Clinic
ST Peter Medical Group INC.
ST Peter Medical Group INC. was paid $303K by Medicaid between Jan 2019 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoST PETER MEDICAL GROUP INC.
KISSIMMEE, FL 34759
KISSIMMEE, FL 34759
33aNPI1942795869assigned 06/23/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$303K
24GClaims49,554
24DCodes billed57
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Florida
Rank by total paid#41 of 215
Median peer was paid$25K
This provider vs. median12×
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 | 2,009 | $20K | |
| 2020 | 4,297 | $29K | |
| 2021 | 5,079 | $39K | |
| 2022 | 14,923 | $75K | |
| 2023 | 12,894 | $77K | |
| 2024incomplete | 10,352 | $63K |
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 | 45% | 3,519 | 3,061 | $138K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,784 | 1,464 | $47K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 448 | 410 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 9.1% | 377 | 359 | $28K |
| 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 | 6.8% | 211 | 207 | $21K |
| 99385 | 5.7% | 248 | 228 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 535 | 463 | $11K |
| 99386 | <1% | 26 | 25 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 36 | 36 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | 55 | $679.12 |
| 1159F | <1% | 4,224 | 3,602 | $258.41 | |
| 93000 | <1% | 55 | 52 | $235.94 |
45 more codes
| 3725F | <1% | 2,466 | $160.99 | |
| 1125F | <1% | 1,251 | $146.85 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 478 | $142.47 |
| 1126F | <1% | 2,014 | $63.24 | |
| 3074F | <1% | 4,472 | $50.00 | |
| 3008F | <1% | 3,899 | $49.03 | |
| 1036F | <1% | 2,148 | $49.03 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 665 | $34.54 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,672 | $18.06 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 491 | $13.67 |
| 36415 | Collection of venous blood by venipuncture | <1% | 684 | $10.80 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,323 | $9.87 |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 86 | $0.03 |
| 1160F | <1% | 4,058 | $0.01 | |
| 1170F | <1% | 940 | $0.01 | |
| 3078F | 0% | 4,702 | $0.00 | |
| 1158F | 0% | 620 | $0.00 | |
| 1100F | 0% | 103 | $0.00 | |
| 0521F | 0% | 1,101 | $0.00 | |
| 1026F | 0% | 162 | $0.00 | |
| 4013F | 0% | 134 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 32 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 34 | $0.00 |
| 4004F | 0% | 15 | $0.00 | |
| 3288F | 0% | 265 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 17 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 115 | $0.00 |
| 3077F | 0% | 13 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28 | $0.00 |
| 4010F | 0% | 102 | $0.00 | |
| 1220F | 0% | 299 | $0.00 | |
| 3014F | 0% | 959 | $0.00 | |
| 1157F | 0% | 625 | $0.00 | |
| 3075F | 0% | 455 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 233 | $0.00 |
| 1101F | 0% | 109 | $0.00 | |
| 99000 | 0% | 18 | $0.00 | |
| 2010F | 0% | 123 | $0.00 | |
| 3017F | 0% | 699 | $0.00 | |
| 3079F | 0% | 187 | $0.00 | |
| 1111F | 0% | 155 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 35 | $0.00 |
| G2209 | Patient refused to participate | 0% | 15 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 17 | $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 officialRIVERA-IRIZARRY, MIRIAM (CEO)