Physician
Giraldo E Cepeda MD PA
Giraldo E Cepeda MD PA was paid $459K by Medicaid between Dec 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoGIRALDO E CEPEDA MD PA
FORT PIERCE, FL 34950
FORT PIERCE, FL 34950
33aNPI1538335856assigned 05/06/2008
33bProvider typePediatrics Physician
28Total paid$459K
24GClaims15,339
24DCodes billed31
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#402 of 971
Median peer was paid$238K
This provider vs. median1.9×
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 | 220 | $8K | |
| 2019 | 2,950 | $92K | |
| 2020 | 3,377 | $83K | |
| 2021 | 4,083 | $107K | |
| 2022 | 2,795 | $90K | |
| 2023 | 1,255 | $62K | |
| 2024incomplete | 659 | $17K |
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 | 27% | 3,150 | 2,804 | $125K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 2,327 | 2,262 | $84K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 813 | 810 | $82K |
| 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 | 17% | 1,523 | 1,318 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 463 | 448 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 228 | 227 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 146 | 146 | $6K |
| 99188 | 1.3% | 532 | 528 | $6K | |
| 97802 | <1% | 1,014 | 991 | $4K | |
| 99383 | <1% | 16 | 16 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 850 | 720 | $1K |
19 more codes
| 96160 | <1% | 656 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 52 | $781.44 |
| 90633 | <1% | 172 | $672.08 | |
| 90686 | <1% | 260 | $603.39 | |
| 92551 | <1% | 474 | $493.32 | |
| 90648 | <1% | 286 | $427.52 | |
| 96127 | <1% | 183 | $365.79 | |
| 90700 | <1% | 596 | $254.56 | |
| 86580 | <1% | 30 | $77.25 | |
| 90670 | <1% | 326 | $50.00 | |
| 90713 | <1% | 298 | $31.97 | |
| 90685 | <1% | 14 | $10.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 99174 | 0% | 608 | $0.00 | |
| 90680 | 0% | 79 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 99173 | 0% | 177 | $0.00 | |
| 90707 | 0% | 13 | $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 officialCEPEDA, GIRALDO (PRESIDENT)