Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pedrosa, Evelyn

Pedrosa, Evelyn was paid $304K by Medicaid between Jan 2019 and Sep 2021, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.

33Billing provider infoPEDROSA, EVELYN
ORLANDO, FL 32806
33aNPI1801998216assigned 09/05/2006
33bProvider typePediatrics Physician
28Total paid$304K
24GClaims9,816
24DCodes billed25
24AFirst – last monthJan 2019 – Sep 2021
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#453 of 971
Median peer was paid$238K
This provider vs. median1.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20193,729$115K
20203,231$99K
20212,856$90K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 971 928 $61K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 1,507 1,405 $57K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18% 526 499 $54K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18% 645 631 $54K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12% 436 429 $37K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.2% 210 206 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.0% 500 482 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 1,402 1,346 $3K
99441 <1% 47 42 $426.67
S9451 Exercise classes, non-physician provider, per session <1% 1,447 1,425 $325.04
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 246 181 $23.96
94667 <1% 206 180 $17.27
13 more codes
90651 0% 67 $0.00
96127 0% 81 $0.00
90686 0% 92 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 186 $0.00
90680 0% 37 $0.00
90633 0% 29 $0.00
90461 0% 751 $0.00
90670 0% 172 $0.00
99188 0% 126 $0.00
90648 0% 42 $0.00
99072 0% 62 $0.00
90700 0% 15 $0.00
90734 0% 13 $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.