Physician
Topcare Pediatrics PLLC
Topcare Pediatrics PLLC was paid $751K by Medicaid between Jan 2019 and Nov 2024, across 31 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 26% of everything it billed.
33Billing provider infoTOPCARE PEDIATRICS PLLC
ALTAMONTE SPRINGS, FL 32714
ALTAMONTE SPRINGS, FL 32714
33aNPI1447783006assigned 04/10/2017
33bProvider typePediatrics Physician
28Total paid$751K
24GClaims23,277
24DCodes billed31
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#309 of 971
Median peer was paid$238K
This provider vs. median3.2×
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 | 1,650 | $54K | |
| 2020 | 2,200 | $72K | |
| 2021 | 2,763 | $119K | |
| 2022 | 6,578 | $133K | |
| 2023 | 6,744 | $213K | |
| 2024incomplete | 3,342 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 2,906 | 2,448 | $198K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 2,171 | 1,959 | $166K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,875 | 3,230 | $131K |
| 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 | 13% | 2,084 | 1,814 | $101K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 3,727 | 3,305 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 452 | 374 | $28K |
| 99460 | 3.1% | 473 | 430 | $23K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8% | 495 | 448 | $21K |
| 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 | 2.0% | 162 | 134 | $15K |
| 90670 | <1% | 1,158 | 1,027 | $7K | |
| 90671 | <1% | 682 | 501 | $6K | |
| 99381 | <1% | 56 | 45 | $3K |
19 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $2K |
| 99383 | <1% | 12 | $1K | |
| 90710 | <1% | 124 | $1K | |
| 90686 | <1% | 222 | $631.77 | |
| 99382 | <1% | 17 | $627.73 | |
| 90698 | <1% | 124 | $486.20 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 220 | $463.24 |
| 90461 | <1% | 421 | $421.46 | |
| 90680 | <1% | 1,219 | $293.00 | |
| 99462 | <1% | 19 | $248.68 | |
| 90648 | <1% | 1,309 | $226.67 | |
| 90633 | <1% | 169 | $120.36 | |
| 90696 | <1% | 14 | $56.18 | |
| 90723 | <1% | 952 | $47.00 | |
| 90716 | 0% | 31 | $0.00 | |
| 90744 | 0% | 29 | $0.00 | |
| 90656 | 0% | 19 | $0.00 | |
| 99173 | 0% | 63 | $0.00 | |
| 90700 | 0% | 44 | $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 officialADAMSON, FATAI (MD OWNER)