Medicaid Provider Spending

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

DAVENPORT PEDIATRICS CLERMONT, P.A.

NPI: 1700021508 · CLERMONT, FL 34714 · Pediatric Adolescent Medicine Physician · NPI assigned 12/08/2008

$1.85M
Total Medicaid Paid
53,681
Total Claims
50,065
Beneficiaries
43
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKHAN, JAMIL (PHYSICIAN)
NPI Enumeration Date12/08/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 7,308 $164K
2020 9,442 $313K
2021 10,446 $444K
2022 12,334 $483K
2023 10,064 $352K
2024 4,087 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,685 7,580 $650K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,629 1,595 $224K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,859 1,798 $212K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,551 1,495 $186K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 986 952 $138K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 946 887 $105K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,033 1,912 $97K
97802 7,567 7,100 $88K
90460 Immunization administration through 18 years of age via any route, first or only component 4,018 3,872 $68K
90461 1,909 1,847 $30K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 774 742 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 423 419 $8K
99188 836 818 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 693 669 $5K
85018 3,033 2,955 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 90 84 $3K
94761 185 172 $2K
96127 708 661 $2K
94760 801 691 $1K
90677 30 30 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $1K
90697 152 140 $1K
90670 732 714 $751.12
S9451 Exercise classes, non-physician provider, per session 5,199 4,680 $554.06
90710 244 233 $448.99
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 24 24 $424.65
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,167 1,066 $361.02
81003 143 137 $223.54
90734 387 378 $203.03
87807 32 28 $155.70
90686 613 600 $151.09
99177 4,200 3,814 $100.00
90651 465 450 $89.51
90696 13 13 $56.18
90647 391 385 $51.01
90715 138 129 $48.01
90633 267 262 $27.00
90687 78 75 $24.01
90621 187 182 $0.00
90680 240 226 $0.00
90723 185 184 $0.00
90688 38 37 $0.00
86580 17 17 $0.00