Physician
Alejandro Pla MD PA
Alejandro Pla MD PA was paid $60K by Medicaid between Feb 2018 and Oct 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoALEJANDRO PLA MD PA
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1245550102assigned 06/02/2010
33bProvider typeNephrology Physician
28Total paid$60K
24GClaims5,168
24DCodes billed13
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Florida
Rank by total paid#71 of 188
Median peer was paid$28K
This provider vs. median2.1×
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 | 130 | $182.45 | |
| 2019 | 293 | $4K | |
| 2020 | 576 | $5K | |
| 2021 | 521 | $6K | |
| 2022 | 651 | $8K | |
| 2023 | 1,768 | $21K | |
| 2024incomplete | 1,229 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 1,946 | 1,511 | $32K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 1,445 | 219 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.1% | 72 | 56 | $4K |
| 90966 | 5.7% | 235 | 175 | $3K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 3.9% | 84 | 63 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.1% | 257 | 122 | $1K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 28 | 14 | $608.67 |
| 99305 | <1% | 55 | 44 | $352.91 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 42 | 14 | $121.84 |
| 90970 | <1% | 303 | 13 | $64.88 | |
| 99423 | <1% | 45 | 30 | $63.20 | |
| G2252 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | <1% | 415 | 292 | $16.74 |
1 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 241 | $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 officialPLA, ALEJANDRO (PRESIDENT)