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

Access Medical Group of Westchester, LLC.

Access Medical Group of Westchester, LLC. was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoACCESS MEDICAL GROUP OF WESTCHESTER, LLC.
MIAMI, FL 33165
33aNPI1184906646assigned 09/12/2011
28Total paid$1.07M
24GClaims832,100
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#52 of 996
Median peer was paid$13K
This provider vs. median81×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RAMIREZ, RAYNY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
2018208,176$9K
201957,211$130K
202042,812$95K
202175,515$143K
2022221,830$193K
2023119,692$361K
2024incomplete106,864$141K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 132,834 77,634 $393K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.9% 11,250 7,102 $85K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.9% 17,535 13,162 $85K
99385 7.5% 12,338 8,515 $81K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.5% 13,619 7,214 $80K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.1% 11,746 6,368 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.1% 6,522 4,445 $54K
99386 4.6% 6,652 4,769 $50K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.1% 1,911 1,520 $22K
3074F 1.8% 101,508 54,559 $20K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.8% 23,563 14,885 $19K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.5% 1,319 1,150 $16K
88 more codes
36415 Collection of venous blood by venipuncture 1.5% 27,824 $16K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1.4% 8,306 $15K
99349 1.0% 1,010 $11K
99387 <1% 472 $8K
99397 <1% 2,327 $7K
99383 <1% 773 $5K
0012A <1% 155 $5K
3075F <1% 11,121 $4K
0011A <1% 175 $4K
99384 <1% 413 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,659 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 2,596 $2K
99350 Prolong home eval add 15m <1% 745 $2K
1159F <1% 102,935 $2K
99204 Doctor's office visit, new patient (more involved) <1% 52 $1K
99382 <1% 95 $953.67
0001A <1% 37 $892.93
93000 <1% 2,478 $818.64
99442 <1% 263 $443.84
99205 Prolong outpt/office vis <1% 22 $422.82
3079F <1% 31,896 $347.55
86580 <1% 447 $143.14
3078F <1% 78,183 $138.85
3044F <1% 7,139 $132.61
1160F <1% 102,708 $127.68
0002A <1% 12 $96.11
90619 <1% 558 $46.00
90677 <1% 368 $30.08
90686 <1% 8,458 $28.12
90670 <1% 4,824 $20.30
90648 <1% 1,729 $10.00
90697 <1% 298 $8.00
81002 <1% 144 $1.00
G0008 Administration of influenza virus vaccine <1% 87 $0.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 212 $0.30
99214 Doctor's office visit, returning patient (more involved) <1% 208 $0.13
83655 <1% 273 $0.10
G0009 Administration of pneumococcal vaccine <1% 13 $0.08
93922 <1% 76 $0.06
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 26 $0.06
90633 <1% 5,762 $0.05
90651 <1% 3,984 $0.02
90620 <1% 1,499 $0.01
99358 Prolong nursin fac eval 15m <1% 41 $0.01
90715 <1% 1,167 $0.01
3049F 0% 3,687 $0.00
1170F 0% 184 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 12,133 $0.00
90716 0% 1,412 $0.00
3048F 0% 3,591 $0.00
3017F 0% 542 $0.00
90723 0% 383 $0.00
3008F 0% 4,634 $0.00
1126F 0% 198 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,858 $0.00
1111F 0% 3,185 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 5,870 $0.00
1157F 0% 176 $0.00
91301 0% 126 $0.00
90680 0% 375 $0.00
3080F 0% 69 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 161 $0.00
90696 0% 224 $0.00
3061F 0% 3,465 $0.00
3014F 0% 95 $0.00
90688 0% 684 $0.00
90744 0% 273 $0.00
90698 0% 40 $0.00
90674 0% 60 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 0% 179 $0.00
3050F 0% 1,921 $0.00
90734 0% 1,483 $0.00
99071 0% 19,564 $0.00
90713 0% 1,131 $0.00
90681 0% 1,475 $0.00
90710 0% 1,224 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 5,442 $0.00
3077F 0% 63 $0.00
99499 0% 53 $0.00
90700 0% 55 $0.00
90707 0% 351 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 522 $0.00
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 0% 85 $0.00
2014F 0% 237 $0.00
91300 0% 37 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 25 $0.00
99080 0% 418 $0.00
90685 0% 43 $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 officialRAMIREZ, RAYNY (PRESIDENT)
Same official

Other billing entities under RAMIREZ, RAYNY

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