Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Hialeah › NPI 1023398310
Physician

Zion Health Care LLC

Zion Health Care LLC was paid $254K by Medicaid between Feb 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoZION HEALTH CARE LLC
HIALEAH, FL 33016
33aNPI1023398310assigned 08/18/2011
28Total paid$254K
24GClaims112,604
24DCodes billed54
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#133 of 996
Median peer was paid$13K
This provider vs. median19×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018678$0.00
20195,086$2K
20204,655$30K
202114,979$88K
202264,223$73K
202313,970$46K
2024incomplete9,013$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69% 24,721 12,754 $177K
99385 13% 1,901 1,060 $34K
99386 10% 1,007 588 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.6% 512 271 $7K
99397 2.6% 317 197 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 310 144 $4K
3074F <1% 11,813 5,740 $75.00
3075F <1% 3,000 1,591 $50.00
1003F <1% 14,543 6,247 $29.01
93000 <1% 367 194 $9.67
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 96 87 $2.92
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 2,259 1,076 $0.00
42 more codes
3352F 0% 1,560 $0.00
1111F 0% 1,003 $0.00
3351F 0% 1,859 $0.00
3008F 0% 12,762 $0.00
1034F 0% 678 $0.00
3079F 0% 4,780 $0.00
3080F 0% 145 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 3,133 $0.00
1036F 0% 421 $0.00
3048F 0% 1,042 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 637 $0.00
1000F 0% 1,634 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 68 $0.00
3044F 0% 212 $0.00
4000F 0% 665 $0.00
3017F 0% 299 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 44 $0.00
3049F 0% 521 $0.00
3014F 0% 638 $0.00
3353F 0% 60 $0.00
1170F 0% 53 $0.00
4010F 0% 157 $0.00
1126F 0% 33 $0.00
1220F 0% 12 $0.00
1101F 0% 38 $0.00
97802 0% 47 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 29 $0.00
1157F 0% 13 $0.00
3078F 0% 10,141 $0.00
3050F 0% 897 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 5,463 $0.00
1160F 0% 114 $0.00
3077F 0% 400 $0.00
99499 0% 1,342 $0.00
G8421 Bmi not documented and no reason is given 0% 306 $0.00
3725F 0% 262 $0.00
1159F 0% 155 $0.00
3288F 0% 36 $0.00
1158F 0% 48 $0.00
4013F 0% 13 $0.00
3088F 0% 17 $0.00
4274F 0% 21 $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 officialMARRERO, JULIETTA (REGISTERED AGENT)