Physician
De LA Vega Pediatrics, Corp.
De LA Vega Pediatrics, Corp. was paid $348K by Medicaid between Jun 2019 and Nov 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoDE LA VEGA PEDIATRICS, CORP.
FORT MYERS, FL 33907
FORT MYERS, FL 33907
33aNPI1790066983assigned 09/01/2011
33bProvider typePediatrics Physician
28Total paid$348K
24GClaims9,460
24DCodes billed23
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#438 of 971
Median peer was paid$238K
This provider vs. median1.5×
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 | 357 | $15K | |
| 2020 | 1,169 | $41K | |
| 2021 | 958 | $27K | |
| 2022 | 1,895 | $65K | |
| 2023 | 1,762 | $58K | |
| 2024incomplete | 3,319 | $143K |
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 | 67% | 5,294 | 4,406 | $233K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 461 | 430 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 186 | 184 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 794 | 717 | $19K |
| 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 | 5.2% | 141 | 141 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 67 | 64 | $6K |
| 92552 | 1.1% | 581 | 560 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 151 | 147 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | 41 | $3K |
| 81003 | <1% | 733 | 700 | $531.27 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | 78 | $294.24 |
| 99442 | <1% | 15 | 15 | $291.75 |
11 more codes
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 officialDE LA VEGA, TATIANA (OFFICE MANAGER)