Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Lake Placid › NPI 1265453203
Clinic

Heartland Pediatrics of Lake Placid, INC.

Heartland Pediatrics of Lake Placid, INC. was paid $1.93M by Medicaid between Jan 2019 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoHEARTLAND PEDIATRICS OF LAKE PLACID, INC.
LAKE PLACID, FL 33852
33aNPI1265453203assigned 07/23/2006
28Total paid$1.93M
24GClaims55,072
24DCodes billed42
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Florida

Rank by total paid#8 of 76
Median peer was paid$164K
This provider vs. median12×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20197,015$213K
20207,460$245K
20218,837$326K
202211,973$410K
202311,744$413K
2024incomplete8,043$318K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 20,282 15,260 $920K
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 26% 8,658 7,378 $499K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.4% 1,663 1,468 $123K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.9% 1,485 1,359 $113K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.1% 1,288 1,178 $99K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.6% 923 818 $70K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.5% 1,354 1,131 $29K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,216 1,865 $17K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 4,297 3,976 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,041 972 $12K
85018 <1% 4,170 3,884 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,313 1,215 $7K
30 more codes
90686 <1% 1,196 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 39 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 46 $1K
81002 <1% 1,477 $1K
0071A <1% 79 $560.00
90648 <1% 185 $430.00
90670 <1% 465 $410.00
90661 <1% 29 $395.35
87807 <1% 94 $351.83
90685 <1% 92 $310.00
0001A <1% 22 $240.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 28 $237.14
90633 <1% 76 $236.23
0072A <1% 26 $200.00
90651 <1% 280 $150.00
90674 <1% 30 $130.00
94664 <1% 12 $66.82
90677 <1% 14 $40.00
90621 <1% 14 $31.62
90734 <1% 202 $30.00
90620 <1% 140 $30.00
90710 <1% 73 $10.00
90696 <1% 13 $10.00
91300 0% 19 $0.00
90715 0% 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,438 $0.00
91307 0% 111 $0.00
90680 0% 143 $0.00
90723 0% 13 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 13 $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 officialHREN, LAURENCE (CEO)
Same official

Other billing entities under HREN, LAURENCE

Full network →
ProviderLocationPaid
Heartland Pediatrics of Lake Wales, LLCLake Wales, FL$4.35M
Sonni's Pediatrics, INC.Wauchula, FL$2.59M
Avon Park Pediatrics, INC.Avon Park, FL$2.10M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.