Zaplana, Miguel

Zaplana, Miguel was paid $25K by Medicaid between Jul 2020 and Sep 2023, across 7 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 40% of everything it billed.

33Billing provider infoZAPLANA, MIGUEL
ORLANDO, FL 32821

33aNPI1356890933assigned 09/23/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$25K

24GClaims651

24DCodes billed7

24AFirst – last monthJul 2020 – Sep 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Florida

Rank by total paid#77 of 280

Median peer was paid$5K

This provider vs. median4.7×

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
2020	50	$532.66
2021	232	$7K
2022	174	$7K
2023	195	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	40%	280	264	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	159	155	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	9.6%	56	46	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	6.9%	90	85	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.3%	13	13	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.5%	21	19	$608.16
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	32	28	$220.48

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.