Clinic
Continucare MDHC LLC
Continucare MDHC LLC was paid $157K by Medicaid between Dec 2018 and Sep 2020, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoCONTINUCARE MDHC LLC
MIAMI, FL 33126
MIAMI, FL 33126
33aNPI1508034042assigned 02/19/2008
33bProvider typeClinic/Center
28Total paid$157K
24GClaims35,478
24DCodes billed49
24AFirst – last monthDec 2018 – Sep 2020
Compared with peers
Next to other Clinic/Center providers in Florida
Rank by total paid#159 of 349
Median peer was paid$95K
This provider vs. median1.7×
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 | 1,796 | $8K | |
| 2019 | 26,699 | $121K | |
| 2020 | 6,983 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 7,726 | 5,969 | $98K |
| 36415 | Collection of venous blood by venipuncture | 15% | 3,314 | 2,863 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 11% | 1,577 | 1,275 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 841 | 742 | $11K |
| 99442 | 2.9% | 367 | 275 | $4K | |
| 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 | <1% | 111 | 80 | $2K |
| 99397 | <1% | 21 | 16 | $325.51 | |
| 11721 | <1% | 109 | 109 | $278.75 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | 16 | $252.96 |
| 90674 | <1% | 78 | 72 | $179.97 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 36 | 32 | $176.55 |
| 3008F | <1% | 3,943 | 3,191 | $127.53 |
37 more codes
| 99001 | <1% | 127 | $113.36 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,206 | $42.51 |
| 99441 | <1% | 54 | $32.27 | |
| 3016F | <1% | 550 | $28.36 | |
| 3074F | <1% | 826 | $28.34 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48 | $14.17 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 60 | $9.05 |
| 1160F | 0% | 5,102 | $0.00 | |
| 3078F | 0% | 905 | $0.00 | |
| 1159F | 0% | 5,114 | $0.00 | |
| 99173 | 0% | 85 | $0.00 | |
| 4013F | 0% | 362 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 300 | $0.00 |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | 0% | 55 | $0.00 |
| 3028F | 0% | 16 | $0.00 | |
| 2028F | 0% | 13 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 99 | $0.00 |
| 4010F | 0% | 608 | $0.00 | |
| 1126F | 0% | 311 | $0.00 | |
| 3079F | 0% | 221 | $0.00 | |
| 1034F | 0% | 90 | $0.00 | |
| 1000F | 0% | 440 | $0.00 | |
| 1170F | 0% | 51 | $0.00 | |
| 1036F | 0% | 40 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 44 | $0.00 |
| 1125F | 0% | 76 | $0.00 | |
| 1220F | 0% | 196 | $0.00 | |
| 3017F | 0% | 29 | $0.00 | |
| 3037F | 0% | 16 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 15 | $0.00 |
| 3075F | 0% | 60 | $0.00 | |
| 92551 | 0% | 49 | $0.00 | |
| 4008F | 0% | 99 | $0.00 | |
| 4000F | 0% | 30 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 90686 | 0% | 18 | $0.00 | |
| 3011F | 0% | 12 | $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 officialROSELLO, GEMMA (VICE PRESIDENT)
Parent organizationCONTINUCARE CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Continucare Medical Management INC | Miami, FL | $227K |
| Rma Medical Centers of Florida LLC | Miami, FL | $30K |
| Continucare Mso, INC. | Miami, FL | $22K |
| Metcare of West Palm Beach | West Palm Beach, FL | $6K |
| Primary Care Specialists of the Palm Beaches LLC | Miami, FL | $670.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.