Clinic
Doctors at Home Tri County
Doctors at Home Tri County was paid $566K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99349, — 71% of everything it billed.
33Billing provider infoDOCTORS AT HOME TRI COUNTY
ORLANDO, FL 32832
ORLANDO, FL 32832
33aNPI1497168173assigned 06/10/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$566K
24GClaims65,434
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Florida
Rank by total paid#30 of 215
Median peer was paid$25K
This provider vs. median23×
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 | 6,047 | $9K | |
| 2019 | 11,079 | $37K | |
| 2020 | 11,508 | $70K | |
| 2021 | 12,243 | $94K | |
| 2022 | 10,435 | $106K | |
| 2023 | 8,673 | $166K | |
| 2024incomplete | 5,449 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 71% | 22,686 | 14,435 | $402K | |
| 99350 | Prolong home eval add 15m | 12% | 2,519 | 1,701 | $66K |
| 99490 | Ccm add 20min | 7.6% | 11,374 | 8,459 | $43K |
| 99348 | 5.1% | 3,711 | 2,306 | $29K | |
| 99347 | 1.3% | 2,568 | 1,528 | $7K | |
| 99336 | <1% | 208 | 119 | $6K | |
| 99344 | <1% | 110 | 82 | $4K | |
| 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% | 1,362 | 970 | $2K |
| G9187 | Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code | <1% | 9,227 | 5,781 | $2K |
| G0179 | Physician or allowed practitioner re-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% | 1,387 | 968 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 573 | 439 | $1K |
| 99439 | <1% | 1,577 | 1,173 | $1K |
20 more codes
| 99354 | <1% | 5,484 | $841.06 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,030 | $367.64 |
| 99443 | <1% | 75 | $128.58 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 18 | $34.70 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 351 | $11.98 |
| 99071 | 0% | 111 | $0.00 | |
| 98960 | 0% | 35 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 14 | $0.00 |
| 0521F | 0% | 16 | $0.00 | |
| 1160F | 0% | 21 | $0.00 | |
| 1159F | 0% | 21 | $0.00 | |
| 94664 | 0% | 25 | $0.00 | |
| 1170F | 0% | 357 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 93 | $0.00 |
| 90688 | 0% | 17 | $0.00 | |
| 90674 | 0% | 117 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 155 | $0.00 |
| 99355 | 0% | 145 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 27 | $0.00 |
| 99441 | 0% | 20 | $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 officialGONZALEZ, RAFAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pensot Investments, LLC | Pharr, TX | $1.66M |
| Rafael Gonzalez DPM LLC | Bloomfield, CT | $149K |
| Glez and Glez S-Corp | Opa Locka, FL | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.