Physician
MT Carmel Pediatrics LLC
MT Carmel Pediatrics LLC was paid $451K by Medicaid between Dec 2018 and Dec 2021, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMT CARMEL PEDIATRICS LLC
BOYNTON BEACH, FL 33436
BOYNTON BEACH, FL 33436
33aNPI1932441144assigned 03/26/2013
33bProvider typePediatrics Physician
28Total paid$451K
24GClaims24,344
24DCodes billed28
24AFirst – last monthDec 2018 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#408 of 971
Median peer was paid$238K
This provider vs. median1.9×
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 | 669 | $11K | |
| 2019 | 10,255 | $190K | |
| 2020 | 7,322 | $132K | |
| 2021 | 6,098 | $117K |
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 | 47% | 6,295 | 5,094 | $211K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 699 | 655 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 535 | 509 | $42K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.6% | 479 | 447 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.1% | 1,259 | 1,103 | $32K |
| 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 | 6.7% | 490 | 424 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 304 | 290 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,562 | 1,456 | $338.02 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,141 | 903 | $292.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 874 | 448 | $73.30 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 859 | 445 | $47.00 |
| 90651 | <1% | 143 | 137 | $27.00 |
16 more codes
| 90633 | <1% | 185 | $9.00 | |
| G8708 | Patient not prescribed antibiotic | 0% | 412 | $0.00 |
| 4144F | 0% | 612 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,943 | $0.00 |
| 3008F | 0% | 1,668 | $0.00 | |
| 90620 | 0% | 172 | $0.00 | |
| 4015F | 0% | 134 | $0.00 | |
| 4140F | 0% | 15 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 90656 | 0% | 64 | $0.00 | |
| 90648 | 0% | 213 | $0.00 | |
| 90670 | 0% | 321 | $0.00 | |
| G8709 | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) | 0% | 3,695 | $0.00 |
| 90700 | 0% | 38 | $0.00 | |
| 4120F | 0% | 145 | $0.00 | |
| 90734 | 0% | 63 | $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 officialGO, JEANNE (MGRM)