Physician
Prudencio E. Laroya, M.D. PA
Prudencio E. Laroya, M.D. PA was paid $569K by Medicaid between Dec 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoPRUDENCIO E. LAROYA, M.D. PA
FORT PIERCE, FL 34950
FORT PIERCE, FL 34950
33aNPI1295747806assigned 08/12/2006
33bProvider typePediatrics Physician
28Total paid$569K
24GClaims21,756
24DCodes billed29
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#363 of 971
Median peer was paid$238K
This provider vs. median2.4×
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 | 201 | $8K | |
| 2019 | 3,218 | $138K | |
| 2020 | 2,266 | $79K | |
| 2021 | 4,083 | $103K | |
| 2022 | 4,580 | $108K | |
| 2023 | 4,256 | $80K | |
| 2024incomplete | 3,152 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 3,910 | 3,592 | $151K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 2,466 | 2,351 | $84K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 800 | 789 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 765 | 749 | $62K |
| 97802 | 10% | 2,469 | 2,405 | $57K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,409 | 1,286 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 428 | 417 | $37K |
| 92552 | 5.2% | 1,806 | 1,760 | $30K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 299 | 285 | $25K |
| H0049 | Alcohol and/or drug screening | <1% | 369 | 353 | $5K |
| 90670 | <1% | 252 | 244 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | 79 | $496.00 |
17 more codes
| 90715 | <1% | 27 | $331.12 | |
| 90686 | <1% | 302 | $71.10 | |
| 90633 | <1% | 185 | $32.03 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 2,582 | $0.00 |
| 90744 | 0% | 15 | $0.00 | |
| 90651 | 0% | 160 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 644 | $0.00 |
| 96127 | 0% | 16 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 20 | $0.00 |
| 90698 | 0% | 85 | $0.00 | |
| 90677 | 0% | 15 | $0.00 | |
| 90716 | 0% | 16 | $0.00 | |
| 90680 | 0% | 17 | $0.00 | |
| 99173 | 0% | 2,554 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 90700 | 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 officialLAROYA, PRUDENCIO (OWNER)