Medicaid Provider Spending

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

KIDS' CORNER PEDIATRICS

NPI: 1720603129 · BRANDON, FL 33511 · Pediatrics Physician · NPI assigned 06/11/2020

$497K
Total Medicaid Paid
13,237
Total Claims
11,743
Beneficiaries
32
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRIVERA, EVER (OWNER)
NPI Enumeration Date06/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 979 $29K
2022 3,299 $141K
2023 4,767 $179K
2024 4,192 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,655 2,284 $180K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,152 998 $111K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 713 664 $71K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 545 489 $48K
90460 Immunization administration through 18 years of age via any route, first or only component 1,747 1,574 $42K
90461 449 426 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 131 117 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,156 1,069 $6K
97802 355 336 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 274 253 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 348 298 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 14 $2K
83655 141 134 $1K
99188 65 57 $941.59
90670 354 294 $783.18
96127 567 495 $642.46
90656 139 139 $341.09
96161 58 50 $278.41
85018 130 120 $198.10
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $117.54
90723 161 138 $116.88
90633 109 91 $69.70
90474 13 12 $48.00
90648 414 355 $44.01
90686 476 433 $40.83
96160 14 12 $15.00
90677 92 90 $10.00
92551 426 352 $9.13
99173 441 372 $0.00
90681 13 12 $0.00
S9451 Exercise classes, non-physician provider, per session 54 41 $0.00
90651 16 12 $0.00