Physician
Ira Fialko DO PA
Ira Fialko DO PA was paid $1.59M by Medicaid between Feb 2019 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoIRA FIALKO DO PA
CRYSTAL RIVER, FL 34429
CRYSTAL RIVER, FL 34429
33aNPI1770865917assigned 09/14/2011
33bProvider typePediatrics Physician
28Total paid$1.59M
24GClaims61,630
24DCodes billed57
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#200 of 971
Median peer was paid$238K
This provider vs. median6.7×
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 | 10,477 | $299K | |
| 2020 | 11,241 | $295K | |
| 2021 | 12,425 | $338K | |
| 2022 | 11,947 | $338K | |
| 2023 | 10,175 | $241K | |
| 2024incomplete | 5,365 | $75K |
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 | 40% | 18,335 | 16,228 | $638K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 3,005 | 2,850 | $254K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,080 | 2,025 | $190K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 1,985 | 1,926 | $154K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 1,136 | 1,107 | $91K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 3,043 | 2,848 | $85K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 7,151 | 6,845 | $57K |
| 90670 | 1.7% | 1,301 | 1,246 | $27K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 336 | 328 | $25K |
| 99381 | 1.4% | 316 | 258 | $22K | |
| 99188 | <1% | 1,400 | 1,342 | $9K | |
| 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 | <1% | 116 | 109 | $6K |
45 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,323 | $6K |
| 99383 | <1% | 51 | $4K | |
| 90710 | <1% | 779 | $2K | |
| 90715 | <1% | 190 | $2K | |
| 90686 | <1% | 887 | $2K | |
| 90633 | <1% | 1,241 | $2K | |
| 90671 | <1% | 112 | $1K | |
| 90461 | <1% | 3,866 | $1K | |
| 90744 | <1% | 369 | $1K | |
| 0071A | <1% | 39 | $1K | |
| 0072A | <1% | 54 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 99384 | <1% | 17 | $965.12 | |
| 0001A | <1% | 31 | $890.00 | |
| 0002A | <1% | 17 | $560.00 | |
| 90651 | <1% | 409 | $510.00 | |
| 97802 | <1% | 553 | $450.00 | |
| 90698 | <1% | 729 | $417.74 | |
| 81002 | <1% | 314 | $390.32 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 48 | $375.51 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $249.12 |
| 90697 | <1% | 12 | $238.58 | |
| 90696 | <1% | 195 | $116.18 | |
| 90656 | <1% | 55 | $110.00 | |
| 90647 | <1% | 44 | $104.92 | |
| 90658 | <1% | 88 | $100.00 | |
| 90680 | <1% | 646 | $82.89 | |
| 85018 | <1% | 163 | $82.62 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 329 | $77.30 |
| 84703 | <1% | 13 | $66.03 | |
| 90734 | <1% | 245 | $30.00 | |
| 36416 | <1% | 52 | $30.00 | |
| 90657 | <1% | 36 | $20.00 | |
| 92551 | <1% | 4,308 | $5.63 | |
| 81025 | <1% | 16 | $5.26 | |
| 90700 | <1% | 100 | $1.00 | |
| 90713 | <1% | 16 | $1.00 | |
| 99173 | 0% | 2,530 | $0.00 | |
| 99072 | 0% | 401 | $0.00 | |
| 90707 | 0% | 36 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 570 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 306 | $0.00 |
| 91307 | 0% | 134 | $0.00 | |
| 90716 | 0% | 56 | $0.00 | |
| 99000 | 0% | 16 | $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 officialEUNUS, SHAHAB (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Premier Pediatrics LLC | Ocala, FL | $10.60M |
| Kids Health Alliance PA | Ocala, FL | $5.20M |
| Englewood Pediatrics, P.A. | Englewood, FL | $569K |
| Premier Pediatrics LLC | Dunnellon, FL | $345K |
| Premier Pediatrics | Ocala, FL | $309K |
| Premier Pediatrics LLC | Silver Springs, FL | $268K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.