Physician
Pediatrica Health of Florida, LLC
Pediatrica Health of Florida, LLC was paid $1.42M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoPEDIATRICA HEALTH OF FLORIDA, LLC
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
33aNPI1316385164assigned 06/13/2013
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.42M
24GClaims32,322
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Florida
Rank by total paid#8 of 56
Median peer was paid$221K
This provider vs. median6.4×
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 | 699 | $50K | |
| 2019 | 5,063 | $219K | |
| 2020 | 4,698 | $202K | |
| 2021 | 6,051 | $308K | |
| 2022 | 8,230 | $410K | |
| 2023 | 6,902 | $208K | |
| 2024incomplete | 679 | $20K |
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 | 43% | 6,839 | 5,809 | $609K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,018 | 3,632 | $240K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 1,322 | 1,290 | $138K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 1,082 | 974 | $129K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 2,815 | 2,715 | $114K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 581 | 541 | $56K |
| 92587 | 1.9% | 2,356 | 2,272 | $27K | |
| 97802 | 1.6% | 887 | 839 | $22K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 790 | 712 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,219 | 1,132 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,047 | 2,894 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 440 | 431 | $7K |
26 more codes
| 90698 | <1% | 471 | $7K | |
| 99174 | <1% | 1,997 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | $4K |
| 90686 | <1% | 539 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 99383 | <1% | 12 | $2K | |
| 99050 | <1% | 209 | $2K | |
| 85018 | <1% | 433 | $1K | |
| 94760 | <1% | 562 | $1K | |
| 99188 | <1% | 210 | $1K | |
| 90633 | <1% | 69 | $941.76 | |
| 90670 | <1% | 684 | $764.31 | |
| 83655 | <1% | 44 | $697.25 | |
| 90685 | <1% | 39 | $515.56 | |
| 96127 | <1% | 120 | $499.68 | |
| 36416 | <1% | 355 | $359.62 | |
| 90707 | <1% | 72 | $298.58 | |
| 90744 | <1% | 25 | $159.89 | |
| 90716 | <1% | 71 | $142.47 | |
| 90680 | <1% | 266 | $80.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $12.36 |
| 87807 | <1% | 44 | $9.50 | |
| 99173 | 0% | 512 | $0.00 | |
| A4617 | Mouth piece | 0% | 13 | $0.00 |
| 90697 | 0% | 97 | $0.00 | |
| A4616 | Tubing (oxygen), per foot | 0% | 13 | $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 officialREDDY, PRASANTHI (OWNER/ DOCTOR)