Physician
Gilda Maria De LA Calle MD PA
Gilda Maria De LA Calle MD PA was paid $478K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoGILDA MARIA DE LA CALLE MD PA
HIALEAH, FL 33012
HIALEAH, FL 33012
33aNPI1386743896assigned 09/21/2006
33bProvider typeGeneral Practice Physician
28Total paid$478K
24GClaims20,963
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#52 of 420
Median peer was paid$23K
This provider vs. median21×
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 | 1,072 | $3K | |
| 2019 | 1,711 | $15K | |
| 2020 | 973 | $19K | |
| 2021 | 2,970 | $59K | |
| 2022 | 6,292 | $149K | |
| 2023 | 4,642 | $149K | |
| 2024incomplete | 3,303 | $84K |
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 | 65% | 12,509 | 10,327 | $313K |
| 99385 | 17% | 785 | 781 | $83K | |
| 99386 | 9.8% | 347 | 346 | $47K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.9% | 241 | 240 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 55 | 55 | $5K |
| 3074F | <1% | 1,452 | 1,307 | $4K | |
| 3075F | <1% | 316 | 295 | $950.05 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 26 | 26 | $769.87 |
| 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% | 39 | 39 | $654.99 |
| 3008F | <1% | 1,823 | 1,604 | $620.83 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62 | 59 | $445.14 |
| 1159F | <1% | 219 | 193 | $429.64 |
18 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 158 | $36.95 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 160 | $35.77 |
| 99401 | <1% | 27 | $25.13 | |
| 3078F | <1% | 970 | $0.12 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 237 | $0.05 |
| G9665 | Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy | <1% | 237 | $0.05 |
| 3079F | <1% | 217 | $0.01 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 189 | $0.00 |
| 1125F | 0% | 26 | $0.00 | |
| 1170F | 0% | 80 | $0.00 | |
| 3044F | 0% | 71 | $0.00 | |
| 1101F | 0% | 13 | $0.00 | |
| 2010F | 0% | 26 | $0.00 | |
| 99406 | 0% | 19 | $0.00 | |
| 1160F | 0% | 200 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 199 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 188 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 72 | $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 officialDE LA CALLE, GILDA (PRESIDENT)