Clinic
Clinica Las Mercedes, LLC
Clinica Las Mercedes, LLC was paid $18K by Medicaid between Feb 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCLINICA LAS MERCEDES, LLC
MIAMI, FL 33125
MIAMI, FL 33125
33aNPI1326090960assigned 05/16/2006
33bProvider typeClinic/Center
28Total paid$18K
24GClaims49,637
24DCodes billed38
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Florida
Rank by total paid#240 of 349
Median peer was paid$95K
This provider vs. median0.2×
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 | 800 | $594.21 | |
| 2019 | 895 | $3K | |
| 2020 | 3,341 | $3K | |
| 2021 | 8,786 | $5K | |
| 2022 | 10,030 | $2K | |
| 2023 | 13,560 | $3K | |
| 2024incomplete | 12,225 | $936.62 |
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 | 39% | 7,052 | 5,152 | $7K |
| 1159F | 16% | 6,179 | 4,909 | $3K | |
| 3008F | 15% | 5,628 | 4,579 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 725 | 642 | $1K |
| 1158F | 3.8% | 1,445 | 1,408 | $680.03 | |
| 93923 | 3.6% | 514 | 499 | $638.49 | |
| 3075F | 3.5% | 2,246 | 1,979 | $616.71 | |
| 1126F | 2.0% | 883 | 875 | $363.30 | |
| 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 | 1.6% | 210 | 129 | $290.92 |
| 3074F | 1.5% | 3,170 | 2,734 | $266.90 | |
| 99387 | 1.2% | 368 | 356 | $213.65 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.1% | 2,335 | 2,120 | $197.27 |
26 more codes
| 1160F | 1.1% | 6,179 | $194.73 | |
| 1101F | <1% | 880 | $169.24 | |
| 3288F | <1% | 881 | $106.82 | |
| 3079F | <1% | 1,547 | $106.82 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 251 | $76.88 |
| 93000 | <1% | 1,032 | $30.63 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 421 | $19.22 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 455 | $18.28 |
| 1170F | <1% | 902 | $10.64 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 24 | $3.29 |
| 82948 | 0% | 1,025 | $0.00 | |
| 3078F | 0% | 3,875 | $0.00 | |
| 4013F | 0% | 214 | $0.00 | |
| 2014F | 0% | 178 | $0.00 | |
| 99397 | 0% | 80 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 18 | $0.00 |
| 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% | 161 | $0.00 |
| 4010F | 0% | 147 | $0.00 | |
| 3061F | 0% | 13 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 146 | $0.00 |
| 3017F | 0% | 166 | $0.00 | |
| G0130 | Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) | 0% | 27 | $0.00 |
| 99385 | 0% | 37 | $0.00 | |
| 99386 | 0% | 32 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 47 | $0.00 |
| 3014F | 0% | 144 | $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 officialRAAD, JORGE (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Las Mercedes Adult Day Care V, LLC | Hialeah Gardens, FL | $4.21M |
| Las Mercedes Adult Day Care V, LLC | Miami, FL | $3.70M |
| Las Mercedes Adult Day Care V, LLC | Miami, FL | $3.18M |
| Las Mercedes Adult Day Care V, LLC | Miami, FL | $2.15M |
| Las Mercedes Adult Day Care V, LLC | Pembroke Pines, FL | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.