Physician
Kidsville Pediatrics III, P.A.
Kidsville Pediatrics III, P.A. was paid $478K by Medicaid between Feb 2019 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoKIDSVILLE PEDIATRICS III, P.A.
CLERMONT, FL 34711
CLERMONT, FL 34711
33aNPI1215901723assigned 02/14/2006
33bProvider typePediatrics Physician
28Total paid$478K
24GClaims12,791
24DCodes billed18
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#392 of 971
Median peer was paid$238K
This provider vs. median2.0×
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 | 2,154 | $77K | |
| 2020 | 1,846 | $62K | |
| 2021 | 2,145 | $81K | |
| 2022 | 2,543 | $104K | |
| 2023 | 2,526 | $93K | |
| 2024incomplete | 1,577 | $60K |
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 | 49% | 6,535 | 5,863 | $236K |
| 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 | 16% | 1,370 | 1,274 | $76K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 657 | 617 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 486 | 482 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 2,073 | 2,008 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 356 | 348 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 446 | 416 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 270 | 266 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | 61 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | 24 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 13 | $899.11 |
6 more codes
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 officialPANTOJA JR., VICTOR (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Kidsville Pediatrics I, P.A. | Davenport, FL | $2.92M |
| Kidsville Pediatrics II, P.A. | Kissimmee, FL | $2.58M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.