Physician
North Florida Pediatrics, PA.
North Florida Pediatrics, PA. was paid $18.25M by Medicaid between Feb 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoNORTH FLORIDA PEDIATRICS, PA.
LAKE CITY, FL 32025
LAKE CITY, FL 32025
33aNPI1376548602assigned 06/14/2005
33bProvider typePediatrics Physician
28Total paid$18.25M
24GClaims900,039
24DCodes billed71
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#8 of 971
Median peer was paid$238K
This provider vs. median77×
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 | 20 | $3K | |
| 2019 | 126,743 | $2.54M | |
| 2020 | 148,627 | $2.84M | |
| 2021 | 172,261 | $3.42M | |
| 2022 | 154,846 | $3.35M | |
| 2023 | 161,592 | $3.36M | |
| 2024incomplete | 135,950 | $2.74M |
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 | 44% | 211,863 | 185,929 | $8.00M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 22,763 | 21,795 | $1.90M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 19,478 | 18,683 | $1.57M |
| 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 | 7.1% | 21,659 | 20,263 | $1.29M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 16,099 | 15,375 | $1.13M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 12,222 | 11,715 | $1.00M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 21,657 | 20,053 | $617K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 46,247 | 44,027 | $602K |
| 92552 | 2.3% | 35,327 | 33,840 | $425K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 65,271 | 33,345 | $356K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 9,887 | 9,246 | $297K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 36,452 | 34,832 | $194K |
59 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,803 | $128K |
| 99188 | <1% | 17,860 | $124K | |
| 90670 | <1% | 9,451 | $112K | |
| 99381 | <1% | 1,319 | $98K | |
| 90651 | <1% | 4,803 | $32K | |
| 99383 | <1% | 320 | $31K | |
| 90461 | <1% | 20,456 | $27K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 231 | $26K |
| 85018 | <1% | 35,249 | $25K | |
| 83655 | <1% | 7,829 | $24K | |
| 81003 | <1% | 22,684 | $20K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 220 | $17K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 407 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 193 | $16K |
| 87807 | <1% | 4,174 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,977 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,042 | $13K |
| 99382 | <1% | 120 | $12K | |
| 80061 | Lipid panel | <1% | 4,822 | $11K |
| 0001A | <1% | 532 | $10K | |
| 96160 | <1% | 22,156 | $10K | |
| 0002A | <1% | 323 | $8K | |
| 99384 | <1% | 84 | $8K | |
| 90686 | <1% | 5,591 | $7K | |
| 81025 | <1% | 2,523 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 82 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 942 | $4K |
| 90734 | <1% | 2,745 | $4K | |
| 94760 | <1% | 64,644 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 716 | $3K |
| 90716 | <1% | 4,790 | $3K | |
| 90671 | <1% | 919 | $3K | |
| 90700 | <1% | 2,404 | $2K | |
| 91300 | <1% | 946 | $2K | |
| 96161 | <1% | 8,634 | $2K | |
| 90633 | <1% | 5,558 | $2K | |
| 90707 | <1% | 4,790 | $1K | |
| 90698 | <1% | 3,395 | $1K | |
| 90620 | <1% | 771 | $1K | |
| 90715 | <1% | 1,139 | $877.56 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $779.39 |
| 90744 | <1% | 2,241 | $577.31 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $549.02 |
| 99177 | <1% | 22,694 | $452.65 | |
| 36416 | <1% | 31,146 | $450.75 | |
| 96127 | <1% | 13,263 | $443.51 | |
| 90648 | <1% | 5,707 | $296.45 | |
| 90723 | <1% | 4,259 | $271.06 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 11,741 | $181.28 |
| 90685 | <1% | 213 | $180.90 | |
| 90696 | <1% | 618 | $175.32 | |
| 90656 | <1% | 448 | $165.40 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 587 | $161.69 |
| 69209 | <1% | 43 | $115.48 | |
| 90680 | <1% | 5,502 | $98.36 | |
| 99173 | <1% | 12,045 | $82.83 | |
| 90713 | <1% | 560 | $20.00 | |
| 92551 | 0% | 334 | $0.00 | |
| 90647 | 0% | 14 | $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 officialSANTELICES, SAMUEL (PRESIDENT/ CEO)
Parent organizationNORTH FLORIDA PEDIATRICS, P.A
| Provider | Location | Paid |
|---|---|---|
| North Florida Pediatrics, PA | Live Oak, FL | $9K |
| North Florida Pediatrics, PA | Jasper, FL | $9K |
| North Florida Pediatrics, PA | Lake City, FL | $692.51 |
| North Florida Pediatrics, PA | Cross City, FL | $84.13 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.