Physician
Pediatric Pulmonology Group of South Florida, LLC
Pediatric Pulmonology Group of South Florida, LLC was paid $827K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoPEDIATRIC PULMONOLOGY GROUP OF SOUTH FLORIDA, LLC
MIAMI, FL 33155
MIAMI, FL 33155
33aNPI1629272828assigned 06/12/2007
33bProvider typePediatric Pulmonology Physician
28Total paid$827K
24GClaims7,253
24DCodes billed10
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Florida
Rank by total paid#5 of 14
Median peer was paid$346K
This provider vs. median2.4×
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 | 279 | $24K | |
| 2019 | 3,848 | $465K | |
| 2020 | 2,488 | $257K | |
| 2021 | 638 | $81K |
Box 24 · Service lines
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 | 69% | 5,270 | 5,129 | $571K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 18% | 759 | 729 | $148K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 328 | 302 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 537 | 485 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 117 | 87 | $8K |
| 99236 | Prolong inpt eval add15 m | <1% | 35 | 25 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 30 | 30 | $5K |
| 99254 | <1% | 25 | 25 | $5K | |
| 94060 | <1% | 42 | 42 | $744.75 | |
| 94010 | <1% | 110 | 108 | $503.96 |
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 officialSIMPSER, MOISES (PRESIDENT)