Physician
Starfish Pediatrics PA
Starfish Pediatrics PA was paid $699K by Medicaid between Feb 2019 and Mar 2023, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoSTARFISH PEDIATRICS PA
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
33aNPI1447508478assigned 08/23/2012
33bProvider typePediatrics Physician
28Total paid$699K
24GClaims18,611
24DCodes billed28
24AFirst – last monthFeb 2019 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#327 of 971
Median peer was paid$238K
This provider vs. median2.9×
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 | 3,736 | $148K | |
| 2020 | 3,743 | $125K | |
| 2021 | 5,039 | $194K | |
| 2022 | 4,785 | $187K | |
| 2023 | 1,308 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 6,952 | 5,968 | $369K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,099 | 1,094 | $99K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 640 | 631 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 701 | 698 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 1,989 | 1,946 | $40K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 1,581 | 1,312 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 2,234 | 2,193 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 96 | 94 | $7K |
| 90670 | <1% | 529 | 524 | $6K | |
| 99188 | <1% | 299 | 296 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 235 | 228 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 14 | $2K |
16 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 98 | $1K |
| 90474 | <1% | 109 | $830.00 | |
| 87430 | <1% | 109 | $544.86 | |
| 90658 | <1% | 451 | $538.89 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $266.30 |
| 90710 | <1% | 27 | $220.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18 | $23.76 |
| 90685 | 0% | 91 | $0.00 | |
| 99173 | 0% | 495 | $0.00 | |
| 90633 | 0% | 68 | $0.00 | |
| 90648 | 0% | 135 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90707 | 0% | 21 | $0.00 | |
| 92551 | 0% | 446 | $0.00 | |
| 90680 | 0% | 114 | $0.00 | |
| 90716 | 0% | 19 | $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 officialMARIA, CARLOS (OWNER)