Physician
Premium Care Doctors Corp.
Premium Care Doctors Corp. was paid $2.21M by Medicaid between Dec 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPREMIUM CARE DOCTORS CORP.
HIALEAH, FL 33010
HIALEAH, FL 33010
33aNPI1174695449assigned 11/14/2006
33bProvider typePediatrics Physician
28Total paid$2.21M
24GClaims40,068
24DCodes billed37
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#150 of 971
Median peer was paid$238K
This provider vs. median9.3×
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 | 230 | $11K | |
| 2019 | 6,446 | $334K | |
| 2020 | 6,661 | $317K | |
| 2021 | 6,227 | $357K | |
| 2022 | 7,305 | $413K | |
| 2023 | 7,231 | $408K | |
| 2024incomplete | 5,968 | $370K |
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 | 47% | 12,460 | 10,734 | $1.05M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,820 | 1,803 | $249K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,880 | 1,862 | $234K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 2,008 | 1,985 | $227K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 1,010 | 992 | $150K |
| 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 | 6.6% | 1,351 | 1,295 | $146K |
| 99442 | 3.8% | 1,593 | 1,474 | $84K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 5,448 | 5,377 | $36K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 639 | 627 | $9K |
| 90461 | <1% | 1,165 | 1,143 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 890 | 437 | $4K |
| 90670 | <1% | 200 | 194 | $4K |
25 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 670 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $2K |
| 90651 | <1% | 215 | $1K | |
| 97802 | <1% | 3,153 | $508.03 | |
| 90734 | <1% | 119 | $425.35 | |
| 90698 | <1% | 76 | $381.24 | |
| 90716 | <1% | 117 | $364.54 | |
| 99050 | <1% | 71 | $353.01 | |
| 90619 | <1% | 34 | $324.90 | |
| 90685 | <1% | 34 | $211.89 | |
| 90707 | <1% | 59 | $211.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $210.26 |
| 96160 | <1% | 288 | $182.84 | |
| 90686 | <1% | 1,063 | $104.16 | |
| 90671 | <1% | 61 | $0.01 | |
| 90656 | <1% | 47 | $0.01 | |
| 90633 | 0% | 67 | $0.00 | |
| 90700 | 0% | 57 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,261 | $0.00 |
| 90680 | 0% | 72 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 46 | $0.00 |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 13 | $0.00 |
| 90677 | 0% | 29 | $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 officialGALGUERA, MANUEL (PRESIDENT)