Physician
Pediatric Ent, LLC
Pediatric Ent, LLC was paid $2.19M by Medicaid between Jan 2019 and Nov 2024, across 16 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.
33Billing provider infoPEDIATRIC ENT, LLC
MELBOURNE, FL 32901
MELBOURNE, FL 32901
33aNPI1508002072assigned 01/05/2009
33bProvider typePediatric Otolaryngology Physician
28Total paid$2.19M
24GClaims24,370
24DCodes billed16
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Pediatric Otolaryngology Physician providers in Florida
Rank by total paid#5 of 16
Median peer was paid$463K
This provider vs. median4.7×
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 | 3,358 | $385K | |
| 2020 | 3,469 | $311K | |
| 2021 | 3,909 | $363K | |
| 2022 | 5,255 | $435K | |
| 2023 | 6,020 | $543K | |
| 2024incomplete | 2,359 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 3,705 | 3,547 | $538K |
| 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 | 20% | 5,919 | 5,421 | $431K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 16% | 2,231 | 2,139 | $358K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 11% | 838 | 821 | $240K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 2,874 | 2,800 | $213K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 706 | 700 | $116K |
| 42830 | 2.5% | 232 | 228 | $55K | |
| 99243 | 2.5% | 293 | 292 | $54K | |
| 92588 | 2.3% | 2,130 | 2,109 | $50K | |
| 92557 | 1.3% | 1,468 | 1,451 | $28K | |
| 92567 | 1.3% | 2,513 | 2,488 | $28K | |
| 41010 | 1.1% | 80 | 74 | $24K |
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 officialMALIS, DAVID (MANAGER)