Physician
Premier Value Family Medicine LLC
Premier Value Family Medicine LLC was paid $54K by Medicaid between Dec 2018 and Sep 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPREMIER VALUE FAMILY MEDICINE LLC
MIAMI, FL 33155
MIAMI, FL 33155
33aNPI1487088050assigned 08/30/2013
33bProvider typeFamily Medicine Physician
28Total paid$54K
24GClaims25,200
24DCodes billed25
24AFirst – last monthDec 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#300 of 996
Median peer was paid$13K
This provider vs. median4.1×
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 | 65 | $145.96 | |
| 2019 | 2,760 | $9K | |
| 2020 | 3,511 | $6K | |
| 2021 | 5,495 | $9K | |
| 2022 | 6,787 | $8K | |
| 2023 | 4,363 | $17K | |
| 2024incomplete | 2,219 | $6K |
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 | 46% | 2,638 | 2,078 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,384 | 1,121 | $14K |
| 99335 | 12% | 963 | 794 | $6K | |
| 99348 | 7.7% | 574 | 448 | $4K | |
| 99349 | 2.9% | 138 | 119 | $2K | |
| 99336 | 2.2% | 73 | 70 | $1K | |
| 36415 | Collection of venous blood by venipuncture | 1.7% | 63 | 55 | $936.70 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 670 | 546 | $464.16 |
| 1101F | <1% | 1,463 | 1,246 | $436.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 426 | 336 | $378.72 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | 15 | $154.92 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 358 | 297 | $46.27 |
13 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 68 | $24.86 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,086 | $0.02 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,460 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 105 | $0.00 |
| 90674 | 0% | 42 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 66 | $0.00 |
| 1036F | 0% | 17 | $0.00 | |
| 1123F | 0% | 29 | $0.00 | |
| 3288F | 0% | 1,096 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 1,793 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,478 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 172 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 19 | $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 officialMORONO-PONCE, IDAYLIS (PHYSICIAN/PRESIDENT)