Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Gibsonton › NPI 1578908968
Physician

Bigbend Pediatric Care, LLC

Bigbend Pediatric Care, LLC was paid $3.14M by Medicaid between Jan 2019 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoBIGBEND PEDIATRIC CARE, LLC
GIBSONTON, FL 33534
33aNPI1578908968assigned 04/30/2013
33bProvider typePediatrics Physician
28Total paid$3.14M
24GClaims172,718
24DCodes billed60
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#102 of 971
Median peer was paid$238K
This provider vs. median13×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARCIA, ROLANDO controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201930,149$520K
202031,359$539K
202132,101$596K
202227,720$556K
202328,949$505K
2024incomplete22,440$422K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 13,052 11,908 $655K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 17,969 16,015 $588K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 6,097 5,895 $503K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15% 6,388 6,255 $456K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 4,242 3,981 $340K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.2% 4,102 4,020 $289K
90460 Immunization administration through 18 years of age via any route, first or only component 2.0% 14,563 13,978 $62K
97802 1.8% 15,700 15,115 $55K
99381 1.5% 699 677 $46K
99383 1.3% 563 481 $39K
99382 <1% 220 210 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 278 267 $18K
48 more codes
99384 <1% 185 $14K
99188 <1% 4,586 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,021 $9K
81002 <1% 13,308 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,478 $6K
85018 <1% 15,627 $6K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 126 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 300 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 764 $2K
83655 <1% 1,604 $2K
99204 Doctor's office visit, new patient (more involved) <1% 14 $1K
99173 <1% 14,120 $309.82
90661 <1% 310 $276.96
90686 <1% 2,918 $163.51
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 484 $153.50
87807 <1% 135 $123.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 74 $120.00
94760 <1% 434 $117.15
99203 Doctor's office visit, new patient (routine) <1% 37 $79.61
90651 <1% 2,133 $60.00
99401 <1% 4,635 $50.00
99051 <1% 635 $37.85
90700 <1% 537 $30.01
90633 <1% 1,822 $10.03
96127 <1% 6,551 $10.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 663 $1.37
90715 <1% 781 $0.86
90670 <1% 2,146 $0.83
90660 <1% 56 $0.42
90710 <1% 1,586 $0.09
90696 <1% 743 $0.04
90648 <1% 1,176 $0.01
90671 <1% 338 $0.01
90656 <1% 52 $0.01
90734 0% 877 $0.00
90681 0% 191 $0.00
87400 0% 56 $0.00
90707 0% 33 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 47 $0.00
90723 0% 342 $0.00
90697 0% 292 $0.00
90698 0% 886 $0.00
99000 0% 1,078 $0.00
90677 0% 258 $0.00
90744 0% 223 $0.00
90680 0% 1,561 $0.00
90619 0% 581 $0.00
86769 0% 41 $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 officialGARCIA, ROLANDO (OWNER)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.