Coral Reef Orthopaedic Associates PA

Coral Reef Orthopaedic Associates PA was paid $60K by Medicaid between Dec 2018 and Mar 2022, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 69% of everything it billed.

33Billing provider infoCORAL REEF ORTHOPAEDIC ASSOCIATES PA
MIAMI, FL 33157

33aNPI1265519391assigned 11/01/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$60K

24GClaims1,275

24DCodes billed6

24AFirst – last monthDec 2018 – Mar 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Florida

Rank by total paid#30 of 104

Median peer was paid$7K

This provider vs. median8.7×

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	53	$3K
2019	922	$44K
2020	231	$11K
2021	51	$432.60
2022	18	$387.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	69%	514	495	$41K
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	28%	526	459	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.7%	101	91	$2K
20610		<1%	102	66	$479.78
73560		0%	18	12	$0.00
73020		0%	14	13	$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 officialMILLHERSER, PETER (PRESIDENT)