Physician
Atlantic Coast Pediatrics, M.D. P.A.
Atlantic Coast Pediatrics, M.D. P.A. was paid $1.04M by Medicaid between Jan 2019 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoATLANTIC COAST PEDIATRICS, M.D. P.A.
MERRITT ISLAND, FL 32953
MERRITT ISLAND, FL 32953
33aNPI1609825694assigned 05/08/2006
33bProvider typePediatrics Physician
28Total paid$1.04M
24GClaims23,851
24DCodes billed29
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#260 of 971
Median peer was paid$238K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2019 | 4,086 | $163K | |
| 2020 | 4,058 | $139K | |
| 2021 | 4,203 | $192K | |
| 2022 | 4,671 | $232K | |
| 2023 | 4,754 | $222K | |
| 2024incomplete | 2,079 | $91K |
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 | 38% | 4,774 | 4,340 | $395K |
| 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 | 11% | 1,575 | 1,490 | $110K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 757 | 754 | $80K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.1% | 2,251 | 2,232 | $74K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 704 | 702 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 497 | 493 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 570 | 555 | $53K |
| 92552 | 4.4% | 1,866 | 1,813 | $45K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 943 | 895 | $41K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 3,603 | 3,385 | $29K |
| 97802 | 1.4% | 1,890 | 1,824 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 89 | 85 | $14K |
17 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 508 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 278 | $11K |
| 90461 | <1% | 337 | $10K | |
| 90688 | <1% | 323 | $8K | |
| 99050 | <1% | 84 | $4K | |
| 92570 | <1% | 48 | $3K | |
| 99188 | <1% | 196 | $2K | |
| 96127 | <1% | 338 | $2K | |
| 96160 | <1% | 200 | $905.57 | |
| 90670 | <1% | 29 | $449.11 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $430.12 |
| 90687 | <1% | 26 | $284.31 | |
| 90734 | <1% | 13 | $99.14 | |
| 90671 | <1% | 78 | $20.00 | |
| 90686 | 0% | 44 | $0.00 | |
| 99173 | 0% | 1,804 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 12 | $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 officialGONZALEZ, LUIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lonestar Emt, LLC | Eagle Pass, TX | $234K |
| Gonzalez Medical Offices, LLP | Silver Spring, MD | $124K |
| Altba,p.A. | Harlingen, TX | $6K |
| Lux Medical Health Center INC | Hollywood, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.