Is AFTER HOURS PEDIATRICS, INC. flagged for Medicaid fraud?

AFTER HOURS PEDIATRICS, INC. (NPI: 1992746879) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does AFTER HOURS PEDIATRICS, INC. bill Medicaid?

AFTER HOURS PEDIATRICS, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center provider. Located in TAMPA, FL.

What is NPI 1992746879?

NPI 1992746879 is the National Provider Identifier for AFTER HOURS PEDIATRICS, INC.. They are a Clinic/Center provider based in TAMPA, FL. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

AFTER HOURS PEDIATRICS, INC.

Clinic/Center·TAMPA, FL·NPI: 1992746879Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.9M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$25.9M

$25,858,563

Total Claims

271K

Beneficiaries

225K

1.2 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018

$130K

+4240%

2019

$5.6M

-39%

2020

$3.4M

+49%

2021

$5.1M

-1%

2022

$5.1M

-28%

2023

$3.6M

-23%

2024

$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 63% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S9083Global fee, urgent care centersSee all providers →

$16.3M

121K claims

$134.43

$103.99

1.3×

Top 25%

S9083Top 25%

Global fee, urgent care centers

$16.3M

121K claims · 62.9%

Your Cost: $134.43/claim|Median: $103.99

1.3× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$4.5M

61K claims

$73.87

$53.41

1.4×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$4.5M

61K claims · 17.3%

Your Cost: $73.87/claim|Median: $53.41

1.4× median

99241Office consultation, straightforwardSee all providers →

$2.4M

15K claims

$155.45

$36.49

4.3×

Top 1%

99241Top 1%

Office consultation, straightforward

$2.4M

15K claims · 9.2%

Your Cost: $155.45/claim|Median: $36.49

4.3× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$1.7M

23K claims

$72.14

$84.03

0.9×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1.7M

23K claims · 6.4%

Your Cost: $72.14/claim|Median: $84.03

0.9× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$614K

8,073 claims

$76.05

$37.81

2.0×

Top 10%

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$614K

8,073 claims · 2.4%

Your Cost: $76.05/claim|Median: $37.81

2.0× median

99242Office consultation, low complexitySee all providers →

$252K

17K claims

$14.94

$57.97

0.3×

Normal range

99242Normal range

Office consultation, low complexity

$252K

17K claims · 1.0%

Your Cost: $14.94/claim|Median: $57.97

0.3× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$156K

2,094 claims

$74.52

$57.85

1.3×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$156K

2,094 claims · 0.6%

Your Cost: $74.52/claim|Median: $57.85

1.3× median

99212Office/outpatient visit, low complexitySee all providers →

$23K

586 claims

$39.52

$25.06

1.6×

Top 25%

99212Top 25%

Office/outpatient visit, low complexity

$23K

586 claims · 0.1%

Your Cost: $39.52/claim|Median: $25.06

1.6× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$17K

415 claims

$40.37

$40.11

1.0×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$17K

415 claims · 0.1%

Your Cost: $40.37/claim|Median: $40.11

1.0× median

87426SARS-CoV-2 COVID-19 antigen detection, immunoassaySee all providers →

$2K

7,219 claims

$0.29

$30.04

0.0×

Normal range

87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

7,219 claims · 0.0%

Your Cost: $0.29/claim|Median: $30.04

0.0× median

87804Influenza virus detection, rapid testSee all providers →

$1K

7,265 claims

$0.15

$12.59

0.0×

Normal range

87804Normal range

Influenza virus detection, rapid test

$1K

7,265 claims · 0.0%

Your Cost: $0.15/claim|Median: $12.59

0.0× median

99215Office/outpatient visit, high complexitySee all providers →

$810

12 claims

$67.50

$74.09

0.9×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$810

12 claims · 0.0%

Your Cost: $67.50/claim|Median: $74.09

0.9× median

87880Streptococcus, Group A, rapid antigen detectionSee all providers →

$439

5,757 claims

$0.08

$11.48

0.0×

Normal range

87880Normal range

Streptococcus, Group A, rapid antigen detection

$439

5,757 claims · 0.0%

Your Cost: $0.08/claim|Median: $11.48

0.0× median

81003Urinalysis, automated without microscopySee all providers →

39 claims

$0.00

$1.48

—

Normal range

81003Normal range

Urinalysis, automated without microscopy

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48

87430 See all providers →

300 claims

$0.00

$9.41

—

Normal range

87430Normal range

300 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.41

87807 See all providers →

203 claims

$0.00

$10.06

—

Normal range

87807Normal range

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06

94760Pulse oximetry, single reading, noninvasiveSee all providers →

2,322 claims

$0.00

$0.79

—

Normal range

94760Normal range

Pulse oximetry, single reading, noninvasive

2,322 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.79

87811SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-readSee all providers →

21 claims

$0.00

$30.53

—

Normal range

87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.53

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