Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Port Orange Pediatrics P a

Port Orange Pediatrics P a was paid $1.28M by Medicaid between Feb 2019 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoPORT ORANGE PEDIATRICS P A
PORT ORANGE, FL 32127
33aNPI1902084064assigned 01/31/2008
33bProvider typePediatrics Physician
28Total paid$1.28M
24GClaims31,746
24DCodes billed31
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#225 of 971
Median peer was paid$238K
This provider vs. median5.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20196,907$247K
20204,939$198K
20215,724$231K
20225,582$232K
20235,161$220K
2024incomplete3,433$154K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 9,494 8,488 $318K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18% 2,502 2,487 $225K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14% 2,275 2,261 $178K
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 13% 2,717 2,574 $163K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 1,776 1,628 $159K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.0% 1,328 1,323 $103K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.6% 502 485 $47K
90671 2.5% 100 99 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 1.8% 4,779 4,741 $23K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.2% 752 709 $16K
90619 <1% 29 29 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,240 1,198 $4K
19 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,019 $3K
99383 <1% 38 $3K
99382 <1% 12 $1K
90686 <1% 277 $879.37
99203 Doctor's office visit, new patient (routine) <1% 12 $704.45
90697 <1% 59 $498.66
87807 <1% 74 $237.75
90648 <1% 52 $36.46
90670 <1% 65 $18.00
99000 0% 1,250 $0.00
90680 0% 19 $0.00
85018 0% 156 $0.00
94760 0% 113 $0.00
90723 0% 24 $0.00
99173 0% 809 $0.00
85014 0% 126 $0.00
86328 0% 122 $0.00
90633 0% 13 $0.00
83655 0% 12 $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 officialLOPEZ, RUBEN (PRESIDENT)
Same official

Other billing entities under LOPEZ, RUBEN

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.