Physician
Brandon Rheumatology, LLC
Brandon Rheumatology, LLC was paid $145K by Medicaid between Jul 2021 and Nov 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 64% of everything it billed.
33Billing provider infoBRANDON RHEUMATOLOGY, LLC
OLDSMAR, FL 34677
OLDSMAR, FL 34677
33aNPI1033791488assigned 04/26/2021
33bProvider typeRheumatology Physician
28Total paid$145K
24GClaims2,724
24DCodes billed9
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in Florida
Rank by total paid#14 of 55
Median peer was paid$43K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2021 | 532 | $28K | |
| 2022 | 1,451 | $75K | |
| 2023 | 687 | $38K | |
| 2024incomplete | 54 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 64% | 1,567 | 1,409 | $93K |
| 99205 | Prolong outpt/office vis | 16% | 172 | 163 | $23K |
| 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 | 12% | 444 | 383 | $17K |
| 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 | 7.6% | 131 | 114 | $11K |
| 99417 | Prolong home eval add 15m | <1% | 254 | 145 | $604.00 |
| 99358 | Prolong nursin fac eval 15m | <1% | 39 | 32 | $402.60 |
| 99443 | <1% | 17 | 12 | $309.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | 15 | $61.68 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 0% | 81 | 68 | $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 officialRAMANI, PRIYA (PRESIDENT)
Parent organizationBRANDON RHEUMATOLOGY, LLC