FIFTH AVENUE PEDIATRICS, PA
NPI: 1255312666
· ST PETERSBURG, FL 33713
· Pediatrics Physician
· NPI assigned 11/11/2005
$102K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
746 |
$32K |
| 2020 |
234 |
$10K |
| 2021 |
371 |
$15K |
| 2022 |
579 |
$31K |
| 2023 |
257 |
$13K |
| 2024 |
26 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,435 |
1,326 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
367 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
234 |
$820.00 |
| 0071A |
|
19 |
14 |
$400.00 |
| 0072A |
|
24 |
12 |
$400.00 |
| 90686 |
|
37 |
37 |
$211.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$158.72 |
| 99173 |
|
30 |
30 |
$0.00 |
| 92551 |
|
26 |
26 |
$0.00 |