Physician
Optimum Point of Care Physicians Group, LLC
Optimum Point of Care Physicians Group, LLC was paid $3K by Medicaid between Jan 2021 and Oct 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.
33Billing provider infoOPTIMUM POINT OF CARE PHYSICIANS GROUP, LLC
BRADENTON, FL 34210
BRADENTON, FL 34210
33aNPI1306371513assigned 04/25/2017
33bProvider typeInternal Medicine Physician
28Total paid$3K
24GClaims1,518
24DCodes billed20
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#813 of 1,247
Median peer was paid$9K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 219 | $389.06 | |
| 2024incomplete | 1,299 | $2K |
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 | 88% | 516 | 350 | $2K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 11% | 15 | 13 | $292.85 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 271 | 193 | $27.36 |
| 3008F | 0% | 50 | 48 | $0.00 | |
| 1000F | 0% | 52 | 48 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 24 | 13 | $0.00 |
| 3074F | 0% | 46 | 45 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 26 | 13 | $0.00 |
| 1157F | 0% | 36 | 34 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 24 | 13 | $0.00 |
| 3017F | 0% | 64 | 58 | $0.00 | |
| 1126F | 0% | 23 | 13 | $0.00 |
8 more codes
| 1036F | 0% | 24 | $0.00 | |
| 1170F | 0% | 23 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 109 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 20 | $0.00 |
| 3288F | 0% | 48 | $0.00 | |
| 3725F | 0% | 72 | $0.00 | |
| 3078F | 0% | 49 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 26 | $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 officialROJAS SANCHEZ, SARAI (OFFICE MANAGER)