Physician
Pradere, Jose
Pradere, Jose was paid $1.08M by Medicaid between Dec 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPRADERE, JOSE
MIAMI, FL 33126
MIAMI, FL 33126
33aNPI1639187040assigned 08/03/2006
33bProvider typeGeneral Practice Physician
28Total paid$1.08M
24GClaims26,479
24DCodes billed22
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#33 of 420
Median peer was paid$23K
This provider vs. median48×
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
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 | |
|---|---|---|---|
| 2018 | 191 | $5K | |
| 2019 | 4,116 | $150K | |
| 2020 | 4,164 | $154K | |
| 2021 | 4,703 | $225K | |
| 2022 | 5,774 | $225K | |
| 2023 | 5,036 | $214K | |
| 2024incomplete | 2,495 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 9,158 | 7,418 | $420K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,593 | 1,509 | $175K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,149 | 1,104 | $128K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 946 | 896 | $117K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 987 | 913 | $100K |
| 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 | 7.5% | 1,299 | 1,183 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 2,485 | 2,239 | $25K |
| 99401 | 2.0% | 3,417 | 3,096 | $21K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,120 | 2,924 | $10K |
| 90461 | <1% | 783 | 720 | $1K | |
| 86580 | <1% | 210 | 203 | $326.68 | |
| 90670 | <1% | 283 | 268 | $250.00 |
10 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 447 | $107.53 |
| 90649 | <1% | 120 | $106.24 | |
| 90686 | <1% | 118 | $67.71 | |
| 90620 | <1% | 72 | $44.01 | |
| 90648 | 0% | 52 | $0.00 | |
| 90633 | 0% | 18 | $0.00 | |
| 1111F | 0% | 130 | $0.00 | |
| 90680 | 0% | 68 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $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.