Physician
Navarre Pediatrics PL
Navarre Pediatrics PL was paid $543K by Medicaid between Feb 2019 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoNAVARRE PEDIATRICS PL
NAVARRE, FL 32566
NAVARRE, FL 32566
33aNPI1679509194assigned 06/25/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$543K
24GClaims19,238
24DCodes billed13
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Florida
Rank by total paid#20 of 56
Median peer was paid$221K
This provider vs. median2.5×
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 | 2,842 | $100K | |
| 2020 | 2,031 | $59K | |
| 2021 | 2,722 | $101K | |
| 2022 | 3,807 | $120K | |
| 2023 | 4,814 | $76K | |
| 2024incomplete | 3,022 | $87K |
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 | 33% | 4,045 | 3,797 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 4,001 | 3,799 | $134K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 3,581 | 3,493 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 750 | 735 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 755 | 744 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 414 | 409 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 225 | 221 | $17K |
| 85018 | 1.8% | 2,736 | 2,700 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 857 | 808 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 311 | 286 | $1K |
| 99442 | <1% | 21 | 15 | $369.75 | |
| 96127 | <1% | 1,526 | 1,448 | $35.00 |
1 more codes
| 90686 | 0% | 16 | $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 officialELGOWENI, HEBA (PROVIDER)