Physician
Pelaez and Montane PA
Pelaez and Montane PA was paid $2.10M by Medicaid between Jan 2019 and Mar 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoPELAEZ AND MONTANE PA
BRANDON, FL 33511
BRANDON, FL 33511
33aNPI1821025073assigned 06/26/2006
33bProvider typePediatrics Physician
28Total paid$2.10M
24GClaims56,609
24DCodes billed36
24AFirst – last monthJan 2019 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#160 of 971
Median peer was paid$238K
This provider vs. median8.8×
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 | 14,112 | $431K | |
| 2020 | 11,735 | $343K | |
| 2021 | 10,036 | $363K | |
| 2022 | 11,542 | $496K | |
| 2023 | 8,132 | $407K | |
| 2024incomplete | 1,052 | $58K |
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 | 26% | 10,108 | 9,270 | $555K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 2,590 | 2,521 | $376K |
| 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 | 18% | 3,882 | 3,657 | $369K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 2,503 | 2,359 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 1,476 | 1,452 | $195K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 1,011 | 999 | $145K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 5,429 | 5,296 | $70K |
| 90461 | 1.3% | 3,771 | 3,533 | $27K | |
| 99401 | <1% | 4,550 | 4,436 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,639 | 850 | $8K |
| 85013 | <1% | 5,394 | 5,277 | $5K | |
| 99188 | <1% | 989 | 962 | $4K |
24 more codes
| 90677 | <1% | 28 | $4K | |
| 99463 | <1% | 61 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 996 | $4K |
| 81003 | <1% | 4,657 | $3K | |
| 99460 | <1% | 29 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $2K |
| 90716 | <1% | 359 | $1K | |
| 90670 | <1% | 1,640 | $562.42 | |
| 99462 | <1% | 38 | $280.61 | |
| 90648 | <1% | 1,719 | $120.03 | |
| 90707 | <1% | 317 | $94.90 | |
| 90681 | <1% | 320 | $10.00 | |
| 99072 | 0% | 305 | $0.00 | |
| 90715 | 0% | 57 | $0.00 | |
| 90734 | 0% | 127 | $0.00 | |
| 90633 | 0% | 562 | $0.00 | |
| 81002 | 0% | 88 | $0.00 | |
| 90700 | 0% | 62 | $0.00 | |
| 85014 | 0% | 33 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 90686 | 0% | 490 | $0.00 | |
| 90723 | 0% | 1,096 | $0.00 | |
| 81000 | 0% | 59 | $0.00 | |
| 90651 | 0% | 169 | $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 officialPELAEZ, ROBERT (CO-OWNER)