Physician
Abc Pediatrics
Abc Pediatrics was paid $38K by Medicaid between Feb 2019 and Apr 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoABC PEDIATRICS
NICEVILLE, FL 32578
NICEVILLE, FL 32578
33aNPI1548286552assigned 07/14/2006
33bProvider typePediatrics Physician
28Total paid$38K
24GClaims999
24DCodes billed5
24AFirst – last monthFeb 2019 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#681 of 971
Median peer was paid$238K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 678 | $24K | |
| 2020 | 12 | $455.16 | |
| 2021 | 113 | $5K | |
| 2022 | 120 | $5K | |
| 2023 | 44 | $2K | |
| 2024incomplete | 32 | $947.70 |
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 | 54% | 530 | 475 | $21K |
| 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 | 46% | 317 | 281 | $17K |
| 90686 | <1% | 15 | 15 | $117.97 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 80 | 78 | $10.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 57 | 56 | $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 officialJOHNSON, LELA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| East Kentucky Medical Group, PSC | Pikeville, KY | $159K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.