Physician
Primary Care of Central Florida INC
Primary Care of Central Florida INC was paid $2.10M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 41% of everything it billed.
33Billing provider infoPRIMARY CARE OF CENTRAL FLORIDA INC
ORLANDO, FL 32828
ORLANDO, FL 32828
33aNPI1205903432assigned 11/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.10M
24GClaims450,986
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#33 of 996
Median peer was paid$13K
This provider vs. median158×
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 | 15,263 | $6K | |
| 2019 | 33,674 | $124K | |
| 2020 | 48,384 | $208K | |
| 2021 | 49,666 | $248K | |
| 2022 | 50,505 | $309K | |
| 2023 | 118,217 | $785K | |
| 2024incomplete | 135,277 | $418K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 41% | 125,890 | 46,885 | $868K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 20% | 89,067 | 33,369 | $420K |
| 99349 | 11% | 15,988 | 8,309 | $235K | |
| 99439 | 5.4% | 9,798 | 7,160 | $113K | |
| 99490 | Ccm add 20min | 5.1% | 20,917 | 15,178 | $106K |
| 99348 | 3.5% | 6,569 | 4,326 | $73K | |
| 99489 | Ccm add 20min | 2.4% | 13,346 | 9,873 | $50K |
| 99335 | 2.1% | 5,438 | 2,584 | $43K | |
| 99305 | 1.8% | 2,544 | 1,803 | $38K | |
| 99487 | Ccm add 20min | 1.7% | 15,197 | 11,271 | $36K |
| 99310 | Prolong nursin fac eval 15m | 1.6% | 4,661 | 2,882 | $35K |
| 99336 | <1% | 2,566 | 1,209 | $19K |
57 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 440 | $16K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 285 | $6K |
| 99350 | Prolong home eval add 15m | <1% | 379 | $5K |
| 99318 | <1% | 602 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 258 | $5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,394 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 433 | $4K |
| 99443 | <1% | 932 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 371 | $3K |
| 99497 | <1% | 2,989 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 106 | $2K |
| 11721 | <1% | 1,607 | $2K | |
| 99307 | <1% | 333 | $967.97 | |
| 99454 | <1% | 552 | $910.03 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 1,092 | $764.08 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 1,322 | $675.14 |
| 99334 | <1% | 312 | $423.18 | |
| 99304 | <1% | 25 | $333.14 | |
| 99324 | <1% | 56 | $311.22 | |
| 99347 | <1% | 96 | $266.53 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 81 | $232.61 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 75 | $159.70 |
| 99337 | <1% | 14 | $107.95 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,989 | $71.75 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 50 | $51.16 |
| 99442 | <1% | 20 | $39.70 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 1,077 | $14.96 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 284 | $0.20 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 14,373 | $0.00 |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 5,531 | $0.00 |
| 1170F | 0% | 27 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 672 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 236 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 337 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 628 | $0.00 |
| 3074F | 0% | 73 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 99 | $0.00 |
| 1101F | 0% | 206 | $0.00 | |
| 1123F | 0% | 14 | $0.00 | |
| 1111F | 0% | 20 | $0.00 | |
| 3008F | 0% | 37 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 25 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 879 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 67,526 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 8,711 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 663 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 4,881 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 867 | $0.00 |
| 1159F | 0% | 2,576 | $0.00 | |
| 0518F | 0% | 658 | $0.00 | |
| 1100F | 0% | 237 | $0.00 | |
| 3288F | 0% | 78 | $0.00 | |
| 3085F | 0% | 191 | $0.00 | |
| 3078F | 0% | 206 | $0.00 | |
| 3725F | 0% | 33 | $0.00 | |
| 99325 | 0% | 29 | $0.00 | |
| 99453 | 0% | 18 | $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 officialNURIEL, GABRIEL (CEO)