Physician
Capernaum Medical Center for Kids PLLC
Capernaum Medical Center for Kids PLLC was paid $7.27M by Medicaid between Oct 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoCAPERNAUM MEDICAL CENTER FOR KIDS PLLC
LAKELAND, FL 33803
LAKELAND, FL 33803
33aNPI1881146413assigned 10/31/2016
33bProvider typeClinical Neurophysiology Physician
28Total paid$7.27M
24GClaims126,037
24DCodes billed24
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Clinical Neurophysiology Physician providers in Florida
Rank by total paid#1 of 7
Median peer was paid$377K
This provider vs. median19×
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 | 315 | $2K | |
| 2019 | 12,151 | $1.76M | |
| 2020 | 16,990 | $1.89M | |
| 2021 | 24,909 | $2.83M | |
| 2022 | 57,660 | $256K | |
| 2023 | 8,892 | $0.00 | |
| 2024incomplete | 5,120 | $535K |
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 | 35% | 58,079 | 39,040 | $2.53M |
| 95816 | 15% | 7,201 | 4,807 | $1.09M | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 11,738 | 8,646 | $902K |
| 99205 | Prolong outpt/office vis | 9.4% | 8,174 | 5,793 | $684K |
| 95819 | 5.4% | 1,700 | 1,249 | $389K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 15,598 | 8,833 | $349K |
| 95956 | 4.6% | 293 | 212 | $338K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.0% | 3,834 | 2,744 | $290K |
| 95720 | 3.3% | 2,076 | 974 | $240K | |
| 95700 | 2.3% | 1,974 | 1,127 | $169K | |
| 95951 | 1.3% | 168 | 145 | $93K | |
| 95719 | <1% | 316 | 260 | $67K |
12 more codes
| 95716 | <1% | 518 | $49K | |
| 95715 | <1% | 692 | $29K | |
| 99255 | <1% | 107 | $27K | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 12,840 | $10K |
| 95708 | <1% | 305 | $9K | |
| 95718 | <1% | 12 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 49 | $2K |
| 99050 | <1% | 28 | $230.56 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 156 | $79.83 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 83 | $0.00 |
| 96127 | 0% | 52 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 44 | $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 officialVERNIER, ERIC (PRESIDENT)