Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ZION HEALTH CARE LLC

NPI: 1023398310 · HIALEAH, FL 33016 · Family Medicine Physician · NPI assigned 08/18/2011

$254K
Total Medicaid Paid
112,604
Total Claims
56,016
Beneficiaries
54
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARRERO, JULIETTA (REGISTERED AGENT)
NPI Enumeration Date08/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 678 $0.00
2019 5,086 $2K
2020 4,655 $30K
2021 14,979 $88K
2022 64,223 $73K
2023 13,970 $46K
2024 9,013 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,721 12,754 $177K
99385 1,901 1,060 $34K
99386 1,007 588 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 512 271 $7K
99397 317 197 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 310 144 $4K
3074F 11,813 5,740 $75.00
3075F 3,000 1,591 $50.00
1003F 14,543 6,247 $29.01
93000 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 96 87 $2.92
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,259 1,076 $0.00
3352F 1,560 684 $0.00
1111F 1,003 417 $0.00
3351F 1,859 913 $0.00
3008F 12,762 6,299 $0.00
1034F 678 217 $0.00
3079F 4,780 2,441 $0.00
3080F 145 136 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,133 1,415 $0.00
1036F 421 190 $0.00
3048F 1,042 557 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 637 194 $0.00
1000F 1,634 649 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 68 67 $0.00
3044F 212 107 $0.00
4000F 665 214 $0.00
3017F 299 97 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 44 40 $0.00
3049F 521 333 $0.00
3014F 638 303 $0.00
3353F 60 57 $0.00
1170F 53 53 $0.00
4010F 157 145 $0.00
1126F 33 33 $0.00
1220F 12 12 $0.00
1101F 38 34 $0.00
97802 47 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 29 17 $0.00
1157F 13 13 $0.00
3078F 10,141 5,083 $0.00
3050F 897 374 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,463 2,836 $0.00
1160F 114 108 $0.00
3077F 400 277 $0.00
99499 1,342 1,111 $0.00
G8421 Bmi not documented and no reason is given 306 100 $0.00
3725F 262 259 $0.00
1159F 155 149 $0.00
3288F 36 32 $0.00
1158F 48 48 $0.00
4013F 13 12 $0.00
3088F 17 16 $0.00
4274F 21 13 $0.00