Clinic
Karelia Ruiz MD PA
Karelia Ruiz MD PA was paid $95K by Medicaid between Dec 2018 and Mar 2023, across 16 billing codes. Its largest line is 99490, Ccm add 20min — 58% of everything it billed.
33Billing provider infoKARELIA RUIZ MD PA
HIALEAH, FL 33014
HIALEAH, FL 33014
33aNPI1558511345assigned 09/29/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$95K
24GClaims13,216
24DCodes billed16
24AFirst – last monthDec 2018 – Mar 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Florida
Rank by total paid#71 of 215
Median peer was paid$25K
This provider vs. median3.8×
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 | 60 | $430.03 | |
| 2019 | 2,497 | $8K | |
| 2020 | 4,096 | $34K | |
| 2021 | 3,297 | $23K | |
| 2022 | 2,805 | $29K | |
| 2023 | 461 | $588.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99490 | Ccm add 20min | 58% | 4,182 | 3,879 | $55K |
| 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 | 31% | 2,194 | 1,815 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,226 | 1,052 | $10K |
| G0008 | Administration of influenza virus vaccine | <1% | 51 | 48 | $199.28 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 13 | $164.54 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 163 | 148 | $28.28 |
| 1125F | <1% | 1,642 | 1,351 | $0.08 | |
| 1170F | <1% | 1,723 | 1,408 | $0.02 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 58 | 58 | $0.00 |
| 90662 | 0% | 12 | 12 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 14 | 12 | $0.00 |
| 3061F | 0% | 172 | 139 | $0.00 |
4 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 officialRUIZ, KARELIA (PRESIDENT)