Physician
North Florida Pediatric Assoc., PA
North Florida Pediatric Assoc., PA was paid $6.32M by Medicaid between Feb 2019 and Sep 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoNORTH FLORIDA PEDIATRIC ASSOC., PA
TALLAHASSEE, FL 32312
TALLAHASSEE, FL 32312
33aNPI1912070756assigned 11/17/2006
33bProvider typePediatrics Physician
28Total paid$6.32M
24GClaims182,263
24DCodes billed47
24AFirst – last monthFeb 2019 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#52 of 971
Median peer was paid$238K
This provider vs. median27×
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 | 31,291 | $1.04M | |
| 2020 | 30,241 | $1.07M | |
| 2021 | 33,116 | $1.33M | |
| 2022 | 36,953 | $1.28M | |
| 2023 | 34,843 | $1.06M | |
| 2024incomplete | 15,819 | $529K |
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 | 22% | 20,922 | 18,085 | $1.39M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 8,844 | 8,580 | $1.21M |
| 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 | 17% | 10,156 | 9,248 | $1.05M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 6,645 | 6,444 | $948K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 4,315 | 4,140 | $507K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 15,314 | 14,785 | $363K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 1,773 | 1,712 | $221K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 4,025 | 3,771 | $186K |
| 90461 | 2.0% | 10,261 | 9,625 | $129K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 10,232 | 5,282 | $103K |
| 99381 | 1.3% | 902 | 758 | $82K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,943 | 4,602 | $44K |
35 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,143 | $19K |
| 99051 | <1% | 1,956 | $15K | |
| 83655 | <1% | 2,248 | $11K | |
| 85018 | <1% | 6,725 | $8K | |
| 87807 | <1% | 457 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | $5K |
| 90686 | <1% | 3,350 | $4K | |
| 90685 | <1% | 1,533 | $4K | |
| 81002 | <1% | 1,563 | $3K | |
| 90633 | <1% | 2,895 | $2K | |
| 90647 | <1% | 4,270 | $1K | |
| 88720 | <1% | 1,730 | $1K | |
| 90670 | <1% | 4,609 | $1K | |
| 90707 | <1% | 2,568 | $922.77 | |
| 90651 | <1% | 677 | $890.30 | |
| 90723 | <1% | 4,353 | $788.25 | |
| 90716 | <1% | 2,585 | $659.21 | |
| 90696 | <1% | 661 | $468.17 | |
| 99177 | <1% | 19,063 | $456.54 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 643 | $424.30 |
| 90700 | <1% | 812 | $383.61 | |
| 92551 | <1% | 11,866 | $381.87 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $166.86 |
| 90715 | <1% | 101 | $113.57 | |
| 90734 | <1% | 414 | $112.03 | |
| 90680 | <1% | 3,165 | $106.04 | |
| 90681 | <1% | 460 | $96.04 | |
| 96127 | <1% | 17 | $13.41 | |
| 90674 | <1% | 62 | $1.00 | |
| 91307 | <1% | 72 | $0.11 | |
| 91308 | <1% | 104 | $0.01 | |
| 90671 | 0% | 934 | $0.00 | |
| 90677 | 0% | 161 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 2,569 | $0.00 |
| 90620 | 0% | 47 | $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 officialSIMMONS, WILLIAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| PMC Hospital, LLC | Pasadena, TX | $276K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.