Clinic
Heartland Pediatric Associates, P.A.
Heartland Pediatric Associates, P.A. was paid $1.76M by Medicaid between Jan 2018 and Dec 2022, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoHEARTLAND PEDIATRIC ASSOCIATES, P.A.
SEBRING, FL 33870
SEBRING, FL 33870
33aNPI1285650937assigned 07/14/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.76M
24GClaims68,318
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Rural Health Clinic/Center providers in Florida
Rank by total paid#10 of 76
Median peer was paid$164K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2018 | 121 | $5K | |
| 2019 | 20,464 | $477K | |
| 2020 | 14,174 | $402K | |
| 2021 | 13,147 | $364K | |
| 2022 | 20,412 | $507K |
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 | 53% | 26,036 | 21,453 | $938K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,665 | 2,573 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 2,130 | 2,056 | $170K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 1,523 | 1,453 | $116K |
| 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 | 3.7% | 1,251 | 1,146 | $65K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 800 | 771 | $62K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 6,636 | 6,204 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,108 | 974 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 3,773 | 3,541 | $22K |
| 99381 | <1% | 242 | 204 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,508 | 2,295 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,554 | 1,244 | $14K |
32 more codes
| 92551 | <1% | 2,628 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,288 | $7K |
| 90670 | <1% | 1,535 | $6K | |
| 99051 | <1% | 1,070 | $4K | |
| 90686 | <1% | 1,278 | $3K | |
| 69210 | <1% | 470 | $3K | |
| 90744 | <1% | 602 | $3K | |
| 90698 | <1% | 1,019 | $2K | |
| 90707 | <1% | 516 | $2K | |
| 90633 | <1% | 584 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 180 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $1K |
| 81002 | <1% | 796 | $1K | |
| 99172 | <1% | 1,008 | $840.45 | |
| 90716 | <1% | 527 | $775.92 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 276 | $686.69 |
| 96127 | <1% | 820 | $616.56 | |
| 90680 | <1% | 838 | $395.88 | |
| 90700 | <1% | 58 | $330.00 | |
| 90621 | <1% | 38 | $302.09 | |
| 90619 | <1% | 16 | $258.22 | |
| 85018 | <1% | 190 | $180.61 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 593 | $148.99 |
| 90651 | <1% | 218 | $65.88 | |
| 90734 | <1% | 170 | $50.00 | |
| 90685 | <1% | 53 | $10.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 48 | $0.00 |
| 90696 | 0% | 31 | $0.00 | |
| 99173 | 0% | 89 | $0.00 | |
| 90715 | 0% | 94 | $0.00 | |
| 90461 | 0% | 15 | $0.00 | |
| 90648 | 0% | 25 | $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 officialDESHPANDE, NAVIN (PRESIDENT/OWNER)