Medicaid Provider Spending

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

CLERMONT PEDIATRICS

NPI: 1275703332 · CLERMONT, FL 34711 · Pediatrics Physician · NPI assigned 03/05/2008

$3.25M
Total Medicaid Paid
112,650
Total Claims
105,994
Beneficiaries
48
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, MONA (OWNER)
NPI Enumeration Date03/05/2008

Related Entities

Other providers sharing the same authorized official: PATEL, MONA

ProviderCityStateTotal Paid
BAYHEAD EYE CENTRE SANFORD FL $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 20,457 $563K
2020 14,321 $392K
2021 22,206 $622K
2022 22,333 $653K
2023 21,775 $659K
2024 11,558 $359K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,482 23,420 $1.16M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,288 5,145 $513K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,601 3,445 $354K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,736 3,652 $330K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,779 4,538 $315K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,163 2,113 $200K
90460 Immunization administration through 18 years of age via any route, first or only component 11,999 11,598 $165K
97802 6,623 6,379 $96K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,264 2,167 $20K
90670 1,241 1,190 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,394 4,201 $18K
85018 9,683 9,421 $9K
90619 108 105 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 551 523 $6K
81003 4,296 4,121 $6K
85013 2,639 2,559 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 233 209 $6K
90461 226 201 $4K
81002 5,143 5,012 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K
90686 854 819 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 556 486 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 51 50 $1K
G0444 Annual depression screening, 5 to 15 minutes 1,173 1,050 $1K
90716 300 279 $1K
0071A 60 32 $1K
99383 13 13 $1K
90707 286 271 $828.35
0002A 18 15 $692.00
90688 225 209 $435.84
90698 1,386 1,334 $354.74
90710 27 26 $236.03
99173 7,612 6,598 $167.44
90687 50 48 $164.64
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 54 53 $134.95
90633 287 274 $128.43
90651 185 178 $93.02
90744 145 137 $54.00
90734 78 75 $27.00
97803 16 16 $15.00
90680 348 334 $9.00
S9451 Exercise classes, non-physician provider, per session 3,046 2,574 $0.01
99072 1,168 896 $0.00
90715 15 14 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 119 96 $0.00
90621 20 12 $0.00
90677 73 70 $0.00
90620 12 12 $0.00