Grand Health Care Consulting LLC

Grand Health Care Consulting LLC was paid $970K by Medicaid between Oct 2018 and Dec 2023, across 27 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 31% of everything it billed.

33Billing provider infoGRAND HEALTH CARE CONSULTING LLC
MIAMI, FL 33132

33aNPI1316288236assigned 03/04/2013

33bProvider typePediatric Pulmonology Physician

28Total paid$970K

24GClaims13,012

24DCodes billed27

24AFirst – last monthOct 2018 – Dec 2023

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Florida

Rank by total paid#3 of 14

Median peer was paid$346K

This provider vs. median2.8×

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	155	$23K
2019	289	$23K
2020	1,061	$76K
2021	3,251	$245K
2022	4,823	$339K
2023	3,433	$264K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	31%	2,963	2,549	$297K
95810	Polysomnography; sleep staging with 4 or more additional parameters	17%	478	433	$167K
95782		16%	318	296	$155K
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	11%	1,489	1,373	$108K
99205	Prolong outpt/office vis	4.0%	255	242	$39K
95783		3.8%	63	61	$37K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.3%	949	823	$32K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	436	406	$23K
94664		2.2%	3,047	2,652	$21K
94660		1.7%	400	377	$16K
95700		1.4%	128	109	$14K
95811		1.3%	71	60	$13K

15 more codes

95707		1.2%	31	$11K
94010		<1%	821	$8K
94070		<1%	350	$7K
99245		<1%	34	$5K
94726		<1%	108	$4K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	395	$4K
94450		<1%	159	$3K
99441		<1%	163	$2K
94621		<1%	52	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	59	$1K
94375		<1%	131	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	15	$909.58
99354		<1%	23	$341.35
94060		<1%	50	$313.78
94200		<1%	24	$14.99

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 officialJABBARI, J (DIRECTOR)