Physician
Celebration Pediatrics PA
Celebration Pediatrics PA was paid $5.33M by Medicaid between Dec 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoCELEBRATION PEDIATRICS PA
CELEBRATION, FL 34747
CELEBRATION, FL 34747
33aNPI1326320524assigned 09/13/2011
33bProvider typePediatrics Physician
28Total paid$5.33M
24GClaims149,347
24DCodes billed54
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#63 of 971
Median peer was paid$238K
This provider vs. median22×
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 | 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 | |
| 2024incomplete | 20,574 | $723K |
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 | 22% | 20,144 | 17,238 | $1.16M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 10,399 | 9,435 | $1.03M |
| 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 | 19% | 11,014 | 10,385 | $1.01M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 8,831 | 8,695 | $995K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 3,157 | 3,102 | $346K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 16,721 | 15,664 | $252K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 891 | 873 | $112K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 759 | 724 | $111K |
| 99381 | 1.8% | 1,630 | 1,211 | $97K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 9,642 | 9,000 | $57K |
| 99383 | <1% | 334 | 329 | $42K | |
| 90461 | <1% | 1,710 | 1,686 | $30K |
42 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,934 | $13K |
| 99382 | <1% | 106 | $13K | |
| 90474 | <1% | 3,648 | $11K | |
| 99384 | <1% | 67 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 921 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $5K |
| 99188 | <1% | 462 | $4K | |
| 96160 | <1% | 11,170 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 429 | $3K |
| 90680 | <1% | 4,276 | $2K | |
| 96127 | <1% | 1,568 | $2K | |
| 83655 | <1% | 671 | $2K | |
| 99173 | <1% | 7,376 | $2K | |
| 96161 | <1% | 650 | $1K | |
| 85018 | <1% | 1,420 | $890.04 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 27 | $887.68 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $858.97 |
| 99072 | <1% | 58 | $619.57 | |
| 90633 | <1% | 1,923 | $417.32 | |
| 90670 | <1% | 5,534 | $406.10 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $307.70 |
| 90686 | <1% | 1,566 | $243.02 | |
| 90647 | <1% | 4,608 | $215.35 | |
| 99051 | <1% | 40 | $202.13 | |
| 90723 | <1% | 4,864 | $134.06 | |
| 90656 | <1% | 62 | $107.67 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $105.06 |
| 90710 | <1% | 340 | $60.00 | |
| 36416 | <1% | 1,374 | $50.05 | |
| 90696 | <1% | 273 | $50.00 | |
| 92552 | <1% | 916 | $29.94 | |
| 90716 | <1% | 652 | $24.01 | |
| 90677 | <1% | 864 | $20.01 | |
| 90707 | <1% | 645 | $10.00 | |
| 91307 | <1% | 126 | $1.96 | |
| 90700 | 0% | 631 | $0.00 | |
| 90734 | 0% | 271 | $0.00 | |
| 90715 | 0% | 153 | $0.00 | |
| 91308 | 0% | 45 | $0.00 | |
| 90651 | 0% | 304 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 37 | $0.00 |
| 90620 | 0% | 31 | $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 officialMARCANTEL, DAVID (PRESIDENT/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Celebration Obstetrics and Gynecology Associates PA | Celebration, FL | $5.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.