Supplier
Continucare Medical Management INC
Continucare Medical Management INC was paid $227K by Medicaid between Dec 2018 and Jul 2020, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoCONTINUCARE MEDICAL MANAGEMENT INC
MIAMI, FL 33126
MIAMI, FL 33126
33aNPI1306033303assigned 10/03/2007
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$227K
24GClaims66,413
24DCodes billed45
24AFirst – last monthDec 2018 – Jul 2020
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in Florida
Rank by total paid#4 of 24
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 | 2,737 | $9K | |
| 2019 | 48,452 | $164K | |
| 2020 | 15,224 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 9,669 | 7,305 | $129K |
| 36415 | Collection of venous blood by venipuncture | 36% | 6,466 | 5,536 | $81K |
| 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 | 3.5% | 701 | 454 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 222 | 181 | $3K |
| 99442 | <1% | 111 | 105 | $2K | |
| 3008F | <1% | 8,330 | 6,879 | $878.54 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 60 | 43 | $850.20 |
| 3016F | <1% | 5,846 | 4,821 | $538.46 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | 15 | $240.89 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | <1% | 207 | 196 | $184.21 |
| 3074F | <1% | 1,088 | 912 | $184.21 | |
| 1159F | <1% | 10,776 | 8,995 | $155.87 |
33 more codes
| 99001 | <1% | 92 | $99.19 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $85.02 |
| 1036F | <1% | 2,088 | $85.02 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 720 | $85.02 |
| 1000F | <1% | 2,182 | $70.85 | |
| 1220F | <1% | 290 | $70.85 | |
| 4013F | <1% | 208 | $56.68 | |
| 1160F | <1% | 10,713 | $56.68 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 107 | $28.34 |
| 3037F | <1% | 64 | $28.34 | |
| 2010F | <1% | 97 | $28.34 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 880 | $28.34 |
| 3078F | <1% | 1,101 | $28.34 | |
| 1125F | <1% | 607 | $14.17 | |
| 1126F | <1% | 826 | $14.17 | |
| 90674 | <1% | 41 | $14.17 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 12 | $14.17 |
| 3077F | <1% | 14 | $14.17 | |
| 2000F | 0% | 591 | $0.00 | |
| 4010F | 0% | 322 | $0.00 | |
| 1170F | 0% | 139 | $0.00 | |
| 3075F | 0% | 98 | $0.00 | |
| 3079F | 0% | 242 | $0.00 | |
| 3011F | 0% | 78 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 41 | $0.00 |
| 4000F | 0% | 107 | $0.00 | |
| 1034F | 0% | 27 | $0.00 | |
| 1101F | 0% | 12 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 12 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 991 | $0.00 |
| 3028F | 0% | 64 | $0.00 | |
| 2028F | 0% | 113 | $0.00 | |
| 3288F | 0% | 24 | $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 officialROSELLO, GEMMA (VICE PRESIDENT)
Parent organizationCONTINUCARE CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Continucare MDHC LLC | Miami, FL | $157K |
| Rma Medical Centers of Florida LLC | Miami, FL | $30K |
| Continucare Mso, INC. | Miami, FL | $22K |
| Metcare of West Palm Beach | West Palm Beach, FL | $6K |
| Primary Care Specialists of the Palm Beaches LLC | Miami, FL | $670.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.