Children's Surgical Specialists, PA

Children's Surgical Specialists, PA was paid $208K by Medicaid between Apr 2018 and Nov 2020, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 49% of everything it billed.

33Billing provider infoCHILDREN'S SURGICAL SPECIALISTS, PA
BOCA RATON, FL 33428

33aNPI1912980285assigned 11/21/2005

33bProvider typePediatric Surgery Physician

28Total paid$208K

24GClaims1,455

24DCodes billed5

24AFirst – last monthApr 2018 – Nov 2020

Compared with peers

Next to other Pediatric Surgery Physician providers in Florida

Rank by total paid#6 of 13

Median peer was paid$65K

This provider vs. median3.2×

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	110	$13K
2019	859	$127K
2020	486	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	49%	615	599	$102K
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	42%	757	688	$87K
99254		7.2%	50	44	$15K
54161		1.2%	17	17	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	16	13	$1K

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 officialGINGER, SUSAN (PRACTICE ADMINISTRATOR)