Physician
Gold Star Pediatrics PA
Gold Star Pediatrics PA was paid $344K by Medicaid between Jan 2023 and Dec 2024, across 38 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 30% of everything it billed.
33Billing provider infoGOLD STAR PEDIATRICS PA
NORTH PORT, FL 34288
NORTH PORT, FL 34288
33aNPI1669129342assigned 03/03/2022
33bProvider typePediatrics Physician
28Total paid$344K
24GClaims13,712
24DCodes billed38
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#440 of 971
Median peer was paid$238K
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 | |
|---|---|---|---|
| 2023 | 7,918 | $196K | |
| 2024incomplete | 5,794 | $148K |
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) | 30% | 1,506 | 1,206 | $104K |
| 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% | 789 | 687 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 1,053 | 894 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.0% | 2,029 | 1,562 | $28K |
| 97802 | 7.7% | 1,276 | 1,072 | $26K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.1% | 379 | 338 | $21K |
| 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 | 4.3% | 144 | 140 | $15K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 121 | 95 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 146 | 144 | $11K |
| 99381 | 3.1% | 183 | 162 | $11K | |
| 92587 | 2.3% | 694 | 639 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 215 | 203 | $7K |
26 more codes
| 99460 | 1.6% | 108 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 95 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.2% | 60 | $4K |
| 90670 | 1.1% | 59 | $4K | |
| 99188 | <1% | 258 | $3K | |
| 99401 | <1% | 305 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 411 | $2K |
| 87428 | <1% | 47 | $1K | |
| 99383 | <1% | 14 | $952.27 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40 | $831.85 |
| 99382 | <1% | 13 | $691.41 | |
| 82247 | <1% | 232 | $338.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | $253.01 |
| 81003 | <1% | 77 | $117.32 | |
| 87420 | <1% | 19 | $107.66 | |
| 88720 | <1% | 205 | $52.36 | |
| 85018 | <1% | 26 | $30.47 | |
| 96160 | <1% | 26 | $2.76 | |
| 99177 | 0% | 1,149 | $0.00 | |
| 90680 | 0% | 68 | $0.00 | |
| 96161 | 0% | 1,021 | $0.00 | |
| 36416 | 0% | 79 | $0.00 | |
| 90677 | 0% | 41 | $0.00 | |
| 90697 | 0% | 123 | $0.00 | |
| 96127 | 0% | 626 | $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 officialPATEL, JIGNESH (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.