Benidecto Fernandez MD P a

Benidecto Fernandez MD P a was paid $15K by Medicaid between Dec 2018 and Feb 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoBENIDECTO FERNANDEZ MD P A
HIALEAH, FL 33016

33aNPI1386689990assigned 06/18/2006

33bProvider typeRheumatology Physician

28Total paid$15K

24GClaims1,263

24DCodes billed3

24AFirst – last monthDec 2018 – Feb 2022

Compared with peers

Next to other Rheumatology Physician providers in Florida

Rank by total paid#35 of 55

Median peer was paid$43K

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
2018	19	$22.62
2019	345	$2K
2020	427	$5K
2021	415	$6K
2022	57	$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	95%	1,191	1,086	$14K
20610		3.8%	29	26	$552.55
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	43	43	$105.36

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 officialFERNANDEZ, BENIDECTO (PRESIDENT)