
| 96161 | <1% | 1,012 | $594.79 | |
| 90696 | <1% | 618 | $579.38 | |
| 90698 | <1% | 1,385 | $423.47 | |
| 90707 | <1% | 624 | $420.09 | |
| 90716 | <1% | 718 | $346.06 | |
| 90715 | <1% | 164 | $345.94 | |
| 90648 | <1% | 649 | $328.06 | |
| 90681 | <1% | 1,370 | $246.04 | |
| 90685 | <1% | 64 | $175.00 | |
| 90734 | <1% | 532 | $168.04 | |
| 87807 | <1% | 12 | $124.56 | |
| 90723 | <1% | 25 | $48.01 | |
| 90688 | <1% | 15 | $36.00 | |
| 90656 | <1% | 14 | $35.00 | |
| 90671 | <1% | 279 | $20.00 | |
| 90697 | <1% | 628 | $10.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 151 | $0.00 |
| 90620 | 0% | 184 | $0.00 | |
| 92551 | 0% | 822 | $0.00 | |
| 99080 | 0% | 218 | $0.00 | |
| 83655 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialTORNERIA, CARLOS (DIRECTOR)