Physician
Pediatrics in North Florida PA
Pediatrics in North Florida PA was paid $62K by Medicaid between Feb 2019 and Apr 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPEDIATRICS IN NORTH FLORIDA PA
PALM COAST, FL 32137
PALM COAST, FL 32137
33aNPI1477607836assigned 01/23/2007
33bProvider typePediatrics Physician
28Total paid$62K
24GClaims2,973
24DCodes billed14
24AFirst – last monthFeb 2019 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#638 of 971
Median peer was paid$238K
This provider vs. median0.3×
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 | 945 | $19K | |
| 2020 | 619 | $9K | |
| 2021 | 662 | $10K | |
| 2022 | 519 | $15K | |
| 2023 | 216 | $9K | |
| 2024incomplete | 12 | $0.00 |
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 | 56% | 687 | 636 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 337 | 321 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 731 | 713 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 42 | 42 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 26 | 24 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 13 | 13 | $1K |
| 92552 | 2.1% | 205 | 205 | $1K | |
| 99460 | 1.5% | 12 | 12 | $920.68 | |
| 90686 | <1% | 126 | 126 | $341.73 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | 12 | $136.38 |
| 85018 | <1% | 327 | 324 | $92.36 | |
| 94760 | 0% | 226 | 216 | $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 officialNG, RAPHAEL (OWNER)