Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. JOHN'S PEDIATRICS, PA

NPI: 1467590711 · SAINT AUGUSTINE, FL 32092 · Pediatrics Physician · NPI assigned 02/01/2007

$2.95M
Total Medicaid Paid
138,196
Total Claims
118,234
Beneficiaries
59
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABREA, LETICIA (PRESIDENT)
NPI Enumeration Date02/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 23,740 $456K
2020 20,843 $415K
2021 23,522 $533K
2022 34,931 $595K
2023 27,916 $770K
2024 7,244 $179K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,849 17,841 $967K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,620 12,333 $651K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,981 2,748 $254K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,767 2,584 $254K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,320 2,035 $203K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,769 1,606 $161K
90460 Immunization administration through 18 years of age via any route, first or only component 9,656 8,793 $150K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,594 10,533 $72K
92552 4,262 3,677 $66K
97802 7,555 6,718 $49K
99401 3,911 3,250 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,975 2,769 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,202 1,725 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,915 1,738 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 439 396 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 710 571 $6K
99188 275 257 $4K
90686 2,842 2,599 $4K
H0049 Alcohol and/or drug screening 167 166 $3K
96127 3,417 2,498 $3K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 2,081 1,897 $2K
92567 277 268 $2K
99051 233 206 $1K
83655 184 163 $1K
94760 7,301 5,584 $667.00
96156 1,586 1,334 $478.30
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 38 38 $268.35
87807 24 24 $229.21
90651 570 510 $228.54
90633 397 347 $169.78
90670 1,270 1,100 $130.26
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,164 1,858 $101.20
81003 69 65 $87.85
90734 93 91 $68.02
99173 7,495 5,622 $53.31
S9451 Exercise classes, non-physician provider, per session 9,003 6,703 $39.15
81002 15 15 $14.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $2.08
90715 66 58 $0.03
90698 13 13 $0.01
90681 65 65 $0.01
V5008 Hearing screening 1,497 1,434 $0.00
90619 63 59 $0.00
3008F 2,681 2,478 $0.00
90647 162 147 $0.00
2001F 2,700 2,493 $0.00
96151 124 122 $0.00
99000 177 155 $0.00
90723 149 123 $0.00
90677 17 16 $0.00
90697 112 105 $0.00
90696 49 39 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 66 58 $0.00
92551 15 15 $0.00
90710 32 27 $0.00
2014F 123 110 $0.00
90700 14 12 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20 19 $0.00
90671 12 12 $0.00