Physician
R. Abreu M.D., P.A.
R. Abreu M.D., P.A. was paid $240K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99335, — 21% of everything it billed.
33Billing provider infoR. ABREU M.D., P.A.
HIALEAH, FL 33012
HIALEAH, FL 33012
33aNPI1215366133assigned 11/02/2013
33bProvider typeFamily Medicine Physician
28Total paid$240K
24GClaims34,259
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#137 of 996
Median peer was paid$13K
This provider vs. median18×
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 | 3,075 | $3K | |
| 2019 | 7,863 | $21K | |
| 2020 | 7,068 | $32K | |
| 2021 | 6,577 | $71K | |
| 2022 | 7,167 | $74K | |
| 2023 | 1,871 | $26K | |
| 2024incomplete | 638 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99335 | 21% | 4,853 | 3,211 | $51K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 13% | 4,708 | 2,304 | $31K |
| 99223 | Prolong inpt eval add15 m | 12% | 493 | 358 | $28K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.9% | 727 | 494 | $21K |
| 99348 | 8.3% | 1,028 | 831 | $20K | |
| 99490 | Ccm add 20min | 5.4% | 1,975 | 1,363 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 647 | 501 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.0% | 959 | 646 | $10K |
| 99336 | 4.0% | 985 | 720 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.8% | 1,274 | 325 | $9K |
| 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 | 3.1% | 564 | 409 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.9% | 3,678 | 701 | $7K |
33 more codes
| 99305 | 1.7% | 400 | $4K | |
| 99220 | 1.6% | 143 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 417 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 33 | $2K |
| 99496 | <1% | 32 | $2K | |
| 99307 | <1% | 436 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 514 | $2K |
| 99217 | <1% | 129 | $844.87 | |
| 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% | 878 | $823.54 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 474 | $763.21 |
| 99325 | <1% | 36 | $760.68 | |
| 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% | 154 | $324.88 |
| 99334 | <1% | 34 | $293.04 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $178.45 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 289 | $133.75 |
| 3008F | <1% | 257 | $0.50 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,433 | $0.00 |
| 1124F | 0% | 340 | $0.00 | |
| 3288F | 0% | 62 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 52 | $0.00 |
| 90662 | 0% | 16 | $0.00 | |
| 3078F | 0% | 88 | $0.00 | |
| 99326 | 0% | 12 | $0.00 | |
| 90461 | 0% | 14 | $0.00 | |
| 1123F | 0% | 2,705 | $0.00 | |
| 99443 | 0% | 15 | $0.00 | |
| 2000F | 0% | 383 | $0.00 | |
| 3044F | 0% | 84 | $0.00 | |
| 3074F | 0% | 268 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 442 | $0.00 |
| 3079F | 0% | 152 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 36 | $0.00 |
| 4008F | 0% | 15 | $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 officialABREU, RAFAEL (PRESIDENT)