Physician
Atlantic Pediatric Partners LLC
Atlantic Pediatric Partners LLC was paid $7.85M by Medicaid between Sep 2018 and May 2023, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoATLANTIC PEDIATRIC PARTNERS LLC
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
33aNPI1295383420assigned 08/30/2019
33bProvider typePediatrics Physician
28Total paid$7.85M
24GClaims330,041
24DCodes billed68
24AFirst – last monthSep 2018 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#30 of 971
Median peer was paid$238K
This provider vs. median33×
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 | 3,409 | $63K | |
| 2019 | 79,842 | $1.71M | |
| 2020 | 70,640 | $1.64M | |
| 2021 | 78,477 | $1.97M | |
| 2022 | 78,276 | $1.92M | |
| 2023 | 19,397 | $547K |
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 | 33% | 63,685 | 53,728 | $2.56M |
| 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 | 19% | 23,764 | 20,398 | $1.48M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 12,243 | 11,536 | $1.00M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 10,876 | 9,383 | $810K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10.0% | 9,632 | 9,251 | $782K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 6,477 | 6,239 | $578K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 37,404 | 30,952 | $196K |
| 97803 | 1.6% | 21,551 | 20,341 | $126K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.1% | 348 | 99 | $90K |
| 90461 | <1% | 12,099 | 10,469 | $62K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,872 | 2,487 | $44K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,673 | 6,193 | $16K |
56 more codes
| 97802 | <1% | 1,286 | $15K | |
| 99383 | <1% | 167 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 177 | $11K |
| 81002 | <1% | 12,065 | $9K | |
| 85018 | <1% | 15,736 | $8K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 15 | $6K |
| 99381 | <1% | 192 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,609 | $4K |
| 99384 | <1% | 50 | $4K | |
| 90670 | <1% | 5,550 | $3K | |
| 92551 | <1% | 11,426 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 699 | $2K |
| 99442 | <1% | 150 | $2K | |
| 99173 | <1% | 19,147 | $2K | |
| 90686 | <1% | 4,593 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,036 | $1K |
| 99382 | <1% | 16 | $1K | |
| 87081 | <1% | 984 | $867.83 | |
| 90633 | <1% | 2,917 | $729.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 76 | $641.61 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 177 | $492.89 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 602 | $416.45 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 18 | $342.38 |
| 90716 | <1% | 289 | $318.67 | |
| 90710 | <1% | 715 | $266.03 | |
| 90698 | <1% | 2,320 | $262.76 | |
| 90734 | <1% | 1,225 | $255.76 | |
| 0072A | <1% | 19 | $240.00 | |
| 95076 | <1% | 15 | $163.34 | |
| 36416 | <1% | 14,732 | $127.83 | |
| 91307 | <1% | 56 | $123.32 | |
| 95018 | <1% | 14 | $116.23 | |
| 90648 | <1% | 701 | $112.86 | |
| 87807 | <1% | 96 | $98.52 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,548 | $87.84 |
| 90723 | <1% | 71 | $72.73 | |
| 90651 | <1% | 2,183 | $50.06 | |
| 90744 | <1% | 961 | $48.36 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 13,924 | $41.18 |
| 86580 | <1% | 18 | $26.40 | |
| 90619 | <1% | 28 | $14.18 | |
| 90696 | <1% | 333 | $10.00 | |
| 90707 | <1% | 342 | $10.00 | |
| 90700 | <1% | 135 | $10.00 | |
| 91305 | 0% | 44 | $0.00 | |
| 94760 | 0% | 451 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 90680 | 0% | 905 | $0.00 | |
| 90620 | 0% | 555 | $0.00 | |
| 99000 | 0% | 38 | $0.00 | |
| 90697 | 0% | 88 | $0.00 | |
| 90681 | 0% | 374 | $0.00 | |
| 90715 | 0% | 405 | $0.00 | |
| 90621 | 0% | 62 | $0.00 | |
| 90685 | 0% | 49 | $0.00 | |
| 90672 | 0% | 21 | $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 officialZAMORA, MANNY (CFO)