Physician
Tarpon Springs Pediatrics LLC
Tarpon Springs Pediatrics LLC was paid $182K by Medicaid between Jan 2019 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoTARPON SPRINGS PEDIATRICS LLC
TARPON SPRINGS, FL 34689
TARPON SPRINGS, FL 34689
33aNPI1871031393assigned 02/03/2017
33bProvider typePediatrics Physician
28Total paid$182K
24GClaims11,676
24DCodes billed27
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#517 of 971
Median peer was paid$238K
This provider vs. median0.8×
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 | 3,399 | $0.00 | |
| 2020 | 12 | $0.00 | |
| 2021 | 1,071 | $11K | |
| 2022 | 1,518 | $41K | |
| 2023 | 2,410 | $39K | |
| 2024incomplete | 3,266 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 3,310 | 1,939 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 301 | 285 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 301 | 283 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 222 | 188 | $13K |
| 92552 | 3.5% | 957 | 681 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 1,232 | 650 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 732 | 662 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 82 | 71 | $5K |
| 99188 | 2.2% | 358 | 342 | $4K | |
| 99401 | <1% | 932 | 287 | $2K | |
| 97802 | <1% | 76 | 70 | $1K | |
| 90461 | <1% | 424 | 251 | $696.00 |
15 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | $483.90 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $51.33 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 35 | $49.65 |
| 90656 | <1% | 12 | $18.13 | |
| 99173 | 0% | 1,201 | $0.00 | |
| 99072 | 0% | 84 | $0.00 | |
| 96160 | 0% | 229 | $0.00 | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | 0% | 48 | $0.00 |
| 96161 | 0% | 210 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 309 | $0.00 |
| 3008F | 0% | 127 | $0.00 | |
| 96127 | 0% | 225 | $0.00 | |
| 90686 | 0% | 136 | $0.00 | |
| 90677 | 0% | 20 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | $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 officialHIDALGO, CARLOS (OWNER)