Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERAUD PEDIATRICS LLC

NPI: 1639683857 · LAKE WALES, FL 33853 · Pediatrics Physician · NPI assigned 11/27/2017

$487K
Total Medicaid Paid
17,815
Total Claims
16,268
Beneficiaries
26
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHERAUD, DIEGO (OWNER)
NPI Enumeration Date11/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,571 $32K
2020 3,246 $75K
2021 4,524 $119K
2022 4,058 $127K
2023 3,632 $117K
2024 784 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,014 6,137 $221K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,045 1,002 $112K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 668 623 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 615 578 $23K
90472 Immunization administration, each additional vaccine (list separately) 985 933 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 198 195 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 1,952 1,865 $17K
99188 901 868 $5K
97803 464 439 $3K
90670 339 336 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 824 749 $918.48
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 174 114 $879.94
90686 264 252 $531.78
86328 84 79 $402.26
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 51 $384.15
96110 Developmental screening, with scoring and documentation, per standardized instrument 447 383 $220.09
99173 880 780 $162.41
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 26 26 $111.34
96127 26 25 $0.00
S9451 Exercise classes, non-physician provider, per session 153 149 $0.00
90723 152 149 $0.00
90680 114 111 $0.00
90716 16 14 $0.00
90648 348 344 $0.00
90633 42 40 $0.00
90707 30 26 $0.00