Physician
Pediatric and Internal Medicine Specialists INC
Pediatric and Internal Medicine Specialists INC was paid $3.39M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoPEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
LECANTO, FL 34461
LECANTO, FL 34461
33aNPI1396805115assigned 12/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.39M
24GClaims141,607
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#14 of 1,247
Median peer was paid$9K
This provider vs. median386×
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 | 1,293 | $10K | |
| 2019 | 27,188 | $609K | |
| 2020 | 23,379 | $602K | |
| 2021 | 14,195 | $368K | |
| 2022 | 32,332 | $617K | |
| 2023 | 24,307 | $619K | |
| 2024incomplete | 18,913 | $565K |
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 | 30% | 30,080 | 25,278 | $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% | 14,991 | 12,806 | $659K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 6,203 | 5,676 | $492K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 6,804 | 5,980 | $490K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 3,577 | 3,246 | $262K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 1,932 | 1,773 | $151K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 11,570 | 10,522 | $145K |
| 97802 | 2.0% | 5,674 | 5,360 | $66K | |
| 99460 | <1% | 523 | 446 | $25K | |
| 99463 | <1% | 236 | 223 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 176 | 146 | $8K |
| 85018 | <1% | 11,147 | 9,994 | $7K |
71 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,207 | $6K |
| 81002 | <1% | 7,123 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,186 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 102 | $4K |
| 99490 | Ccm add 20min | <1% | 3,245 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 125 | $3K |
| 99381 | <1% | 45 | $3K | |
| 99383 | <1% | 12 | $1K | |
| 90670 | <1% | 2,405 | $940.79 | |
| 84481 | <1% | 87 | $808.66 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $411.27 |
| 90710 | <1% | 74 | $291.76 | |
| 90716 | <1% | 53 | $289.17 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 177 | $270.64 |
| 90633 | <1% | 784 | $262.06 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 167 | $202.65 |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $190.73 |
| 81025 | <1% | 137 | $173.74 | |
| 80061 | Lipid panel | <1% | 133 | $111.23 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 264 | $102.73 |
| 82607 | <1% | 95 | $101.76 | |
| 90651 | <1% | 212 | $80.00 | |
| 90723 | <1% | 1,828 | $70.00 | |
| 90647 | <1% | 1,761 | $66.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $54.01 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $42.80 |
| 82947 | <1% | 221 | $32.54 | |
| 90461 | <1% | 521 | $29.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 322 | $27.80 |
| 90686 | <1% | 428 | $18.10 | |
| 99173 | <1% | 4,918 | $17.68 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 60 | $17.13 |
| 36416 | <1% | 8,106 | $15.00 | |
| 90620 | <1% | 12 | $10.00 | |
| 90734 | <1% | 174 | $10.00 | |
| 90700 | <1% | 12 | $10.00 | |
| 90707 | <1% | 39 | $10.00 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 6,877 | $0.03 |
| 90715 | <1% | 39 | $0.03 | |
| 1111F | 0% | 1,339 | $0.00 | |
| 83615 | 0% | 136 | $0.00 | |
| 82550 | 0% | 136 | $0.00 | |
| 92551 | 0% | 989 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 99 | $0.00 |
| 93000 | 0% | 147 | $0.00 | |
| 84132 | 0% | 116 | $0.00 | |
| 86800 | 0% | 85 | $0.00 | |
| 90677 | 0% | 164 | $0.00 | |
| 82746 | 0% | 80 | $0.00 | |
| 86376 | 0% | 71 | $0.00 | |
| 82040 | 0% | 114 | $0.00 | |
| 84075 | 0% | 112 | $0.00 | |
| 82435 | 0% | 116 | $0.00 | |
| 90696 | 0% | 73 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 22 | $0.00 |
| 99000 | 0% | 28 | $0.00 | |
| 82248 | 0% | 122 | $0.00 | |
| 82310 | 0% | 117 | $0.00 | |
| 90681 | 0% | 678 | $0.00 | |
| 84520 | 0% | 116 | $0.00 | |
| 84460 | 0% | 113 | $0.00 | |
| 82247 | 0% | 114 | $0.00 | |
| 84155 | 0% | 114 | $0.00 | |
| 84439 | 0% | 69 | $0.00 | |
| 84295 | 0% | 116 | $0.00 | |
| 82565 | 0% | 116 | $0.00 | |
| 99401 | 0% | 12 | $0.00 | |
| 84550 | 0% | 27 | $0.00 | |
| 99499 | 0% | 39 | $0.00 | |
| 99497 | 0% | 17 | $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 officialST. MARTIN, DACELIN (MEDICAL DIRECTOR/OWNER)