Physician
Jose Fernandez, M.D.P.A.
Jose Fernandez, M.D.P.A. was paid $1.96M by Medicaid between Dec 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoJOSE FERNANDEZ, M.D.P.A.
CUTLER BAY, FL 33189
CUTLER BAY, FL 33189
33aNPI1073929345assigned 07/08/2014
33bProvider typePediatrics Physician
28Total paid$1.96M
24GClaims39,094
24DCodes billed35
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#173 of 971
Median peer was paid$238K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2018 | 104 | $3K | |
| 2019 | 7,429 | $250K | |
| 2020 | 4,315 | $176K | |
| 2021 | 5,101 | $275K | |
| 2022 | 9,007 | $424K | |
| 2023 | 8,251 | $468K | |
| 2024incomplete | 4,887 | $362K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 12,966 | 10,497 | $739K |
| 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 | 21% | 4,418 | 3,765 | $405K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,949 | 1,826 | $229K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 1,535 | 1,449 | $200K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 1,390 | 1,336 | $190K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 762 | 684 | $104K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 4,544 | 4,214 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,153 | 1,010 | $11K |
| 90461 | <1% | 1,756 | 1,630 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,235 | 1,117 | $8K |
| 90670 | <1% | 638 | 578 | $6K | |
| 90707 | <1% | 170 | 166 | $6K |
23 more codes
| 90651 | <1% | 424 | $5K | |
| 90619 | <1% | 127 | $2K | |
| 90620 | <1% | 126 | $715.98 | |
| 90686 | <1% | 1,646 | $373.47 | |
| 90698 | <1% | 364 | $192.25 | |
| 90734 | <1% | 118 | $188.33 | |
| 99050 | <1% | 39 | $151.66 | |
| 90716 | <1% | 277 | $150.98 | |
| 90715 | <1% | 41 | $140.02 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $122.16 |
| 90633 | <1% | 329 | $75.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 499 | $49.78 |
| 99173 | <1% | 425 | $31.46 | |
| 81002 | <1% | 12 | $6.27 | |
| 90677 | <1% | 92 | $0.01 | |
| 90656 | 0% | 90 | $0.00 | |
| 96127 | 0% | 365 | $0.00 | |
| 90680 | 0% | 181 | $0.00 | |
| 90744 | 0% | 68 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19 | $0.00 |
| 90700 | 0% | 260 | $0.00 | |
| 90713 | 0% | 51 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $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 officialFERNANDEZ, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Integrative Medicine and Holistic Wellness Centers, LLC | Hyannis, MA | $107K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.