Medicaid Provider Spending

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

MAGNOLIA PEDIATRICS LLC

NPI: 1356513964 · LAKE CITY, FL 32025 · Pediatrics Physician · NPI assigned 03/24/2008

$1.02M
Total Medicaid Paid
71,493
Total Claims
52,823
Beneficiaries
36
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKHODR, BILAL (PROVIDER)
NPI Enumeration Date03/24/2008

Related Entities

Other providers sharing the same authorized official: KHODR, BILAL

ProviderCityStateTotal Paid
PEDIATRICS & FAMILY MEDICINE OF BUENA VISTA , LLC GAINESVILLE FL $840K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 6,044 $152K
2020 5,255 $92K
2021 8,718 $183K
2022 18,414 $88K
2023 21,984 $196K
2024 11,078 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,591 17,597 $608K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,720 2,143 $134K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,194 1,582 $101K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,077 895 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,124 1,755 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 999 870 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,192 4,082 $23K
90460 Immunization administration through 18 years of age via any route, first or only component 6,251 4,341 $20K
90461 4,392 1,959 $3K
87428 43 43 $3K
85018 6,221 5,111 $3K
81002 4,124 3,322 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 52 41 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 863 717 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 12 $1K
99188 103 83 $628.51
83655 531 297 $532.35
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 76 48 $413.40
90656 60 60 $194.00
96160 1,491 1,370 $140.09
87807 128 98 $111.54
90633 12 12 $66.03
99174 2,447 1,436 $58.04
83718 13 13 $47.21
90698 26 26 $46.00
90686 29 29 $44.67
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $24.42
90670 359 163 $16.00
90723 162 54 $8.00
92551 2,618 1,914 $0.22
90680 37 37 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 64 22 $0.00
99173 3,015 2,471 $0.00
90671 41 41 $0.00
90648 366 152 $0.00
90472 Immunization administration, each additional vaccine (list separately) 44 15 $0.00