Physician
Ophelia Medical Group FL, P.A.
Ophelia Medical Group FL, P.A. was paid $10.65M by Medicaid between Jan 2022 and Dec 2024, across 18 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 36% of everything it billed.
33Billing provider infoOPHELIA MEDICAL GROUP FL, P.A.
PHILADELPHIA, PA 19122
PHILADELPHIA, PA 19122
33aNPI1588244750assigned 04/12/2021
33bProvider typeAddiction Medicine (Psychiatry & Neurology) Physician
28Total paid$10.65M
24GClaims113,257
24DCodes billed18
24AFirst – last monthJan 2022 – Dec 2024
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 | |
|---|---|---|---|
| 2022 | 15,494 | $919K | |
| 2023 | 41,397 | $3.08M | |
| 2024incomplete | 56,366 | $6.65M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 36% | 13,881 | 13,822 | $3.78M |
| 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 | 29% | 61,779 | 48,574 | $3.14M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16% | 6,897 | 6,882 | $1.73M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 17,891 | 14,951 | $702K |
| 99491 | Ccm add 20min | 3.4% | 3,710 | 3,664 | $366K |
| 99340 | 2.7% | 1,769 | 1,729 | $291K | |
| 99437 | 2.4% | 3,647 | 3,639 | $253K | |
| H0006 | Alcohol and/or drug services; case management | 1.2% | 470 | 470 | $129K |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | <1% | 283 | 282 | $73K |
| 99205 | Prolong outpt/office vis | <1% | 594 | 589 | $70K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 446 | 440 | $41K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 288 | 272 | $25K |
6 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 officialWILLIAMS, ARTHUR (CHIEF MEDICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Rehabilitation Medical Associates, P.C. | Braintree, MA | $1.71M |
| San Gabriel Valley Consulting Pathologists Medical Group, INC. | West Covina, CA | $695K |
| San Gabriel Valley Consulting Pathologists Medical Group, INC. | Monterey Park, CA | $455K |
| San Gabriel Valley Consulting Pathologists Medical Group, INC. | Monterey Park, CA | $371K |
| San Gabriel Valley Consulting Pathologists Medical Group, INC. | Glendora, CA | $299K |
| San Gabriel Valley Consulting Pathologists Medical Group, INC. | South El Monte, CA | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.