Physician
Rheumatology & Arthritis Consultants of So Florida LLC
Rheumatology & Arthritis Consultants of So Florida LLC was paid $54K by Medicaid between Feb 2019 and Oct 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoRHEUMATOLOGY & ARTHRITIS CONSULTANTS OF SO FLORIDA LLC
HIALEAH, FL 33015
HIALEAH, FL 33015
33aNPI1447538731assigned 08/03/2011
33bProvider typeRheumatology Physician
28Total paid$54K
24GClaims2,883
24DCodes billed14
24AFirst – last monthFeb 2019 – Oct 2023
Compared with peers
Next to other Rheumatology Physician providers in Florida
Rank by total paid#24 of 55
Median peer was paid$43K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2019 | 395 | $10K | |
| 2020 | 251 | $6K | |
| 2021 | 909 | $15K | |
| 2022 | 706 | $16K | |
| 2023 | 622 | $7K |
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 | 89% | 1,332 | 1,177 | $48K |
| 99205 | Prolong outpt/office vis | 11% | 48 | 43 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 339 | 305 | $85.00 |
| 94760 | <1% | 182 | 151 | $0.03 | |
| 3079F | 0% | 45 | 41 | $0.00 | |
| 96127 | 0% | 147 | 130 | $0.00 | |
| 3074F | 0% | 154 | 146 | $0.00 | |
| 3008F | 0% | 67 | 60 | $0.00 | |
| 1125F | 0% | 56 | 47 | $0.00 | |
| 1159F | 0% | 275 | 238 | $0.00 | |
| 3078F | 0% | 152 | 138 | $0.00 | |
| 1160F | 0% | 58 | 50 | $0.00 |
2 more codes
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 officialSANCHEZ, FERNANDO (OWNER/MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Fernando Sanchez, I.D., P.A. | Laredo, TX | $106K |
| Internal Medicine of Miami Gardens INC | Hialeah, FL | $37K |
| Fernando Sanchez Clinical Neurophysiology Center PA | Laredo, TX | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.