Physician
Pediatric Care Group, PA
Pediatric Care Group, PA was paid $4.61M by Medicaid between Jan 2019 and Apr 2023, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPEDIATRIC CARE GROUP, PA
ORLANDO, FL 32822
ORLANDO, FL 32822
33aNPI1740242593assigned 04/05/2006
33bProvider typePediatrics Physician
28Total paid$4.61M
24GClaims114,476
24DCodes billed48
24AFirst – last monthJan 2019 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#77 of 971
Median peer was paid$238K
This provider vs. median19×
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 | 19,190 | $1.03M | |
| 2020 | 23,750 | $1.00M | |
| 2021 | 28,736 | $961K | |
| 2022 | 31,957 | $1.21M | |
| 2023 | 10,843 | $406K |
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 | 41% | 17,089 | 14,347 | $1.87M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 9,867 | 8,547 | $814K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,162 | 4,016 | $533K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 3,525 | 3,471 | $400K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 3,380 | 3,025 | $340K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 1,773 | 1,731 | $217K |
| 90461 | 4.0% | 4,304 | 4,076 | $186K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 8,972 | 8,249 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 415 | 385 | $63K |
| 90670 | <1% | 2,220 | 2,089 | $19K | |
| 90723 | <1% | 1,439 | 1,362 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,520 | 5,839 | $8K |
36 more codes
| 87428 | <1% | 887 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $6K |
| 99381 | <1% | 118 | $6K | |
| 90686 | <1% | 1,698 | $5K | |
| 90620 | <1% | 1,284 | $5K | |
| 99051 | <1% | 1,742 | $4K | |
| 99188 | <1% | 1,031 | $4K | |
| 99384 | <1% | 26 | $4K | |
| 99383 | <1% | 26 | $4K | |
| 92552 | <1% | 6,557 | $4K | |
| 90633 | <1% | 955 | $2K | |
| 90647 | <1% | 2,155 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,556 | $2K |
| 90651 | <1% | 371 | $2K | |
| 87807 | <1% | 821 | $2K | |
| 90716 | <1% | 716 | $2K | |
| 90734 | <1% | 248 | $1K | |
| 99382 | <1% | 13 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,889 | $1K |
| 99050 | <1% | 413 | $952.70 | |
| 83655 | <1% | 286 | $923.45 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,317 | $876.66 |
| 97802 | <1% | 6,876 | $433.80 | |
| 99072 | <1% | 4,094 | $382.02 | |
| 90681 | <1% | 483 | $320.05 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 901 | $294.42 |
| 85018 | <1% | 261 | $275.21 | |
| 96127 | <1% | 964 | $255.92 | |
| 90707 | <1% | 698 | $166.12 | |
| 99177 | <1% | 5,572 | $134.91 | |
| 96160 | <1% | 957 | $119.59 | |
| 90680 | <1% | 12 | $48.02 | |
| 99174 | 0% | 684 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90700 | 0% | 102 | $0.00 | |
| 90715 | 0% | 41 | $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 officialSILVA, MIGUEL (PRESIDENT/PHYSICIAN)