Medicaid Provider Spending

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

DOCTORS AT HOME TRI COUNTY

NPI: 1497168173 · ORLANDO, FL 32832 · Primary Care Clinic/Center · NPI assigned 06/10/2014

$566K
Total Medicaid Paid
65,434
Total Claims
42,934
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALEZ, RAFAEL (PRESIDENT)
NPI Enumeration Date06/10/2014

Related Entities

Other providers sharing the same authorized official: GONZALEZ, RAFAEL

ProviderCityStateTotal Paid
PENSOT INVESTMENTS, LLC PHARR TX $1.66M
RAFAEL GONZALEZ DPM LLC BLOOMFIELD CT $149K
GLEZ AND GLEZ S-CORP OPA LOCKA FL $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,449 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 22,686 14,435 $402K
99350 Prolong home eval add 15m 2,519 1,701 $66K
99490 Ccm add 20min 11,374 8,459 $43K
99348 3,711 2,306 $29K
99347 2,568 1,528 $7K
99336 208 119 $6K
99344 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 1,362 970 $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 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 1,387 968 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 573 439 $1K
99439 1,577 1,173 $1K
99354 5,484 3,290 $841.06
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,030 541 $367.64
99443 75 46 $128.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 18 12 $34.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 351 289 $11.98
99071 111 74 $0.00
98960 35 27 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 14 13 $0.00
0521F 16 12 $0.00
1160F 21 19 $0.00
1159F 21 19 $0.00
94664 25 13 $0.00
1170F 357 251 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 93 56 $0.00
90688 17 16 $0.00
90674 117 64 $0.00
G0008 Administration of influenza virus vaccine 155 95 $0.00
99355 145 105 $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)). 27 17 $0.00
99441 20 14 $0.00