Physician
Juan a Fernandez MD PA
Juan a Fernandez MD PA was paid $453K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoJUAN A FERNANDEZ MD PA
MIAMI, FL 33126
MIAMI, FL 33126
33aNPI1164441713assigned 07/18/2006
33bProvider typeInternal Medicine Physician
28Total paid$453K
24GClaims74,247
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#81 of 1,247
Median peer was paid$9K
This provider vs. median52×
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 | 6,185 | $7K | |
| 2019 | 8,257 | $48K | |
| 2020 | 11,545 | $46K | |
| 2021 | 12,404 | $91K | |
| 2022 | 15,533 | $72K | |
| 2023 | 13,144 | $131K | |
| 2024incomplete | 7,179 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 41,758 | 9,677 | $157K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 25% | 5,017 | 2,887 | $112K |
| 99223 | Prolong inpt eval add15 m | 15% | 4,674 | 3,131 | $67K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 12% | 9,478 | 6,380 | $55K |
| 90966 | 4.7% | 1,403 | 941 | $21K | |
| 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 | 4.1% | 2,334 | 1,495 | $19K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.3% | 3,509 | 929 | $15K |
| 99305 | <1% | 576 | 347 | $3K | |
| 90961 | <1% | 58 | 44 | $2K | |
| 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 | <1% | 16 | 16 | $1K |
| 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% | 14 | 12 | $236.58 |
| 90970 | <1% | 1,257 | 127 | $4.87 |
16 more codes
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 746 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 33 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 302 | $0.00 |
| 90962 | 0% | 51 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 40 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 864 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 363 | $0.00 |
| 4040F | 0% | 249 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 845 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 156 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 75 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 73 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 76 | $0.00 |
| 3046F | 0% | 163 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 69 | $0.00 |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 48 | $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, JUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jesus Es Mi Roca, INC, | Cutler Bay, FL | $3.00M |
| Alive Behavioral Services, LLC | Midlothian, VA | $223K |
| J Blemil Fernandez MD PA | Miami, FL | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.