Medicaid Provider Spending

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

ACCESS MEDICAL GROUP OF MIAMI, LLC.

NPI: 1619259264 · MIAMI, FL 33125 · 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

$689K
Total Medicaid Paid
341,465
Total Claims
310,102
Beneficiaries
86
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 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 NORTH MIAMI BEACH, LLC. NORTH MIAMI BEACH FL $191K
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 5,708 $7K
2019 62,870 $97K
2020 27,847 $49K
2021 40,803 $96K
2022 56,428 $115K
2023 75,108 $177K
2024 72,701 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59,069 53,213 $269K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,421 6,295 $63K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,317 6,200 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,979 4,887 $56K
99385 5,475 5,194 $47K
99386 3,013 2,846 $36K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,476 3,391 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,110 5,749 $34K
36415 Collection of venous blood by venipuncture 15,971 14,389 $12K
3074F 39,177 34,926 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,817 9,149 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 807 771 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,092 2,970 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 701 676 $5K
99383 545 537 $4K
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 3,224 2,896 $4K
99384 206 202 $4K
0011A 114 107 $3K
0001A 128 120 $3K
0002A 115 110 $3K
99397 614 598 $3K
99387 192 192 $2K
3075F 3,094 2,916 $2K
0012A 78 76 $2K
99381 210 203 $2K
99382 159 153 $2K
93000 1,009 986 $502.70
1159F 39,965 34,924 $339.25
86580 133 118 $152.22
3078F 34,336 30,596 $124.29
99442 267 257 $120.82
90686 8,858 8,275 $105.67
90674 92 92 $90.97
90633 3,792 3,583 $67.83
3044F 435 431 $60.00
90619 830 741 $34.00
90670 2,988 2,867 $30.69
90658 14 13 $28.36
1160F 39,783 34,766 $14.33
90716 502 468 $14.18
93922 13 13 $12.61
90713 683 643 $12.61
90648 1,102 1,072 $10.00
90697 138 137 $8.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 116 115 $0.98
90677 362 359 $0.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 25 25 $0.27
90715 512 478 $0.24
90688 717 674 $0.18
3079F 7,251 6,501 $0.12
90651 2,432 2,272 $0.02
3008F 2,004 1,961 $0.01
90647 492 484 $0.01
90620 735 687 $0.01
90696 226 209 $0.01
90734 645 637 $0.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4,925 4,514 $0.00
1111F 895 844 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 530 489 $0.00
90723 621 609 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 895 815 $0.00
1126F 48 47 $0.00
3049F 177 177 $0.00
90680 505 496 $0.00
90698 200 200 $0.00
91301 143 133 $0.00
3017F 52 52 $0.00
3048F 151 151 $0.00
90744 24 24 $0.00
3061F 26 26 $0.00
1170F 55 55 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 12 12 $0.00
90710 1,581 1,504 $0.00
90681 909 888 $0.00
99071 2,849 2,763 $0.00
90685 709 703 $0.00
83655 628 625 $0.00
91300 300 268 $0.00
2014F 41 40 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 935 853 $0.00
90700 319 312 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 58 44 $0.00
3050F 191 189 $0.00
87400 50 49 $0.00
3077F 54 51 $0.00
90707 21 19 $0.00