Physician
Kidsville Pediatrics I, P.A.
Kidsville Pediatrics I, P.A. was paid $2.92M by Medicaid between Jan 2019 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoKIDSVILLE PEDIATRICS I, P.A.
DAVENPORT, FL 33837
DAVENPORT, FL 33837
33aNPI1780658294assigned 02/14/2006
33bProvider typePediatrics Physician
28Total paid$2.92M
24GClaims71,365
24DCodes billed47
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#110 of 971
Median peer was paid$238K
This provider vs. median12×
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 | 15,463 | $591K | |
| 2020 | 12,214 | $497K | |
| 2021 | 11,872 | $498K | |
| 2022 | 14,069 | $572K | |
| 2023 | 12,246 | $484K | |
| 2024incomplete | 5,501 | $274K |
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 | 37% | 20,477 | 18,048 | $1.08M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 4,139 | 3,985 | $380K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 3,650 | 3,532 | $369K |
| 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 | 10% | 3,811 | 3,539 | $297K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 2,796 | 2,639 | $297K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 1,475 | 1,389 | $153K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 8,344 | 7,896 | $132K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 465 | 405 | $38K |
| 99383 | 1.2% | 371 | 359 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 757 | 703 | $28K |
| 99384 | <1% | 184 | 180 | $18K | |
| H0049 | Alcohol and/or drug screening | <1% | 1,673 | 1,585 | $17K |
35 more codes
| 90670 | <1% | 1,244 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 121 | $14K |
| 99382 | <1% | 90 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,092 | $9K |
| 99381 | <1% | 47 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,381 | $4K |
| 90716 | <1% | 704 | $4K | |
| 90619 | <1% | 175 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 660 | $2K |
| 90715 | <1% | 511 | $2K | |
| 90651 | <1% | 1,234 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 53 | $2K |
| 90620 | <1% | 780 | $1K | |
| 0071A | <1% | 23 | $699.10 | |
| 90686 | <1% | 1,233 | $649.48 | |
| 0072A | <1% | 24 | $617.86 | |
| 0012A | <1% | 13 | $440.00 | |
| 94664 | <1% | 264 | $392.30 | |
| 0011A | <1% | 13 | $343.88 | |
| 90713 | <1% | 1,499 | $317.59 | |
| 90734 | <1% | 869 | $309.25 | |
| 90680 | <1% | 601 | $249.15 | |
| 91301 | <1% | 29 | $210.00 | |
| 90648 | <1% | 1,197 | $194.01 | |
| 81002 | <1% | 1,693 | $169.39 | |
| 90707 | <1% | 710 | $164.98 | |
| 90700 | <1% | 2,001 | $136.41 | |
| 90633 | <1% | 660 | $73.53 | |
| 94010 | <1% | 317 | $29.92 | |
| 96160 | <1% | 270 | $28.80 | |
| 90744 | <1% | 336 | $10.00 | |
| 2014F | 0% | 45 | $0.00 | |
| 1111F | 0% | 232 | $0.00 | |
| 36416 | 0% | 25 | $0.00 | |
| 91307 | 0% | 77 | $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 officialPANTOJA JR., VICTOR (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Kidsville Pediatrics II, P.A. | Kissimmee, FL | $2.58M |
| Kidsville Pediatrics III, P.A. | Clermont, FL | $478K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.