Clinic
Luis A. Blanco M.D. PA
Luis A. Blanco M.D. PA was paid $1.09M by Medicaid between Dec 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoLUIS A. BLANCO M.D. PA
MIAMI, FL 33174
MIAMI, FL 33174
33aNPI1356749006assigned 12/11/2014
33bProvider typeMedical Specialty Clinic/Center
28Total paid$1.09M
24GClaims25,705
24DCodes billed24
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Florida
Rank by total paid#4 of 50
Median peer was paid$7K
This provider vs. median160×
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 | 600 | $12K | |
| 2019 | 3,375 | $157K | |
| 2020 | 3,266 | $123K | |
| 2021 | 3,354 | $127K | |
| 2022 | 8,900 | $174K | |
| 2023 | 3,634 | $283K | |
| 2024incomplete | 2,576 | $212K |
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 | 46% | 10,895 | 5,762 | $496K |
| 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 | 25% | 2,693 | 2,177 | $269K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,716 | 1,323 | $122K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 1,300 | 949 | $83K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 4,045 | 2,988 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 703 | 387 | $32K |
| 90461 | 1.8% | 1,391 | 1,028 | $20K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | 52 | $5K |
| 90670 | <1% | 449 | 142 | $2K | |
| 97802 | <1% | 419 | 352 | $2K | |
| 90700 | <1% | 108 | 38 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 290 | 148 | $914.02 |
12 more codes
| 90686 | <1% | 374 | $748.77 | |
| 90633 | <1% | 48 | $272.73 | |
| 90621 | <1% | 48 | $96.04 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 33 | $19.84 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 338 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 359 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 358 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 28 | $0.00 |
| 90680 | 0% | 13 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 15 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 18 | $0.00 |
| 90716 | 0% | 12 | $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 officialBLANCO, LUIS (PRESIDENT)