Optimal Health Medical Center INC

Optimal Health Medical Center INC was paid $1K by Medicaid between Feb 2021 and Apr 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoOPTIMAL HEALTH MEDICAL CENTER INC
MIAMI GARDENS, FL 33056

33aNPI1194296954assigned 12/05/2018

33bProvider typeGeneral Practice Physician

28Total paid$1K

24GClaims221

24DCodes billed4

24AFirst – last monthFeb 2021 – Apr 2023

Compared with peers

Next to other General Practice Physician providers in Florida

Rank by total paid#341 of 420

Median peer was paid$23K

This provider vs. median0.0×

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
2021	137	$873.83
2022	71	$187.30
2023	13	$0.00

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	83%	118	70	$877.41
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	17%	13	12	$183.69
4010F		<1%	41	38	$0.03
3008F		0%	49	45	$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 officialHOLLIST, ABRAHAM (CEO)