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.
GIBSONTON, FL 33534
Next to other Pediatrics Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 30,149 | $520K | |
| 2020 | 31,359 | $539K | |
| 2021 | 32,101 | $596K | |
| 2022 | 27,720 | $556K | |
| 2023 | 28,949 | $505K | |
| 2024incomplete | 22,440 | $422K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Birch Tree Communities, INC | Benton, AR | $8.98M |
| Birch Tree Communities INC | Conway, AR | $7.84M |
| Birch Tree Communities, INC | Malvern, AR | $6.93M |
| Renacer Adult Day Care LLC | Miami, FL | $4.23M |
| Birch Tree Communities, INC | Russellville, AR | $3.56M |
| Birch Tree Communities, INC | Benton, AR | $3.55M |
| Birch Tree Communities, INC | Clarksville, AR | $2.46M |
| Birch Tree Communities, INC | Mountain View, AR | $2.38M |
| Birch Tree Communities, INC | Clarksville, AR | $1.99M |
| Birch Tree Communities, INC | Clinton, AR | $1.10M |
| Birch Tree Communities, INC | Newport, AR | $1.02M |
| Happy Face Adult Day Care LLC | Miami, FL | $781K |
| Tampa Bay Medical Center, LLC | Tampa, FL | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.