Physician
Pelican Pediatrics
Pelican Pediatrics was paid $308K by Medicaid between Dec 2018 and May 2021, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoPELICAN PEDIATRICS
SEBASTIAN, FL 32958
SEBASTIAN, FL 32958
33aNPI1316287394assigned 02/27/2013
33bProvider typePediatrics Physician
28Total paid$308K
24GClaims6,131
24DCodes billed17
24AFirst – last monthDec 2018 – May 2021
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#451 of 971
Median peer was paid$238K
This provider vs. median1.3×
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 | 315 | $14K | |
| 2019 | 2,714 | $131K | |
| 2020 | 2,469 | $115K | |
| 2021 | 633 | $47K |
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 | 85% | 3,134 | 2,406 | $261K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 145 | 132 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 129 | 100 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 27 | 25 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 24 | 24 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 968 | 733 | $3K |
| 90686 | <1% | 134 | 134 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 174 | 138 | $188.78 |
| 90685 | <1% | 14 | 14 | $48.02 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 205 | 179 | $27.11 |
| 90698 | 0% | 37 | 37 | $0.00 | |
| 81000 | 0% | 154 | 150 | $0.00 |
5 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 19 | $0.00 |
| 85018 | 0% | 40 | $0.00 | |
| 90461 | 0% | 271 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 608 | $0.00 |
| 90670 | 0% | 48 | $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 officialGRAZIANO, KIMBERLY (MD/OWNER)