Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ACCESS MEDICAL GROUP OF HIALEAH, LLC.

NPI: 1427330091 · HIALEAH, FL 33012 · Family Medicine Physician · NPI assigned 09/09/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAMIREZ, RAYNY controls 11+ related entities in our dataset. Read more

$517K
Total Medicaid Paid
399,675
Total Claims
287,601
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMIREZ, RAYNY (PRESIDENT)
NPI Enumeration Date09/09/2011

Related Entities

Other providers sharing the same authorized official: RAMIREZ, RAYNY

ProviderCityStateTotal Paid
ACCESS MEDICAL GROUP OF WESTCHESTER, LLC. MIAMI FL $1.07M
ACCESS MEDICAL GROUP OF MIAMI, LLC. MIAMI FL $689K
ACCESS MEDICAL GROUP OF PERRINE, LLC. MIAMI FL $499K
ACCESS MEDICAL GROUP OF FLORIDA CITY, LLC. FLORIDA CITY FL $382K
ACCESS MEDICAL GROUP OF OPA-LOCKA, LLC. OPA LOCKA FL $194K
ACCESS MEDICAL GROUP OF NORTH MIAMI BEACH, LLC. NORTH MIAMI BEACH FL $191K
ACCESS MEDICAL GROUP OF TAMPA, LLC. PLANT CITY FL $50K
ACCESS MEDICAL GROUP OF TAMPA II, LLC. TAMPA FL $12K
ACCESS MEDICAL GROUP OF LAKELAND, LLC LAKELAND FL $5K
ACCESS MEDICAL GROUP OF MARGATE, LLC MARGATE FL $849.03
ACCESS MEDICAL GROUP OF TAMPA III, LLC. AUBURNDALE FL $122.62

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,317 $4K
2019 42,293 $57K
2020 23,567 $31K
2021 45,255 $84K
2022 114,543 $74K
2023 82,769 $164K
2024 80,931 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63,841 46,734 $215K
99385 7,773 5,634 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,542 6,739 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,376 3,800 $31K
99386 4,190 3,133 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,835 3,036 $28K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,943 3,461 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,153 1,813 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,054 1,567 $12K
3074F 54,241 37,062 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,581 1,345 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,989 3,222 $9K
99349 1,521 866 $8K
36415 Collection of venous blood by venipuncture 17,246 15,196 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,526 10,767 $7K
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 3,616 3,232 $5K
99387 315 276 $4K
0001A 133 127 $4K
99383 637 523 $3K
99397 685 587 $3K
99384 548 400 $3K
3075F 6,539 4,771 $2K
0012A 50 49 $2K
0002A 70 63 $2K
0011A 101 93 $1K
93000 1,528 1,317 $1K
1159F 45,692 30,776 $679.21
99381 29 29 $387.35
99382 90 82 $374.07
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 347 334 $210.04
99350 Prolong home eval add 15m 43 12 $112.93
3078F 44,595 30,423 $88.31
1160F 45,535 30,770 $50.47
90686 3,933 3,430 $41.48
90619 705 533 $28.02
3079F 14,816 10,561 $25.36
86580 38 36 $22.02
90674 103 100 $20.13
3044F 1,359 1,138 $20.00
3077F 727 475 $12.64
90715 409 254 $10.10
90633 3,425 2,622 $4.31
90620 794 627 $4.24
3048F 1,580 1,155 $0.37
90687 866 596 $0.29
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,955 3,111 $0.25
83036 Hemoglobin; glycosylated (A1C) 31 27 $0.24
90670 1,448 1,182 $0.15
90677 275 230 $0.15
83655 72 68 $0.11
90671 80 80 $0.04
G0008 Administration of influenza virus vaccine 113 107 $0.04
99442 14 14 $0.03
90651 2,063 1,516 $0.03
91301 214 192 $0.02
90656 37 29 $0.01
90700 25 25 $0.00
90648 247 241 $0.00
3050F 1,713 1,199 $0.00
99071 1,448 1,167 $0.00
90713 161 134 $0.00
91300 324 289 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 877 771 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 198 184 $0.00
90710 137 132 $0.00
90734 390 262 $0.00
90707 67 27 $0.00
81002 158 153 $0.00
2014F 23 23 $0.00
90681 202 197 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 32 32 $0.00
99358 Prolong nursin fac eval 15m 84 15 $0.00
3049F 1,417 1,057 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 975 878 $0.00
3080F 430 307 $0.00
90716 1,297 1,001 $0.00
1111F 1,704 1,217 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 373 332 $0.00
93922 39 39 $0.00
3017F 393 214 $0.00
90647 228 174 $0.00
3008F 255 232 $0.00
97802 466 458 $0.00
90688 21 21 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 71 70 $0.00
1126F 38 37 $0.00
90696 52 51 $0.00
90680 229 169 $0.00
3061F 31 28 $0.00
1170F 38 37 $0.00
90723 47 43 $0.00
3014F 26 26 $0.00
1157F 38 37 $0.00