Emerald Coast Pediatrics & Adolescents — Billing Profile & Reimbursement Data
NPI 1790130250 · Panama City, FL · Pediatrics Physician
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Emerald Coast Pediatrics & Adolescents is a pediatrics physician provider located in Panama City, Florida. This profile covers 0 Medicare and 68 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Emerald Coast Pediatrics & Adolescents |
| Address | 621 W Baldwin Rd Ste A |
| City | Panama City |
| State | FL |
| ZIP | 32405 |
| Taxonomy | Pediatrics Physician |
| NPI Enumerated | May 3, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
68 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 35,860 | $70 | $2.5M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 9,200 | $110 | $1M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 7,480 | $110 | $845.2K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 7,050 | $100 | $697.5K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 14,830 | $40 | $652.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 10,200 | $40 | $357K |
| 90670 | This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and… | 4,410 | $80 | $348.2K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 2,940 | $110 | $329.7K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 1,120 | $140 | $158.1K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 1,320 | $120 | $154.7K |
Showing 1–10 of 68
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
68 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 65 | 1,130 | 780 | $90 | $210.4K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 61 | 1,050 | 640 | $80 | $183.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 116 | 5,930 | 460 | $40 | $169.3K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 172 | 1,120 | 520 | $80 | $141.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 345 | 6,380 | 430 | $50 | $139.3K |
| E0570 | Nebulizer, with compressor | 163 | 200 | 660 | $40 | $133.6K |
| 99460 | The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center. | 33 | 170 | 300 | $60 | $121.4K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 151 | 160 | 140 | $150 | $97.6K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 227 | 980 | 360 | $80 | $97.2K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,902 | 1,980 | 660 | $20 | $74.4K |
Showing 1–10 of 68
Nearby Providers
Other providers in the same ZIP code as Emerald Coast Pediatrics & Adolescents, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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