Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ORLANDO › KIDSVILLE PEDIATRICS VI, PA AFTER HOURS CLINIC

KIDSVILLE PEDIATRICS VI, PA AFTER HOURS CLINIC

NPI: 1750676581 · ORLANDO, FL 32825 · Pediatrics Physician · NPI assigned 06/09/2011

$21K
Total Medicaid Paid
402
Total Claims
276
Beneficiaries
2
Codes Billed
2018-02
First Month
2019-12
Last Month

Provider Details

Authorized OfficialPANTOJA, VICTOR (CFO/ADMINISTRATOR)
NPI Enumeration Date06/09/2011

Related Entities

Other providers sharing the same authorized official: PANTOJA, VICTOR

ProviderCityStateTotal Paid
FAMILY TREE MEDICAL GROUP, PA KISSIMMEE FL $548K
KIDSVILLE PEDIATRICS VII, P.A. AFTER HOURS WALK-IN CLINIC DAVENPORT FL $100K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96 $12K
2019 306 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 96 89 $12K
S9083 Global fee urgent care centers 306 187 $9K