Physician
VMD Pediatrics, LLC
VMD Pediatrics, LLC was paid $724K by Medicaid between Dec 2018 and Aug 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoVMD PEDIATRICS, LLC
MIAMI, FL 33133
MIAMI, FL 33133
33aNPI1770831711assigned 08/23/2012
33bProvider typePediatrics Physician
28Total paid$724K
24GClaims23,615
24DCodes billed30
24AFirst – last monthDec 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#319 of 971
Median peer was paid$238K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 193 | $6K | |
| 2019 | 5,126 | $175K | |
| 2020 | 1,879 | $67K | |
| 2021 | 4,962 | $169K | |
| 2022 | 6,386 | $132K | |
| 2023 | 4,587 | $155K | |
| 2024incomplete | 482 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 10,456 | 9,284 | $414K |
| 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 | 38% | 5,117 | 4,266 | $275K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 203 | 175 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 54 | 54 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,049 | 1,780 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 77 | 64 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | 12 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 162 | 136 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 613 | 578 | $957.68 |
| 99058 | <1% | 682 | 613 | $818.06 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 231 | 225 | $672.97 |
| 90686 | <1% | 172 | 172 | $559.79 |
18 more codes
| 92552 | <1% | 284 | $536.52 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 685 | $417.06 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $378.95 |
| 99174 | <1% | 225 | $280.91 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 168 | $220.60 |
| 85027 | <1% | 308 | $199.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 455 | $130.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 937 | $82.08 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 55 | $63.28 |
| 99173 | <1% | 79 | $6.10 | |
| 99000 | <1% | 164 | $5.74 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 101 | $0.00 |
| 96160 | 0% | 36 | $0.00 | |
| 90461 | 0% | 146 | $0.00 | |
| 90700 | 0% | 57 | $0.00 | |
| 81003 | 0% | 16 | $0.00 | |
| 87428 | 0% | 46 | $0.00 | |
| 92567 | 0% | 12 | $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 officialLEON, FRANCISCO (EXECUTIVE DIRECTOR)
Parent organizationVITALMD GROUP HOLDING, LLC
| Provider | Location | Paid |
|---|---|---|
| Vitalmd Group Holding LLC | Miami, FL | $747K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.