Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Context Medical Group, INC.

Context Medical Group, INC. was paid $972K by Medicaid between Jan 2019 and Oct 2024, across 15 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 96% of everything it billed.

33Billing provider infoCONTEXT MEDICAL GROUP, INC.
HIALEAH, FL 33010
33aNPI1053366971assigned 05/23/2006
28Total paid$972K
24GClaims17,165
24DCodes billed15
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#60 of 996
Median peer was paid$13K
This provider vs. median73×

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$50K$100K$150K2018201920202021202220232024
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
20193,532$9K
20204,783$419K
20216,746$540K
20221,898$213.72
202352$694.59
2024incomplete154$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 96% 7,591 614 $936K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 1.8% 249 83 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.2% 2,088 244 $12K
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 <1% 796 191 $6K
99442 <1% 78 28 $281.10
2010F <1% 1,250 142 $265.80
3078F <1% 1,118 211 $0.22
1159F 0% 924 182 $0.00
1160F 0% 913 181 $0.00
99499 0% 585 78 $0.00
3008F 0% 541 106 $0.00
1036F 0% 255 48 $0.00
3 more codes
3074F 0% 560 $0.00
3079F 0% 72 $0.00
3075F 0% 145 $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 officialGARCIA, SERGIO (PRESIDENT/OWNER)
Same official

Other billing entities under GARCIA, SERGIO

Full network →
ProviderLocationPaid
Los Amigos, LLCSanta Fe, NM$12.87M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.