Physician
Clermont Pediatrics
Clermont Pediatrics was paid $3.25M by Medicaid between Jan 2019 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCLERMONT PEDIATRICS
CLERMONT, FL 34711
CLERMONT, FL 34711
33aNPI1275703332assigned 03/05/2008
33bProvider typePediatrics Physician
28Total paid$3.25M
24GClaims112,650
24DCodes billed48
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#99 of 971
Median peer was paid$238K
This provider vs. median14×
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 | 20,457 | $563K | |
| 2020 | 14,321 | $392K | |
| 2021 | 22,206 | $622K | |
| 2022 | 22,333 | $653K | |
| 2023 | 21,775 | $659K | |
| 2024incomplete | 11,558 | $359K |
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 | 36% | 25,482 | 23,420 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 5,288 | 5,145 | $513K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 3,601 | 3,445 | $354K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 3,736 | 3,652 | $330K |
| 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 | 9.7% | 4,779 | 4,538 | $315K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 2,163 | 2,113 | $200K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 11,999 | 11,598 | $165K |
| 97802 | 3.0% | 6,623 | 6,379 | $96K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,264 | 2,167 | $20K |
| 90670 | <1% | 1,241 | 1,190 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,394 | 4,201 | $18K |
| 85018 | <1% | 9,683 | 9,421 | $9K |
36 more codes
| 90619 | <1% | 108 | $8K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 551 | $6K |
| 81003 | <1% | 4,296 | $6K | |
| 85013 | <1% | 2,639 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 233 | $6K |
| 90461 | <1% | 226 | $4K | |
| 81002 | <1% | 5,143 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $2K |
| 90686 | <1% | 854 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 556 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 51 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,173 | $1K |
| 90716 | <1% | 300 | $1K | |
| 0071A | <1% | 60 | $1K | |
| 99383 | <1% | 13 | $1K | |
| 90707 | <1% | 286 | $828.35 | |
| 0002A | <1% | 18 | $692.00 | |
| 90688 | <1% | 225 | $435.84 | |
| 90698 | <1% | 1,386 | $354.74 | |
| 90710 | <1% | 27 | $236.03 | |
| 99173 | <1% | 7,612 | $167.44 | |
| 90687 | <1% | 50 | $164.64 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 54 | $134.95 |
| 90633 | <1% | 287 | $128.43 | |
| 90651 | <1% | 185 | $93.02 | |
| 90744 | <1% | 145 | $54.00 | |
| 90734 | <1% | 78 | $27.00 | |
| 97803 | <1% | 16 | $15.00 | |
| 90680 | <1% | 348 | $9.00 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 3,046 | $0.01 |
| 99072 | 0% | 1,168 | $0.00 | |
| 90715 | 0% | 15 | $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 | 0% | 119 | $0.00 |
| 90621 | 0% | 20 | $0.00 | |
| 90677 | 0% | 73 | $0.00 | |
| 90620 | 0% | 12 | $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 officialPATEL, MONA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bayhead Eye Centre | Sanford, FL | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.