Physician
Baldwin Pediatrix
Baldwin Pediatrix was paid $1.48M by Medicaid between Mar 2018 and Jan 2023, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoBALDWIN PEDIATRIX
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
33aNPI1487971842assigned 04/26/2010
33bProvider typePediatrics Physician
28Total paid$1.48M
24GClaims47,514
24DCodes billed46
24AFirst – last monthMar 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#208 of 971
Median peer was paid$238K
This provider vs. median6.2×
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 | 88 | $2K | |
| 2019 | 6,988 | $171K | |
| 2020 | 6,679 | $214K | |
| 2021 | 12,998 | $479K | |
| 2022 | 20,559 | $611K | |
| 2023 | 202 | $5K |
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 | 45% | 11,503 | 8,916 | $670K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,638 | 1,541 | $191K |
| 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 | 12% | 2,169 | 1,775 | $174K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 1,554 | 1,281 | $146K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 562 | 511 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 692 | 637 | $42K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 1,143 | 980 | $31K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 4,386 | 2,907 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 197 | 172 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 2,544 | 1,496 | $17K |
| 99188 | <1% | 2,005 | 1,881 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 165 | 155 | $13K |
34 more codes
| 97802 | <1% | 1,435 | $12K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 271 | $12K |
| 97803 | <1% | 1,190 | $10K | |
| 90461 | <1% | 1,545 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,338 | $6K |
| 99383 | <1% | 53 | $6K | |
| 99051 | <1% | 1,044 | $5K | |
| 92558 | <1% | 805 | $4K | |
| 90670 | <1% | 748 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,249 | $2K |
| 87807 | <1% | 342 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 111 | $714.37 |
| 90686 | <1% | 308 | $713.02 | |
| 81002 | <1% | 671 | $701.38 | |
| 96127 | <1% | 366 | $645.37 | |
| 90633 | <1% | 142 | $602.19 | |
| 90716 | <1% | 80 | $391.06 | |
| 90698 | <1% | 420 | $274.06 | |
| 92551 | <1% | 328 | $246.02 | |
| 99174 | <1% | 2,126 | $192.06 | |
| 90744 | <1% | 240 | $144.05 | |
| 83655 | <1% | 12 | $83.28 | |
| 90687 | <1% | 35 | $79.00 | |
| 90707 | <1% | 97 | $72.02 | |
| 94760 | <1% | 78 | $53.82 | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 209 | $30.00 |
| 90700 | <1% | 89 | $12.00 | |
| 90680 | <1% | 390 | $12.00 | |
| 90648 | 0% | 16 | $0.00 | |
| 99177 | 0% | 16 | $0.00 | |
| 36416 | 0% | 1,033 | $0.00 | |
| 99172 | 0% | 100 | $0.00 | |
| 90688 | 0% | 57 | $0.00 | |
| 90651 | 0% | 12 | $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 officialAZAM, RUBINA (OWNER)