Physician
Gainesville Pediatric Medicine, PA
Gainesville Pediatric Medicine, PA was paid $463K by Medicaid between Feb 2019 and May 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoGAINESVILLE PEDIATRIC MEDICINE, PA
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
33aNPI1447495338assigned 12/08/2008
33bProvider typePediatrics Physician
28Total paid$463K
24GClaims14,381
24DCodes billed11
24AFirst – last monthFeb 2019 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#401 of 971
Median peer was paid$238K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2019 | 3,575 | $108K | |
| 2020 | 2,770 | $85K | |
| 2021 | 2,549 | $87K | |
| 2022 | 2,980 | $103K | |
| 2023 | 2,185 | $70K | |
| 2024incomplete | 322 | $9K |
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 | 78% | 8,761 | 7,549 | $359K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 419 | 407 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 374 | 361 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 224 | 183 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 1,274 | 1,201 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | 51 | $4K |
| 99188 | <1% | 366 | 357 | $3K | |
| 90658 | <1% | 32 | 29 | $94.00 | |
| 92551 | 0% | 1,377 | 1,205 | $0.00 | |
| 85018 | 0% | 15 | 14 | $0.00 | |
| 99173 | 0% | 1,487 | 1,292 | $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 officialNUMSSEN, VALERIE (PRESIDENT)