Luis Duharte and Associates MD LLC

Luis Duharte and Associates MD LLC was paid $186K by Medicaid between Mar 2018 and Nov 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 50% of everything it billed.

33Billing provider infoLUIS DUHARTE AND ASSOCIATES MD LLC
SEBRING, FL 33872

33aNPI1194159749assigned 08/29/2013

33bProvider typeInfectious Disease Physician

28Total paid$186K

24GClaims8,964

24DCodes billed4

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Florida

Rank by total paid#62 of 174

Median peer was paid$60K

This provider vs. median3.1×

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	715	$7K
2019	1,936	$29K
2020	1,689	$25K
2021	1,276	$24K
2022	1,186	$31K
2023	1,274	$42K
2024incomplete	888	$28K

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	50%	7,054	1,721	$92K
99223	Prolong inpt eval add15 m	42%	1,525	1,215	$78K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.2%	174	50	$8K
99222	Initial hospital care, per day, moderate complexity	4.1%	211	161	$8K

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 officialDUHARTE VIDAURRE, LUIS (MGR)