Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NIEBLES AND SAMTER MDS P.A

NPI: 1568500635 · TAMPA, FL 33612 · Pediatrics Physician · NPI assigned 02/02/2007

$2.43M
Total Medicaid Paid
85,697
Total Claims
82,281
Beneficiaries
56
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIEBLES, JACQUELINE (PRESIDENT)
NPI Enumeration Date02/02/2007

Related Entities

Other providers sharing the same authorized official: NIEBLES, JACQUELINE

ProviderCityStateTotal Paid
THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC TAMPA FL $680K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17,208 $452K
2020 14,051 $420K
2021 15,234 $451K
2022 16,875 $512K
2023 15,858 $420K
2024 6,471 $172K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,592 8,982 $644K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,427 3,364 $386K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,240 3,171 $366K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,001 7,466 $282K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,146 2,116 $253K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,997 1,902 $203K
97802 7,308 7,167 $61K
90460 Immunization administration through 18 years of age via any route, first or only component 6,944 6,791 $53K
92283 7,132 6,990 $48K
99188 3,113 3,041 $17K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,142 1,067 $14K
90670 1,760 1,730 $13K
99381 146 142 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,037 978 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 220 220 $7K
99050 1,055 1,022 $5K
90700 317 309 $4K
90698 215 212 $4K
99383 31 31 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 850 815 $4K
87807 366 355 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 730 652 $4K
90723 875 856 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 27 26 $3K
90686 824 811 $3K
90734 924 917 $2K
90633 1,060 1,038 $2K
85018 1,711 1,667 $2K
90707 446 433 $2K
94664 612 548 $2K
90744 131 124 $2K
90651 932 923 $2K
90715 383 380 $2K
85014 1,611 1,565 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 8,436 7,930 $1K
99051 437 433 $818.01
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 564 503 $675.62
90648 295 284 $578.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 147 101 $559.66
90716 429 414 $316.41
96110 Developmental screening, with scoring and documentation, per standardized instrument 44 44 $269.10
90696 227 225 $251.12
92551 1,253 1,211 $193.50
81002 151 145 $166.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg 44 30 $158.15
90620 64 63 $136.24
90647 753 742 $102.66
90713 75 69 $49.15
90685 18 18 $28.87
94760 657 576 $4.94
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 710 606 $2.64
G8510 Screening for depression is documented as negative, a follow-up plan is not required 101 98 $0.00
96127 400 396 $0.00
99000 12 12 $0.00
90710 246 246 $0.00
90681 329 324 $0.00