Vanguard Medical Group, LLC
Vanguard Medical Group, LLC was paid $318K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoVANGUARD MEDICAL GROUP, LLC
PEMBROKE PINES, FL 33028
PEMBROKE PINES, FL 33028
33aNPI1174608699assigned 10/25/2006
33bProvider typeSpecialist
28Total paid$318K
24GClaims13,124
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#119 of 553
Median peer was paid$31K
This provider vs. median10×
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 | 739 | $5K | |
| 2019 | 3,563 | $91K | |
| 2020 | 3,181 | $104K | |
| 2021 | 2,380 | $79K | |
| 2022 | 2,016 | $23K | |
| 2023 | 983 | $10K | |
| 2024incomplete | 262 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 6,291 | 4,944 | $162K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 1,546 | 982 | $42K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 656 | 533 | $41K |
| 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 | 8.3% | 288 | 276 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 677 | 532 | $19K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.2% | 48 | 38 | $10K |
| 93970 | 2.5% | 165 | 132 | $8K | |
| 93000 | 1.2% | 1,667 | 1,171 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 216 | 64 | $2K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 47 | 38 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 15 | $348.75 |
15 more codes
| 99490 | Ccm add 20min | <1% | 61 | $106.85 |
| 99223 | Prolong inpt eval add15 m | <1% | 46 | $106.25 |
| 96127 | <1% | 101 | $8.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 379 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 95 | $0.00 |
| 1170F | 0% | 244 | $0.00 | |
| 1126F | 0% | 223 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $0.00 |
| 3008F | 0% | 52 | $0.00 | |
| 99356 | 0% | 46 | $0.00 | |
| 1036F | 0% | 17 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 33 | $0.00 |
| 1100F | 0% | 65 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 17 | $0.00 |
| 4004F | 0% | 99 | $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 officialPAPPAS, ROBYN (PRACTICE ADMINISTRATOR)