Physician
Oceans Pediatrics, INC.
Oceans Pediatrics, INC. was paid $2.24M by Medicaid between Dec 2018 and Nov 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoOCEANS PEDIATRICS, INC.
LOXAHATCHEE, FL 33470
LOXAHATCHEE, FL 33470
33aNPI1538446752assigned 11/16/2011
33bProvider typePediatrics Physician
28Total paid$2.24M
24GClaims45,061
24DCodes billed44
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#147 of 971
Median peer was paid$238K
This provider vs. median9.4×
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 | 545 | $33K | |
| 2019 | 6,138 | $330K | |
| 2020 | 6,327 | $255K | |
| 2021 | 5,623 | $346K | |
| 2022 | 10,975 | $577K | |
| 2023 | 9,994 | $572K | |
| 2024incomplete | 5,459 | $124K |
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 | 40% | 8,882 | 7,846 | $901K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 7,217 | 6,663 | $502K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,202 | 2,146 | $263K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,646 | 2,259 | $240K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 5,020 | 4,760 | $101K |
| 90461 | 4.0% | 2,374 | 2,274 | $89K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.5% | 395 | 389 | $78K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 407 | 403 | $35K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 38 | 37 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 825 | 753 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 158 | 158 | $3K |
| 96160 | <1% | 2,889 | 2,681 | $2K |
32 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 744 | $2K |
| 90686 | <1% | 1,269 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $1K |
| 99460 | <1% | 13 | $833.35 | |
| 90677 | <1% | 94 | $709.56 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 249 | $688.35 |
| 81003 | <1% | 998 | $654.97 | |
| 87807 | <1% | 50 | $374.67 | |
| 96127 | <1% | 639 | $343.44 | |
| 83655 | <1% | 40 | $250.24 | |
| 96161 | <1% | 322 | $148.30 | |
| 99188 | <1% | 76 | $142.36 | |
| 99177 | <1% | 2,282 | $54.35 | |
| 85018 | <1% | 25 | $36.61 | |
| 92551 | <1% | 231 | $24.50 | |
| 90656 | <1% | 104 | $18.13 | |
| 90670 | 0% | 513 | $0.00 | |
| 90707 | 0% | 24 | $0.00 | |
| 90633 | 0% | 29 | $0.00 | |
| 90685 | 0% | 16 | $0.00 | |
| 97802 | 0% | 1,842 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,823 | $0.00 |
| 90680 | 0% | 177 | $0.00 | |
| 90697 | 0% | 127 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 35 | $0.00 |
| 91307 | 0% | 17 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 36416 | 0% | 112 | $0.00 | |
| 90674 | 0% | 30 | $0.00 | |
| 90698 | 0% | 59 | $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 officialFRITZ, KAREN (PRACTICE ADMINISTRATOR)