Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatrics and Family Care LLC

Pediatrics and Family Care LLC was paid $2.82M by Medicaid between Jan 2019 and Oct 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoPEDIATRICS AND FAMILY CARE LLC
ORLANDO, FL 32812
33aNPI1487162632assigned 01/22/2018
28Total paid$2.82M
24GClaims81,473
24DCodes billed69
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Florida

Rank by total paid#50 of 827
Median peer was paid$730.02
This provider vs. median3,867×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20195,939$153K
20204,917$162K
202111,181$412K
202217,572$655K
202324,338$879K
2024incomplete17,526$562K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 10,039 8,328 $802K
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 15% 3,724 3,156 $429K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 2,647 2,505 $316K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.7% 2,369 2,096 $247K
90460 Immunization administration through 18 years of age via any route, first or only component 6.4% 5,947 5,419 $180K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.6% 1,395 1,360 $158K
90461 3.2% 3,227 2,993 $91K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3.0% 1,587 1,523 $85K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 1,720 1,609 $78K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.2% 542 532 $63K
97803 2.1% 3,118 2,899 $58K
99188 1.3% 3,241 2,981 $37K
57 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 2,671 $33K
90670 1.1% 1,152 $31K
99383 1.0% 233 $29K
99382 <1% 172 $22K
99203 Doctor's office visit, new patient (routine) <1% 169 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 4,610 $18K
90710 <1% 705 $16K
99381 <1% 145 $14K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 1,031 $12K
99384 <1% 84 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 767 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 213 $8K
92552 <1% 1,140 $6K
83655 <1% 716 $6K
96160 <1% 3,892 $5K
99173 <1% 3,682 $4K
85018 <1% 3,496 $4K
96127 <1% 2,420 $4K
97802 <1% 176 $3K
92551 <1% 2,552 $2K
90686 <1% 1,644 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 236 $2K
81002 <1% 1,069 $2K
90680 <1% 732 $2K
90633 <1% 1,125 $2K
90651 <1% 178 $1K
96161 <1% 990 $1K
90671 <1% 186 $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 <1% 59 $1K
90677 <1% 224 $953.35
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 145 $882.31
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 57 $858.08
90698 <1% 268 $763.08
0071A <1% 15 $553.37
0072A <1% 13 $520.00
94664 <1% 61 $437.63
94667 <1% 150 $370.01
90648 <1% 1,037 $361.31
G9919 Screening performed and positive and provision of recommendations <1% 1,582 $346.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 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 <1% 108 $276.12
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 93 $249.89
90734 <1% 187 $187.89
90696 <1% 97 $172.72
90620 <1% 26 $150.94
90723 <1% 546 $97.97
A7015 Aerosol mask, used with dme nebulizer <1% 63 $95.53
90700 <1% 189 $58.39
90681 <1% 12 $24.01
36416 <1% 88 $5.28
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 0% 31 $0.00
94060 0% 63 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 510 $0.00
90656 0% 12 $0.00
91307 0% 41 $0.00
90744 0% 15 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 0% 23 $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 officialBUMGARNER, MARILIZ (OWNER)