Physician
Elaine Ross MD PA
Elaine Ross MD PA was paid $1.09M by Medicaid between Aug 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoELAINE ROSS MD PA
ORLANDO, FL 32808
ORLANDO, FL 32808
33aNPI1306869649assigned 07/26/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims50,466
24DCodes billed48
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#252 of 971
Median peer was paid$238K
This provider vs. median4.6×
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 | 132 | $4K | |
| 2019 | 24,146 | $340K | |
| 2020 | 4,603 | $127K | |
| 2021 | 5,425 | $127K | |
| 2022 | 7,457 | $227K | |
| 2023 | 4,870 | $167K | |
| 2024incomplete | 3,833 | $98K |
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 | 19% | 5,797 | 3,244 | $208K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 2,651 | 1,723 | $175K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 2,493 | 1,719 | $155K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 2,018 | 1,475 | $130K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,923 | 1,188 | $123K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 3,884 | 3,412 | $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 | 7.0% | 1,635 | 676 | $76K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 3.1% | 2,947 | 2,570 | $34K |
| 97802 | 1.8% | 1,707 | 1,362 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 731 | 274 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,149 | 1,146 | $10K |
| 90461 | <1% | 325 | 322 | $9K |
36 more codes
| 97804 | <1% | 1,287 | $5K | |
| H0049 | Alcohol and/or drug screening | <1% | 310 | $4K |
| 99188 | <1% | 164 | $4K | |
| 90707 | <1% | 1,007 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,390 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 65 | $1K |
| 90700 | <1% | 1,344 | $1K | |
| 96127 | <1% | 509 | $765.10 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 78 | $615.68 |
| 90734 | <1% | 729 | $502.02 | |
| 90658 | <1% | 593 | $486.76 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 222 | $307.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,883 | $260.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,098 | $230.00 |
| 90649 | <1% | 682 | $183.09 | |
| 96160 | <1% | 66 | $130.44 | |
| 90670 | <1% | 1,532 | $109.01 | |
| 90716 | <1% | 998 | $74.01 | |
| 99173 | <1% | 1,110 | $38.94 | |
| 90715 | <1% | 114 | $34.01 | |
| 1159F | <1% | 694 | $25.00 | |
| 90633 | <1% | 692 | $20.00 | |
| 90620 | <1% | 139 | $10.00 | |
| 90657 | <1% | 43 | $9.00 | |
| 90713 | 0% | 797 | $0.00 | |
| 90648 | 0% | 745 | $0.00 | |
| 90671 | 0% | 171 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 251 | $0.00 |
| 90744 | 0% | 660 | $0.00 | |
| 90698 | 0% | 349 | $0.00 | |
| 90680 | 0% | 689 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 689 | $0.00 |
| 90651 | 0% | 34 | $0.00 | |
| 90696 | 0% | 43 | $0.00 | |
| 1111F | 0% | 15 | $0.00 | |
| 99174 | 0% | 14 | $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 officialBOWE, MACHELLE (OFFICE MANAGER)