Physician
Emerald Coast Pediatrics & Adolescents
Emerald Coast Pediatrics & Adolescents was paid $7.99M by Medicaid between Feb 2019 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoEMERALD COAST PEDIATRICS & ADOLESCENTS
PANAMA CITY, FL 32405
PANAMA CITY, FL 32405
33aNPI1790130250assigned 05/03/2016
33bProvider typePediatrics Physician
28Total paid$7.99M
24GClaims200,341
24DCodes billed68
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#29 of 971
Median peer was paid$238K
This provider vs. median34×
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 | 5,195 | $207K | |
| 2020 | 20,709 | $627K | |
| 2021 | 47,381 | $1.64M | |
| 2022 | 51,265 | $2.21M | |
| 2023 | 46,479 | $1.96M | |
| 2024incomplete | 29,312 | $1.34M |
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 | 32% | 35,863 | 30,934 | $2.56M |
| 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 | 13% | 9,196 | 8,519 | $1.00M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 7,480 | 7,329 | $848K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 7,045 | 6,832 | $698K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 14,828 | 14,409 | $659K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 10,199 | 9,626 | $354K |
| 90670 | 4.4% | 4,408 | 4,286 | $348K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 2,944 | 2,911 | $329K |
| 90677 | 2.0% | 1,121 | 1,095 | $158K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,322 | 1,308 | $154K |
| 99460 | 1.6% | 1,379 | 1,325 | $125K | |
| 90461 | 1.5% | 8,398 | 8,155 | $119K |
56 more codes
| 97803 | 1.1% | 5,595 | $84K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,383 | $76K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,319 | $62K |
| 99050 | <1% | 9,747 | $60K | |
| 99188 | <1% | 5,174 | $55K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,465 | $52K |
| 99462 | <1% | 1,731 | $39K | |
| 90698 | <1% | 1,510 | $26K | |
| 90744 | <1% | 2,518 | $25K | |
| E0570 | Nebulizer, with compressor | <1% | 175 | $24K |
| 90686 | <1% | 2,693 | $19K | |
| 97802 | <1% | 1,722 | $13K | |
| 87807 | <1% | 1,852 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 115 | $11K |
| 83655 | <1% | 1,822 | $11K | |
| 90716 | <1% | 1,905 | $8K | |
| 90473 | <1% | 2,815 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 629 | $6K |
| 69210 | <1% | 314 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 291 | $6K |
| 82247 | <1% | 1,377 | $3K | |
| 85018 | <1% | 2,415 | $3K | |
| 96127 | <1% | 1,379 | $3K | |
| 90656 | <1% | 158 | $2K | |
| 90715 | <1% | 165 | $2K | |
| 90648 | <1% | 3,341 | $2K | |
| 90700 | <1% | 4,341 | $2K | |
| 90707 | <1% | 1,861 | $2K | |
| 92587 | <1% | 164 | $2K | |
| 99384 | <1% | 12 | $2K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 367 | $2K |
| 90633 | <1% | 2,249 | $1K | |
| 90713 | <1% | 3,033 | $1K | |
| 90651 | <1% | 704 | $1K | |
| 81003 | <1% | 674 | $805.89 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 176 | $765.26 |
| 74018 | <1% | 47 | $635.46 | |
| 90680 | <1% | 3,875 | $450.00 | |
| 90380 | <1% | 19 | $380.30 | |
| 96380 | <1% | 19 | $364.21 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 371 | $265.16 |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 410 | $247.82 |
| 31720 | <1% | 18 | $223.65 | |
| 87428 | <1% | 22 | $195.19 | |
| 92567 | <1% | 25 | $192.93 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 26 | $101.61 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 117 | $80.07 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 125 | $62.05 |
| 99177 | <1% | 6,483 | $10.00 | |
| 36416 | <1% | 3,072 | $6.73 | |
| 90734 | 0% | 135 | $0.00 | |
| 99072 | 0% | 1,567 | $0.00 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 0% | 12 | $0.00 |
| 90621 | 0% | 12 | $0.00 | |
| 99174 | 0% | 534 | $0.00 | |
| 90619 | 0% | 78 | $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 officialKENAWY, EEHAB (OWNER)