Children's Specialist Pediatric Pulmonology of Florida LLC
Children's Specialist Pediatric Pulmonology of Florida LLC was paid $4.47M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoCHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC
FORT MYERS, FL 33907
FORT MYERS, FL 33907
33aNPI1497944193assigned 10/18/2007
33bProvider typeSpecialist
28Total paid$4.47M
24GClaims70,170
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#13 of 553
Median peer was paid$31K
This provider vs. median143×
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 | 19,244 | $2.12M | |
| 2019 | 20,556 | $1.06M | |
| 2020 | 7,918 | $301K | |
| 2021 | 5,695 | $290K | |
| 2022 | 4,547 | $192K | |
| 2023 | 6,868 | $262K | |
| 2024incomplete | 5,342 | $247K |
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 | 63% | 17,089 | 11,845 | $2.80M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 2,464 | 932 | $701K |
| 94760 | 11% | 23,162 | 14,535 | $474K | |
| 99205 | Prolong outpt/office vis | 4.0% | 773 | 643 | $178K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.1% | 307 | 266 | $93K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 488 | 448 | $81K |
| 94664 | 1.2% | 15,258 | 10,026 | $52K | |
| 94010 | 1.0% | 7,932 | 6,003 | $45K | |
| 94060 | <1% | 1,690 | 1,099 | $17K | |
| 99255 | <1% | 48 | 35 | $12K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 118 | 88 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 323 | 278 | $4K |
5 more codes
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 officialWEGELIN, KATHLEEN (OFFICE ADMINISTRATOR)