Medicaid Provider Spending

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

PEDIATRICS AND FAMILY CARE LLC

NPI: 1487162632 · ORLANDO, FL 32812 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/22/2018

$2.82M
Total Medicaid Paid
81,473
Total Claims
71,975
Beneficiaries
69
Codes Billed
2019-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBUMGARNER, MARILIZ (OWNER)
NPI Enumeration Date01/22/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,939 $153K
2020 4,917 $162K
2021 11,181 $412K
2022 17,572 $655K
2023 24,338 $879K
2024 17,526 $562K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,039 8,328 $802K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,724 3,156 $429K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,647 2,505 $316K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,369 2,096 $247K
90460 Immunization administration through 18 years of age via any route, first or only component 5,947 5,419 $180K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,395 1,360 $158K
90461 3,227 2,993 $91K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,587 1,523 $85K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,720 1,609 $78K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 542 532 $63K
97803 3,118 2,899 $58K
99188 3,241 2,981 $37K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,671 1,308 $33K
90670 1,152 1,086 $31K
99383 233 223 $29K
99382 172 170 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 169 146 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,610 3,608 $18K
90710 705 694 $16K
99381 145 138 $14K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,031 992 $12K
99384 84 82 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 767 747 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 213 207 $8K
92552 1,140 967 $6K
83655 716 693 $6K
96160 3,892 3,295 $5K
99173 3,682 3,410 $4K
85018 3,496 3,173 $4K
96127 2,420 1,873 $4K
97802 176 173 $3K
92551 2,552 2,445 $2K
90686 1,644 1,580 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 236 229 $2K
81002 1,069 1,020 $2K
90680 732 719 $2K
90633 1,125 1,088 $2K
90651 178 173 $1K
96161 990 830 $1K
90671 186 185 $1K
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 59 57 $1K
90677 224 223 $953.35
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 145 120 $882.31
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 57 38 $858.08
90698 268 244 $763.08
0071A 15 15 $553.37
0072A 13 13 $520.00
94664 61 42 $437.63
94667 150 73 $370.01
90648 1,037 998 $361.31
G9919 Screening performed and positive and provision of recommendations 1,582 1,531 $346.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $336.14
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 108 101 $276.12
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 93 72 $249.89
90734 187 182 $187.89
90696 97 96 $172.72
90620 26 26 $150.94
90723 546 538 $97.97
A7015 Aerosol mask, used with dme nebulizer 63 59 $95.53
90700 189 185 $58.39
90681 12 12 $24.01
36416 88 88 $5.28
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 31 14 $0.00
94060 63 30 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 510 476 $0.00
90656 12 12 $0.00
91307 41 32 $0.00
90744 15 15 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 23 12 $0.00