Clinic
Avon Park Pediatrics, INC.
Avon Park Pediatrics, INC. was paid $2.10M by Medicaid between Jan 2019 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoAVON PARK PEDIATRICS, INC.
AVON PARK, FL 33825
AVON PARK, FL 33825
33aNPI1811135502assigned 02/03/2009
33bProvider typeRural Health Clinic/Center
28Total paid$2.10M
24GClaims63,578
24DCodes billed38
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Florida
Rank by total paid#7 of 76
Median peer was paid$164K
This provider vs. median13×
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 | 11,217 | $404K | |
| 2020 | 10,528 | $353K | |
| 2021 | 10,575 | $373K | |
| 2022 | 12,392 | $340K | |
| 2023 | 11,222 | $322K | |
| 2024incomplete | 7,644 | $308K |
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 | 58% | 28,173 | 21,253 | $1.21M |
| 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 | 16% | 6,265 | 5,493 | $331K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 2,047 | 1,855 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 1,609 | 1,463 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 1,286 | 1,122 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 984 | 906 | $73K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.6% | 1,440 | 1,311 | $34K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 2,925 | 2,374 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,944 | 4,621 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,170 | 1,078 | $14K |
| 85018 | <1% | 4,778 | 4,446 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,142 | 1,054 | $6K |
26 more codes
| 90686 | <1% | 899 | $2K | |
| 90633 | <1% | 320 | $2K | |
| 90648 | <1% | 384 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $2K |
| 81002 | <1% | 1,605 | $1K | |
| 90710 | <1% | 269 | $595.91 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $568.61 |
| 87807 | <1% | 112 | $561.58 | |
| 0071A | <1% | 37 | $480.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $378.95 |
| 90651 | <1% | 272 | $347.80 | |
| 90670 | <1% | 834 | $330.00 | |
| 0072A | <1% | 14 | $240.00 | |
| 0002A | <1% | 13 | $200.00 | |
| 90685 | <1% | 76 | $110.00 | |
| 90677 | <1% | 13 | $70.00 | |
| 92552 | <1% | 28 | $50.68 | |
| 90734 | <1% | 192 | $50.00 | |
| 90715 | <1% | 44 | $40.00 | |
| 90674 | <1% | 22 | $20.00 | |
| 90620 | <1% | 67 | $20.00 | |
| 90680 | <1% | 296 | $20.00 | |
| 90723 | <1% | 150 | $10.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,013 | $0.00 |
| 91307 | 0% | 76 | $0.00 | |
| 90696 | 0% | 27 | $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 officialHREN, LAURENCE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Heartland Pediatrics of Lake Wales, LLC | Lake Wales, FL | $4.35M |
| Sonni's Pediatrics, INC. | Wauchula, FL | $2.59M |
| Heartland Pediatrics of Lake Placid, INC. | Lake Placid, FL | $1.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.