Pediatric Gastroenterology Hepatology & Nutrition of FL P a

Pediatric Gastroenterology Hepatology & Nutrition of FL P a was paid $14.83M by Medicaid between Apr 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoPEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION OF FL P A
ST PETERSBURG, FL 33701

33aNPI1780787382assigned 09/07/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$14.83M

24GClaims141,158

24DCodes billed19

24AFirst – last monthApr 2018 – Dec 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Florida

Rank by total paid#1 of 26

Median peer was paid$141K

This provider vs. median105×

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	111	$10K
2019	27,333	$3.22M
2020	23,023	$2.63M
2021	26,192	$2.94M
2022	29,135	$2.89M
2023	26,071	$2.43M
2024incomplete	9,293	$723K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	50%	76,631	65,937	$7.40M
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	17%	15,687	15,346	$2.59M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	16%	21,770	7,441	$2.31M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.0%	14,306	13,739	$1.18M
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	3.4%	4,422	4,290	$508K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.9%	3,976	1,587	$283K
99244	Office or other outpatient consultation, moderate to high complexity	1.0%	982	949	$153K
99223	Prolong inpt eval add15 m	<1%	782	768	$141K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	741	658	$94K
99222	Initial hospital care, per day, moderate complexity	<1%	482	442	$75K
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%	436	433	$50K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	329	161	$13K

7 more codes

43247		<1%	40	$7K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	30	$7K
92526		<1%	434	$5K
99254		<1%	13	$4K
43762		<1%	13	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	71	$3K
99205	Prolong outpt/office vis	<1%	13	$2K

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 officialMCCLENATHAN, MD, DANIEL (OWNER)