Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HARBOUR ISLAND PEDIATRICS

NPI: 1790086429 · ST AUGUSTINE, FL 32080 · Pediatrics Physician · NPI assigned 11/11/2010

$2.58M
Total Medicaid Paid
61,265
Total Claims
57,948
Beneficiaries
43
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSICANGCO, HOMERO (PRESIDENT)
NPI Enumeration Date11/11/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 9,650 $287K
2020 10,851 $281K
2021 12,364 $375K
2022 12,022 $710K
2023 10,461 $583K
2024 5,917 $344K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,814 17,973 $1.12M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,371 3,350 $294K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,990 2,828 $251K
90460 Immunization administration through 18 years of age via any route, first or only component 7,947 7,756 $209K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,550 2,429 $202K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,033 1,958 $179K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,119 1,110 $102K
90461 2,954 2,893 $69K
92552 2,198 2,157 $41K
3008F 1,916 1,853 $38K
99188 1,424 1,399 $26K
83655 968 957 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 893 641 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 818 793 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 360 330 $3K
99381 45 40 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,114 1,076 $3K
90680 222 219 $3K
92567 327 327 $2K
90716 344 336 $2K
87807 169 164 $1K
90686 496 483 $1K
85018 1,119 1,109 $1K
87428 33 33 $757.12
90698 508 500 $750.94
81002 972 950 $492.02
90633 404 381 $279.44
90670 893 880 $259.75
90707 326 319 $190.92
90744 79 77 $158.28
90715 75 75 $60.00
90734 92 90 $60.00
90696 30 29 $49.35
99173 1,530 1,447 $20.24
90651 244 242 $20.00
90671 119 116 $20.00
90681 26 26 $20.00
90656 12 12 $10.00
96160 18 16 $10.00
36416 283 251 $0.00
90619 14 14 $0.00
90674 15 15 $0.00
G9919 Screening performed and positive and provision of recommendations 401 294 $0.00