Physician
Pedem PLLC
Pedem PLLC was paid $1.02M by Medicaid between Dec 2018 and Jan 2021, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoPEDEM PLLC
MIAMI, FL 33176
MIAMI, FL 33176
33aNPI1598027302assigned 06/08/2012
33bProvider typePediatric Emergency Medicine (Emergency Medicine) Physician
28Total paid$1.02M
24GClaims13,651
24DCodes billed5
24AFirst – last monthDec 2018 – Jan 2021
Compared with peers
Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in Florida
Rank by total paid#5 of 11
Median peer was paid$712K
This provider vs. median1.4×
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 | 885 | $67K | |
| 2019 | 9,732 | $717K | |
| 2020 | 2,981 | $234K | |
| 2021 | 53 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 5,175 | 5,025 | $445K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 29% | 6,253 | 6,090 | $301K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 2,194 | 2,134 | $273K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 12 | 12 | $3K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 17 | 15 | $473.62 |
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 officialMENDOZA, FERNANDO (PRESIDENT)