Physician
Acute Care Pediatrics of Palm Coast, PA
Acute Care Pediatrics of Palm Coast, PA was paid $1.65M by Medicaid between Feb 2019 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoACUTE CARE PEDIATRICS OF PALM COAST, PA
PALM COAST, FL 32137
PALM COAST, FL 32137
33aNPI1225065717assigned 06/28/2006
33bProvider typePediatrics Physician
28Total paid$1.65M
24GClaims48,880
24DCodes billed37
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#193 of 971
Median peer was paid$238K
This provider vs. median6.9×
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 | 6,280 | $255K | |
| 2020 | 7,363 | $258K | |
| 2021 | 6,637 | $240K | |
| 2022 | 8,821 | $197K | |
| 2023 | 9,909 | $411K | |
| 2024incomplete | 9,870 | $293K |
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% | 19,753 | 13,931 | $804K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,191 | 1,969 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,439 | 1,971 | $202K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 1,776 | 1,606 | $135K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 1,076 | 964 | $80K |
| 90671 | 4.8% | 538 | 431 | $79K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 4,606 | 4,106 | $53K |
| 97802 | 3.0% | 2,192 | 1,985 | $50K | |
| 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% | 237 | 197 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 437 | 361 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,528 | 1,312 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 271 | 264 | $4K |
25 more codes
| 99188 | <1% | 309 | $3K | |
| 99381 | <1% | 12 | $2K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 88 | $2K |
| 90461 | <1% | 1,821 | $526.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | $502.20 |
| 90670 | <1% | 293 | $180.05 | |
| 83655 | <1% | 13 | $133.04 | |
| 85018 | <1% | 58 | $100.62 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,446 | $79.86 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $64.20 |
| 90686 | <1% | 261 | $41.57 | |
| 92551 | <1% | 2,502 | $38.25 | |
| 99173 | <1% | 2,554 | $3.48 | |
| 90633 | 0% | 64 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 90672 | 0% | 67 | $0.00 | |
| 0486T | 0% | 63 | $0.00 | |
| S9449 | Weight management classes, non-physician provider, per session | 0% | 16 | $0.00 |
| 90680 | 0% | 137 | $0.00 | |
| 90620 | 0% | 31 | $0.00 | |
| 90651 | 0% | 51 | $0.00 | |
| 90647 | 0% | 235 | $0.00 | |
| 90723 | 0% | 200 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 518 | $0.00 |
| 36416 | 0% | 38 | $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 officialTIU, CHRISTINE (OFFICE MANAGER)