Physician
Community Care Pediatrics PA
Community Care Pediatrics PA was paid $613K by Medicaid between Feb 2019 and Nov 2020, across 34 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 27% of everything it billed.
33Billing provider infoCOMMUNITY CARE PEDIATRICS PA
SAINT AUGUSTINE, FL 32086
SAINT AUGUSTINE, FL 32086
33aNPI1639437569assigned 04/28/2012
33bProvider typePediatrics Physician
28Total paid$613K
24GClaims16,637
24DCodes billed34
24AFirst – last monthFeb 2019 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#347 of 971
Median peer was paid$238K
This provider vs. median2.6×
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 | 9,335 | $347K | |
| 2020 | 7,302 | $266K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 27% | 1,593 | 1,537 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 1,380 | 1,362 | $136K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,016 | 2,781 | $105K |
| 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 | 17% | 2,058 | 1,919 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 577 | 546 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 196 | 193 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 1,638 | 1,609 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 2,366 | 2,331 | $11K |
| 99460 | 1.7% | 108 | 107 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 144 | 140 | $2K |
| 54160 | <1% | 13 | 12 | $2K | |
| 99381 | <1% | 14 | 14 | $1K |
22 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $784.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 41 | $238.32 |
| 90670 | <1% | 806 | $72.00 | |
| 99462 | <1% | 16 | $62.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $19.84 |
| 90633 | 0% | 308 | $0.00 | |
| 90648 | 0% | 531 | $0.00 | |
| 90707 | 0% | 102 | $0.00 | |
| 90700 | 0% | 116 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90734 | 0% | 33 | $0.00 | |
| 90685 | 0% | 21 | $0.00 | |
| 90649 | 0% | 39 | $0.00 | |
| 90680 | 0% | 544 | $0.00 | |
| 90698 | 0% | 113 | $0.00 | |
| 97802 | 0% | 222 | $0.00 | |
| 90723 | 0% | 394 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 72 | $0.00 |
| 90686 | 0% | 76 | $0.00 | |
| 90744 | 0% | 19 | $0.00 | |
| 90716 | 0% | 28 | $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 officialANDERSON, LUIS (MD/PRESIDENT/OWNER)