Physician
Pediatric Medicine Associates Group INC.
Pediatric Medicine Associates Group INC. was paid $1.84M by Medicaid between Apr 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPEDIATRIC MEDICINE ASSOCIATES GROUP INC.
DORAL, FL 33178
DORAL, FL 33178
33aNPI1811026354assigned 03/02/2007
33bProvider typePediatrics Physician
28Total paid$1.84M
24GClaims63,312
24DCodes billed54
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#179 of 971
Median peer was paid$238K
This provider vs. median7.7×
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 | 778 | $10K | |
| 2019 | 13,761 | $346K | |
| 2020 | 13,039 | $331K | |
| 2021 | 9,795 | $283K | |
| 2022 | 10,316 | $278K | |
| 2023 | 11,149 | $414K | |
| 2024incomplete | 4,474 | $178K |
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 | 40% | 15,080 | 12,211 | $745K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,529 | 1,442 | $204K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 1,459 | 1,352 | $182K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 1,393 | 1,311 | $182K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 3,929 | 3,469 | $128K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.9% | 415 | 84 | $126K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 884 | 829 | $110K |
| 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 | 5.9% | 1,379 | 1,271 | $108K |
| 92552 | <1% | 4,833 | 4,280 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,627 | 3,649 | $14K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 26 | 26 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,978 | 1,850 | $4K |
42 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 41 | $3K |
| 92567 | <1% | 1,372 | $3K | |
| 95117 | <1% | 294 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 655 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 81000 | <1% | 1,404 | $860.53 | |
| 85018 | <1% | 4,129 | $791.30 | |
| 99173 | <1% | 3,479 | $558.92 | |
| 97803 | <1% | 3,859 | $406.68 | |
| 90670 | <1% | 639 | $303.01 | |
| 90716 | <1% | 261 | $159.73 | |
| 90715 | <1% | 81 | $68.02 | |
| 90656 | <1% | 171 | $68.02 | |
| 81003 | <1% | 2,457 | $55.59 | |
| 82820 | <1% | 209 | $46.55 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 230 | $38.88 |
| 90700 | <1% | 286 | $30.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 562 | $27.00 |
| 90707 | <1% | 139 | $12.33 | |
| 90633 | <1% | 131 | $10.00 | |
| 3210F | <1% | 1,613 | $9.70 | |
| 4120F | 0% | 1,272 | $0.00 | |
| 4124F | 0% | 81 | $0.00 | |
| 90713 | 0% | 108 | $0.00 | |
| 90461 | 0% | 469 | $0.00 | |
| 90648 | 0% | 271 | $0.00 | |
| 90734 | 0% | 255 | $0.00 | |
| 83655 | 0% | 20 | $0.00 | |
| 90655 | 0% | 12 | $0.00 | |
| 90680 | 0% | 262 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 580 | $0.00 |
| 90698 | 0% | 147 | $0.00 | |
| 90744 | 0% | 95 | $0.00 | |
| 86580 | 0% | 14 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90651 | 0% | 30 | $0.00 | |
| 92551 | 0% | 45 | $0.00 | |
| 99447 | 0% | 17 | $0.00 | |
| 1038F | 0% | 15 | $0.00 | |
| 1005F | 0% | 17 | $0.00 | |
| 4140F | 0% | 17 | $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 officialDE DIEGO, JORGE (MD)