Gustavo Forteza MD PA

Gustavo Forteza MD PA was paid $86K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 99336, — 49% of everything it billed.

33Billing provider infoGUSTAVO FORTEZA MD PA
HIALEAH GARDENS, FL 33016

33aNPI1205190691assigned 06/29/2012

33bProvider typeClinic/Center

28Total paid$86K

24GClaims6,664

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Clinic/Center providers in Florida

Rank by total paid#177 of 349

Median peer was paid$95K

This provider vs. median0.9×

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	872	$2K
2019	1,658	$18K
2020	1,453	$19K
2021	1,457	$30K
2022	664	$10K
2023	400	$6K
2024incomplete	160	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99336		49%	2,641	1,914	$42K
99349		48%	3,642	2,498	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	311	225	$2K
99328		<1%	28	18	$667.43
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	<1%	15	12	$294.23
99347		<1%	27	20	$141.26

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 officialFORTEZA, GUSTAVO (CEO)