Physician
Lighthouse Pediatrics of Naples, LLC
Lighthouse Pediatrics of Naples, LLC was paid $465K by Medicaid between Jan 2019 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoLIGHTHOUSE PEDIATRICS OF NAPLES, LLC
NAPLES, FL 34104
NAPLES, FL 34104
33aNPI1285023309assigned 01/13/2015
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$465K
24GClaims9,793
24DCodes billed14
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Florida
Rank by total paid#22 of 56
Median peer was paid$221K
This provider vs. median2.1×
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 | 1,810 | $119K | |
| 2020 | 1,087 | $54K | |
| 2021 | 2,764 | $127K | |
| 2022 | 2,085 | $98K | |
| 2023 | 1,514 | $52K | |
| 2024incomplete | 533 | $15K |
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 | 42% | 3,699 | 3,336 | $194K |
| 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 | 20% | 1,115 | 1,033 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 624 | 620 | $76K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 2,813 | 2,200 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 206 | 205 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 151 | 147 | $19K |
| 90461 | 1.5% | 261 | 255 | $7K | |
| 90686 | <1% | 372 | 365 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | 80 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 296 | 261 | $779.49 |
| 90688 | <1% | 14 | 14 | $273.74 | |
| 96127 | <1% | 88 | 87 | $133.17 |
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 officialSHEPARD, DEBRA (DOCTOR/PRACTICE CO-OWNER)