Medicaid Provider Spending

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

ACCESS MEDICAL GROUP OF NORTH MIAMI BEACH, LLC.

NPI: 1578844106 · NORTH MIAMI BEACH, FL 33162 · Family Medicine Physician · NPI assigned 09/09/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAMIREZ, RAYNY controls 11+ related entities in our dataset. Read more

$191K
Total Medicaid Paid
102,507
Total Claims
89,180
Beneficiaries
68
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMIREZ, RAYNY (PRESIDENT)
NPI Enumeration Date09/09/2011

Related Entities

Other providers sharing the same authorized official: RAMIREZ, RAYNY

ProviderCityStateTotal Paid
ACCESS MEDICAL GROUP OF WESTCHESTER, LLC. MIAMI FL $1.07M
ACCESS MEDICAL GROUP OF MIAMI, LLC. MIAMI FL $689K
ACCESS MEDICAL GROUP OF HIALEAH, LLC. HIALEAH FL $517K
ACCESS MEDICAL GROUP OF PERRINE, LLC. MIAMI FL $499K
ACCESS MEDICAL GROUP OF FLORIDA CITY, LLC. FLORIDA CITY FL $382K
ACCESS MEDICAL GROUP OF OPA-LOCKA, LLC. OPA LOCKA FL $194K
ACCESS MEDICAL GROUP OF TAMPA, LLC. PLANT CITY FL $50K
ACCESS MEDICAL GROUP OF TAMPA II, LLC. TAMPA FL $12K
ACCESS MEDICAL GROUP OF LAKELAND, LLC LAKELAND FL $5K
ACCESS MEDICAL GROUP OF MARGATE, LLC MARGATE FL $849.03
ACCESS MEDICAL GROUP OF TAMPA III, LLC. AUBURNDALE FL $122.62

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,125 $1K
2019 17,599 $21K
2020 6,334 $9K
2021 11,661 $24K
2022 23,271 $45K
2023 33,978 $79K
2024 8,539 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,837 14,715 $82K
99385 2,082 1,907 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 903 893 $11K
99386 1,011 906 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,069 1,047 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,806 1,624 $10K
36415 Collection of venous blood by venipuncture 7,005 6,165 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 622 577 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 631 578 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 794 776 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,085 3,694 $6K
3074F 13,404 11,494 $2K
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 750 617 $2K
99442 327 301 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 140 133 $1K
1159F 11,938 9,889 $1K
99383 70 67 $975.27
0001A 32 31 $789.73
3075F 1,726 1,577 $689.72
0011A 28 27 $649.49
0012A 22 20 $588.00
99387 15 14 $495.81
99397 27 25 $457.05
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 16 $232.19
3078F 9,978 8,642 $218.88
1160F 11,950 9,899 $196.97
93000 686 657 $174.86
99384 12 12 $165.79
3079F 5,022 4,259 $165.37
90633 486 452 $35.00
90619 44 41 $2.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 43 39 $0.74
99071 1,794 1,668 $0.20
94644 12 12 $0.10
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 62 59 $0.06
3008F 87 87 $0.00
90674 166 164 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,384 1,220 $0.00
1111F 225 215 $0.00
90686 1,083 1,004 $0.00
3048F 107 99 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 317 285 $0.00
3044F 255 238 $0.00
90651 290 265 $0.00
3049F 85 72 $0.00
3080F 379 341 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 277 251 $0.00
91301 45 39 $0.00
90697 12 12 $0.00
90688 68 67 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 135 131 $0.00
90620 40 37 $0.00
90716 38 27 $0.00
90723 14 14 $0.00
3077F 683 561 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 381 314 $0.00
90687 167 133 $0.00
90670 318 285 $0.00
91300 41 31 $0.00
90710 89 78 $0.00
90648 43 43 $0.00
90715 12 12 $0.00
83655 217 207 $0.00
3050F 14 14 $0.00
90734 33 32 $0.00
90685 29 29 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 28 24 $0.00
90681 16 16 $0.00