Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › North Miami Beach › NPI 1578844106
Physician

Access Medical Group of North Miami Beach, LLC.

Access Medical Group of North Miami Beach, LLC. was paid $191K by Medicaid between Dec 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoACCESS MEDICAL GROUP OF NORTH MIAMI BEACH, LLC.
NORTH MIAMI BEACH, FL 33162
33aNPI1578844106assigned 09/09/2011
28Total paid$191K
24GClaims102,507
24DCodes billed68
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#161 of 996
Median peer was paid$13K
This provider vs. median14×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RAMIREZ, RAYNY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,125$1K
201917,599$21K
20206,334$9K
202111,661$24K
202223,271$45K
202333,978$79K
2024incomplete8,539$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 16,837 14,715 $82K
99385 9.2% 2,082 1,907 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.7% 903 893 $11K
99386 5.6% 1,011 906 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.3% 1,069 1,047 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.3% 1,806 1,624 $10K
36415 Collection of venous blood by venipuncture 4.5% 7,005 6,165 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3.9% 622 577 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.5% 631 578 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.4% 794 776 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.2% 4,085 3,694 $6K
3074F 1.3% 13,404 11,494 $2K
56 more codes
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 <1% 750 $2K
99442 <1% 327 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 140 $1K
1159F <1% 11,938 $1K
99383 <1% 70 $975.27
0001A <1% 32 $789.73
3075F <1% 1,726 $689.72
0011A <1% 28 $649.49
0012A <1% 22 $588.00
99387 <1% 15 $495.81
99397 <1% 27 $457.05
99214 Doctor's office visit, returning patient (more involved) <1% 16 $232.19
3078F <1% 9,978 $218.88
1160F <1% 11,950 $196.97
93000 <1% 686 $174.86
99384 <1% 12 $165.79
3079F <1% 5,022 $165.37
90633 <1% 486 $35.00
90619 <1% 44 $2.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 43 $0.74
99071 <1% 1,794 $0.20
94644 <1% 12 $0.10
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 62 $0.06
3008F 0% 87 $0.00
90674 0% 166 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 1,384 $0.00
1111F 0% 225 $0.00
90686 0% 1,083 $0.00
3048F 0% 107 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 317 $0.00
3044F 0% 255 $0.00
90651 0% 290 $0.00
3049F 0% 85 $0.00
3080F 0% 379 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 277 $0.00
91301 0% 45 $0.00
90697 0% 12 $0.00
90688 0% 68 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 135 $0.00
90620 0% 40 $0.00
90716 0% 38 $0.00
90723 0% 14 $0.00
3077F 0% 683 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 381 $0.00
90687 0% 167 $0.00
90670 0% 318 $0.00
91300 0% 41 $0.00
90710 0% 89 $0.00
90648 0% 43 $0.00
90715 0% 12 $0.00
83655 0% 217 $0.00
3050F 0% 14 $0.00
90734 0% 33 $0.00
90685 0% 29 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 28 $0.00
90681 0% 16 $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 officialRAMIREZ, RAYNY (PRESIDENT)
Same official

Other billing entities under RAMIREZ, RAYNY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.