Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ACD PEDIATRIC GROUP

NPI: 1245392943 · HIALEAH, FL 33018 · Family Medicine Physician · NPI assigned 12/16/2006

$3.45M
Total Medicaid Paid
94,132
Total Claims
88,090
Beneficiaries
48
Codes Billed
2018-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDELGADO, EVELYN (AUTHORIZED OFFICIAL)
Parent OrganizationACD PEDIATRIC GROUP
NPI Enumeration Date12/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,331 $26K
2019 18,217 $456K
2020 14,228 $448K
2021 15,930 $610K
2022 15,239 $651K
2023 17,751 $759K
2024 11,436 $497K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,399 8,270 $926K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,146 14,499 $900K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,774 2,665 $398K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,876 2,767 $393K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,485 2,408 $379K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,551 1,494 $232K
90460 Immunization administration through 18 years of age via any route, first or only component 7,252 7,014 $54K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 365 327 $45K
92552 7,986 7,642 $35K
90670 1,149 1,128 $28K
97802 6,523 6,283 $10K
90651 737 717 $10K
90461 2,833 2,769 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,632 789 $7K
90620 1,436 1,403 $4K
99383 24 24 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 888 849 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 181 155 $2K
93000 1,651 1,597 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 59 59 $2K
90716 482 477 $964.38
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33 33 $507.84
99173 7,589 7,273 $322.30
99050 416 405 $321.43
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 752 661 $308.61
90633 655 650 $187.83
90619 73 73 $175.03
90700 1,780 1,763 $117.32
90648 1,335 1,312 $86.03
90713 1,477 1,443 $42.92
S9451 Exercise classes, non-physician provider, per session 6,792 6,490 $20.50
90686 284 263 $18.69
94667 30 30 $17.27
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 45 44 $11.98
90674 14 14 $11.61
90671 169 165 $11.50
90734 558 535 $10.00
86580 38 37 $4.89
90715 167 166 $0.00
90707 477 460 $0.00
99072 1,124 1,085 $0.00
3008F 686 666 $0.00
A7015 Aerosol mask, used with dme nebulizer 30 30 $0.00
90680 631 626 $0.00
90744 345 341 $0.00
92551 53 51 $0.00
96127 105 99 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 45 39 $0.00