Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › DAVENPORT › KIDSVILLE PEDIATRICS I, P.A.

KIDSVILLE PEDIATRICS I, P.A.

NPI: 1780658294 · DAVENPORT, FL 33837 · Pediatrics Physician · NPI assigned 02/14/2006

$2.92M
Total Medicaid Paid
71,365
Total Claims
65,725
Beneficiaries
47
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPANTOJA JR., VICTOR (ADMINISTRATOR)
NPI Enumeration Date02/14/2006

Related Entities

Other providers sharing the same authorized official: PANTOJA JR., VICTOR

ProviderCityStateTotal Paid
KIDSVILLE PEDIATRICS II, P.A. KISSIMMEE FL $2.58M
KIDSVILLE PEDIATRICS III, P.A. CLERMONT FL $478K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15,463 $591K
2020 12,214 $497K
2021 11,872 $498K
2022 14,069 $572K
2023 12,246 $484K
2024 5,501 $274K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,477 18,048 $1.08M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,139 3,985 $380K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,650 3,532 $369K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,811 3,539 $297K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,796 2,639 $297K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,475 1,389 $153K
90460 Immunization administration through 18 years of age via any route, first or only component 8,344 7,896 $132K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 465 405 $38K
99383 371 359 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 757 703 $28K
99384 184 180 $18K
H0049 Alcohol and/or drug screening 1,673 1,585 $17K
90670 1,244 1,139 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 121 98 $14K
99382 90 89 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,092 3,842 $9K
99381 47 40 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,381 1,285 $4K
90716 704 670 $4K
90619 175 166 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 660 322 $2K
90715 511 501 $2K
90651 1,234 1,203 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 53 50 $2K
90620 780 753 $1K
0071A 23 20 $699.10
90686 1,233 1,185 $649.48
0072A 24 17 $617.86
0012A 13 13 $440.00
94664 264 214 $392.30
0011A 13 12 $343.88
90713 1,499 1,412 $317.59
90734 869 845 $309.25
90680 601 553 $249.15
91301 29 26 $210.00
90648 1,197 1,106 $194.01
81002 1,693 1,582 $169.39
90707 710 677 $164.98
90700 2,001 1,867 $136.41
90633 660 619 $73.53
94010 317 270 $29.92
96160 270 259 $28.80
90744 336 309 $10.00
2014F 45 45 $0.00
1111F 232 203 $0.00
36416 25 25 $0.00
91307 77 48 $0.00