Physician
Pediatrics of ST. Augustine
Pediatrics of ST. Augustine was paid $607K by Medicaid between Apr 2018 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPEDIATRICS OF ST. AUGUSTINE
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
33aNPI1457565947assigned 05/10/2007
33bProvider typePediatrics Physician
28Total paid$607K
24GClaims12,403
24DCodes billed29
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#349 of 971
Median peer was paid$238K
This provider vs. median2.5×
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 | 408 | $33K | |
| 2019 | 168 | $4K | |
| 2020 | 28 | $2K | |
| 2021 | 905 | $19K | |
| 2022 | 2,218 | $103K | |
| 2023 | 5,859 | $303K | |
| 2024incomplete | 2,817 | $143K |
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 | 29% | 3,116 | 2,382 | $175K |
| 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 | 28% | 2,044 | 1,721 | $172K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 829 | 693 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 615 | 552 | $54K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 1,833 | 1,615 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 351 | 339 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 250 | 239 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.9% | 609 | 604 | $18K |
| 90697 | 1.7% | 160 | 144 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 488 | 449 | $5K |
| 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% | 20 | 18 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $2K |
17 more codes
| 90671 | <1% | 151 | $2K | |
| 90461 | <1% | 49 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 16 | $588.60 |
| 90619 | <1% | 15 | $521.24 | |
| 97803 | <1% | 48 | $27.22 | |
| 99173 | 0% | 646 | $0.00 | |
| 90707 | 0% | 21 | $0.00 | |
| 90670 | 0% | 147 | $0.00 | |
| 90648 | 0% | 55 | $0.00 | |
| 90658 | 0% | 57 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 92551 | 0% | 661 | $0.00 | |
| 90680 | 0% | 98 | $0.00 | |
| 90651 | 0% | 29 | $0.00 | |
| 90657 | 0% | 13 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90723 | 0% | 32 | $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 officialYASIN, ALIYA (PRESIDENT)