Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CELEBRATION PEDIATRICS PA

NPI: 1326320524 · CELEBRATION, FL 34747 · Pediatrics Physician · NPI assigned 09/13/2011

$5.33M
Total Medicaid Paid
149,347
Total Claims
137,627
Beneficiaries
54
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARCANTEL, DAVID (PRESIDENT/PHYSICIAN)
NPI Enumeration Date09/13/2011

Related Entities

Other providers sharing the same authorized official: MARCANTEL, DAVID

ProviderCityStateTotal Paid
CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA CELEBRATION FL $5.15M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $78.76
2019 18,107 $557K
2020 18,500 $633K
2021 25,980 $994K
2022 33,893 $1.28M
2023 32,278 $1.14M
2024 20,574 $723K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,144 17,238 $1.16M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,399 9,435 $1.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,014 10,385 $1.01M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,831 8,695 $995K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,157 3,102 $346K
90460 Immunization administration through 18 years of age via any route, first or only component 16,721 15,664 $252K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 891 873 $112K
99215 Prolong outpt/office vis 759 724 $111K
99381 1,630 1,211 $97K
90472 Immunization administration, each additional vaccine (list separately) 9,642 9,000 $57K
99383 334 329 $42K
90461 1,710 1,686 $30K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,934 4,533 $13K
99382 106 100 $13K
90474 3,648 3,584 $11K
99384 67 64 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 921 485 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 29 $5K
99188 462 458 $4K
96160 11,170 10,111 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 429 409 $3K
90680 4,276 4,202 $2K
96127 1,568 1,434 $2K
83655 671 658 $2K
99173 7,376 6,572 $2K
96161 650 623 $1K
85018 1,420 1,387 $890.04
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 26 $887.68
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $858.97
99072 58 57 $619.57
90633 1,923 1,883 $417.32
90670 5,534 5,289 $406.10
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $307.70
90686 1,566 1,547 $243.02
90647 4,608 4,510 $215.35
99051 40 36 $202.13
90723 4,864 4,789 $134.06
90656 62 61 $107.67
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $105.06
90710 340 324 $60.00
36416 1,374 1,292 $50.05
90696 273 257 $50.00
92552 916 887 $29.94
90716 652 634 $24.01
90677 864 847 $20.01
90707 645 630 $10.00
91307 126 95 $1.96
90700 631 620 $0.00
90734 271 259 $0.00
90715 153 148 $0.00
91308 45 43 $0.00
90651 304 293 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 37 37 $0.00
90620 31 30 $0.00