Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Orjuela, Andres

Orjuela, Andres was paid $67K by Medicaid between May 2019 and Jun 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 62% of everything it billed.

33Billing provider infoORJUELA, ANDRES
MIAMI, FL 33155
33aNPI1588687933assigned 07/26/2006
33bProvider typeOtolaryngology Physician
28Total paid$67K
24GClaims465
24DCodes billed4
24AFirst – last monthMay 2019 – Jun 2024
Compared with peers

Next to other Otolaryngology Physician providers in Florida

Rank by total paid#15 of 51
Median peer was paid$18K
This provider vs. median3.7×

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

$0$5.0K$10K2018201920202021202220232024
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
201913$726.46
202228$4K
2023373$56K
2024incomplete51$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 62% 197 190 $42K
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 36% 237 224 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 13 12 $726.46
95117 <1% 18 14 $328.32

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.