Clinic
Premier Medical Pediatrics Clinic INC
Premier Medical Pediatrics Clinic INC was paid $1.25M by Medicaid between Feb 2019 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPREMIER MEDICAL PEDIATRICS CLINIC INC
PERRY, FL 32347
PERRY, FL 32347
33aNPI1831342880assigned 11/03/2008
33bProvider typeRural Health Clinic/Center
28Total paid$1.25M
24GClaims58,203
24DCodes billed56
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Florida
Rank by total paid#18 of 76
Median peer was paid$164K
This provider vs. median7.6×
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 | 7,582 | $208K | |
| 2020 | 6,080 | $178K | |
| 2021 | 5,589 | $176K | |
| 2022 | 17,452 | $199K | |
| 2023 | 13,367 | $283K | |
| 2024incomplete | 8,133 | $210K |
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 | 57% | 22,514 | 15,786 | $711K |
| 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 | 14% | 3,657 | 3,188 | $176K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 1,041 | 868 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 1,058 | 948 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 645 | 537 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 473 | 389 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 3,658 | 1,724 | $27K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.2% | 1,658 | 1,397 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 2,784 | 2,322 | $20K |
| 92552 | 1.6% | 1,834 | 1,613 | $19K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,852 | 1,594 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,669 | 2,298 | $10K |
44 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,204 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | $7K |
| 90670 | <1% | 561 | $5K | |
| 95117 | <1% | 400 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 274 | $2K |
| 87807 | <1% | 467 | $2K | |
| 81002 | <1% | 822 | $1K | |
| 90620 | <1% | 193 | $535.50 | |
| 90633 | <1% | 331 | $487.10 | |
| 99401 | <1% | 32 | $434.46 | |
| 92587 | <1% | 30 | $365.57 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 463 | $365.24 |
| 90677 | <1% | 61 | $356.69 | |
| 90651 | <1% | 268 | $333.63 | |
| 90648 | <1% | 432 | $241.56 | |
| 81025 | <1% | 85 | $189.74 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 21 | $184.75 |
| 90461 | <1% | 180 | $156.00 | |
| 90686 | <1% | 65 | $53.70 | |
| 90723 | <1% | 204 | $40.00 | |
| 85018 | <1% | 47 | $33.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 50 | $14.82 |
| 1036F | 0% | 84 | $0.00 | |
| 99000 | 0% | 429 | $0.00 | |
| 3008F | 0% | 1,984 | $0.00 | |
| 3079F | 0% | 210 | $0.00 | |
| 3075F | 0% | 30 | $0.00 | |
| 3074F | 0% | 656 | $0.00 | |
| 99172 | 0% | 17 | $0.00 | |
| 90680 | 0% | 41 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 96127 | 0% | 39 | $0.00 | |
| 90697 | 0% | 35 | $0.00 | |
| 90710 | 0% | 84 | $0.00 | |
| 3078F | 0% | 643 | $0.00 | |
| 99173 | 0% | 621 | $0.00 | |
| 1159F | 0% | 1,333 | $0.00 | |
| 1160F | 0% | 1,315 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 117 | $0.00 |
| 3725F | 0% | 89 | $0.00 | |
| 90715 | 0% | 45 | $0.00 | |
| 90734 | 0% | 105 | $0.00 | |
| 90658 | 0% | 22 | $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 officialSANTANA, LAURIE (CFO)