Physician
Altamonte Pediatric Associates
Altamonte Pediatric Associates was paid $6.76M by Medicaid between Jan 2018 and Jan 2023, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoALTAMONTE PEDIATRIC ASSOCIATES
ALTAMONTE SPRINGS, FL 32701
ALTAMONTE SPRINGS, FL 32701
33aNPI1669432134assigned 03/27/2006
33bProvider typePediatrics Physician
28Total paid$6.76M
24GClaims198,075
24DCodes billed58
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#45 of 971
Median peer was paid$238K
This provider vs. median28×
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 | 4,600 | $234K | |
| 2019 | 95,421 | $3.11M | |
| 2020 | 87,999 | $2.97M | |
| 2021 | 9,972 | $454K | |
| 2023 | 83 | $0.00 |
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 | 31% | 26,968 | 24,791 | $2.12M |
| 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 | 21% | 13,088 | 12,225 | $1.42M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,191 | 5,841 | $759K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 6,011 | 5,701 | $741K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.4% | 4,727 | 4,485 | $499K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 3,936 | 3,838 | $427K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 2,424 | 2,344 | $260K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 717 | 680 | $101K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 14,709 | 13,926 | $91K |
| 99460 | 1.3% | 705 | 609 | $85K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 9,637 | 9,125 | $62K |
| 99490 | Ccm add 20min | <1% | 797 | 786 | $31K |
46 more codes
| 99463 | <1% | 288 | $27K | |
| 99188 | <1% | 4,778 | $26K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 730 | $14K |
| 99051 | <1% | 3,939 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,751 | $7K |
| 97802 | <1% | 10,360 | $7K | |
| 99381 | <1% | 65 | $6K | |
| 90688 | <1% | 2,488 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,545 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 186 | $6K |
| 90700 | <1% | 4,943 | $5K | |
| 85014 | <1% | 11,829 | $4K | |
| 92567 | <1% | 1,716 | $4K | |
| 90686 | <1% | 790 | $4K | |
| 82465 | <1% | 5,296 | $4K | |
| 94010 | <1% | 892 | $3K | |
| 90716 | <1% | 1,478 | $3K | |
| 69210 | <1% | 366 | $3K | |
| 90687 | <1% | 1,081 | $3K | |
| 81000 | <1% | 5,172 | $2K | |
| 83655 | <1% | 1,549 | $2K | |
| 99401 | <1% | 5,972 | $2K | |
| 90744 | <1% | 1,924 | $2K | |
| 99050 | <1% | 141 | $1K | |
| 94664 | <1% | 393 | $1K | |
| 90651 | <1% | 806 | $1K | |
| 90707 | <1% | 1,187 | $860.48 | |
| 90633 | <1% | 1,931 | $827.80 | |
| 90670 | <1% | 3,890 | $793.65 | |
| 90648 | <1% | 3,885 | $779.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 172 | $443.94 |
| 87081 | <1% | 2,833 | $285.25 | |
| 90713 | <1% | 3,813 | $279.57 | |
| 96127 | <1% | 2,905 | $262.80 | |
| 92552 | <1% | 25 | $210.49 | |
| 90715 | <1% | 187 | $192.02 | |
| 90734 | <1% | 561 | $146.03 | |
| 90680 | <1% | 2,502 | $36.01 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 99 | $23.56 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 12,120 | $15.00 |
| 36416 | 0% | 78 | $0.00 | |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | 0% | 30 | $0.00 |
| 94760 | 0% | 327 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 37 | $0.00 |
| 92551 | 0% | 83 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 22 | $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 officialSOVEN, WAYNE (VICE PRESIDENT)