Physician
Orlando Health Medical Group INC
Orlando Health Medical Group INC was paid $57.49M by Medicaid between Jan 2018 and Dec 2024, across 240 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoORLANDO HEALTH MEDICAL GROUP INC
ORLANDO, FL 32806
ORLANDO, FL 32806
33aNPI1669429577assigned 05/27/2006
33bProvider typePediatric Hematology & Oncology Physician
28Total paid$57.49M
24GClaims1,452,126
24DCodes billed240
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Hematology & Oncology Physician providers in Florida
Rank by total paid#1 of 10
Median peer was paid$1.17M
This provider vs. median49×
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 | 4,599 | $30K | |
| 2019 | 119,497 | $6.27M | |
| 2020 | 140,192 | $7.56M | |
| 2021 | 236,099 | $11.17M | |
| 2022 | 370,266 | $12.59M | |
| 2023 | 410,757 | $14.30M | |
| 2024incomplete | 170,716 | $5.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 18% | 136,766 | 117,197 | $10.17M |
| H1000 | Prenatal care, at-risk assessment | 9.0% | 80,332 | 51,048 | $5.16M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.5% | 100,647 | 38,525 | $4.89M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.4% | 153,224 | 56,428 | $4.24M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 55,698 | 48,853 | $3.18M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.7% | 25,705 | 21,079 | $2.73M |
| 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 | 4.0% | 17,757 | 14,260 | $2.28M |
| 99223 | Prolong inpt eval add15 m | 3.7% | 28,780 | 22,364 | $2.14M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.3% | 31,506 | 25,303 | $1.92M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.7% | 30,807 | 26,783 | $1.53M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 10,525 | 9,328 | $1.22M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.8% | 10,379 | 8,900 | $1.04M |
228 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 6,250 | $824K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.2% | 7,733 | $697K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 15,024 | $655K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 7,939 | $618K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 16,567 | $614K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 6,313 | $608K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 8,372 | $575K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 9,657 | $554K |
| 59410 | <1% | 690 | $513K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,153 | $500K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 8,040 | $498K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 11,762 | $479K |
| 95720 | <1% | 2,552 | $476K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 101,124 | $475K |
| 59025 | Fetal non-stress test | <1% | 23,657 | $465K |
| 01922 | <1% | 3,398 | $440K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 10,378 | $425K |
| 99205 | Prolong outpt/office vis | <1% | 2,314 | $385K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12,034 | $375K |
| 99284 | Emergency room visit (serious) | <1% | 3,945 | $354K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,577 | $353K |
| 71045 | Radiologic examination, chest; single view | <1% | 87,424 | $315K |
| 93304 | <1% | 5,491 | $285K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 4,088 | $285K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 19,290 | $282K |
| 76818 | <1% | 3,217 | $216K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 3,821 | $193K |
| 81003 | <1% | 42,883 | $174K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 6,527 | $173K |
| 81002 | <1% | 4,947 | $169K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,716 | $159K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 4,501 | $146K |
| 99254 | <1% | 1,705 | $146K | |
| 99255 | <1% | 1,503 | $146K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,394 | $141K |
| 54161 | <1% | 535 | $131K | |
| 59430 | <1% | 2,501 | $114K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 4,236 | $112K |
| 94010 | <1% | 5,750 | $111K | |
| 99243 | <1% | 1,256 | $108K | |
| 99253 | <1% | 1,346 | $104K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,129 | $103K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,348 | $102K |
| 93320 | <1% | 8,265 | $94K | |
| 72082 | <1% | 2,171 | $89K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,721 | $88K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 10,104 | $80K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,848 | $80K |
| 99460 | <1% | 1,492 | $79K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 923 | $78K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 432 | $76K |
| 99188 | <1% | 5,609 | $72K | |
| 99245 | <1% | 748 | $71K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 3,545 | $66K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,651 | $65K |
| 76770 | <1% | 2,549 | $62K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 2,808 | $61K |
| 74018 | <1% | 12,892 | $61K | |
| 76820 | <1% | 3,433 | $56K | |
| 90461 | <1% | 4,337 | $54K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,576 | $52K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 910 | $49K |
| 99024 | <1% | 11,746 | $47K | |
| 93325 | <1% | 18,353 | $44K | |
| 92552 | <1% | 2,096 | $43K | |
| 99221 | <1% | 710 | $40K | |
| 81025 | <1% | 7,976 | $35K | |
| 93000 | <1% | 5,922 | $34K | |
| 93321 | <1% | 7,175 | $33K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,659 | $31K |
| 76801 | <1% | 810 | $31K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,527 | $30K |
| 95812 | <1% | 274 | $25K | |
| 76813 | <1% | 403 | $25K | |
| 99462 | <1% | 1,318 | $25K | |
| 74019 | <1% | 2,892 | $24K | |
| 77072 | <1% | 1,316 | $23K | |
| 93298 | <1% | 2,219 | $22K | |
| 76506 | <1% | 1,156 | $22K | |
| 00920 | <1% | 263 | $22K | |
| 99220 | <1% | 233 | $22K | |
| 99385 | <1% | 221 | $20K | |
| 00731 | <1% | 124 | $17K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 432 | $16K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 768 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,216 | $15K |
| 97597 | <1% | 795 | $15K | |
| 99241 | <1% | 100 | $15K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 613 | $14K |
| 99217 | <1% | 421 | $13K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 237 | $12K |
| 16020 | <1% | 303 | $12K | |
| 73100 | <1% | 499 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,989 | $11K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 465 | $11K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 378 | $11K |
| 99252 | <1% | 288 | $11K | |
| 95819 | <1% | 304 | $10K | |
| 11981 | <1% | 12 | $10K | |
| 93970 | <1% | 553 | $10K | |
| 93886 | <1% | 289 | $10K | |
| 95951 | <1% | 29 | $9K | |
| 73130 | <1% | 1,027 | $9K | |
| 72170 | <1% | 334 | $9K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 131 | $8K |
| 73610 | <1% | 1,036 | $8K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 90 | $7K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 86 | $7K |
| 73630 | <1% | 904 | $7K | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 90,729 | $7K |
| 72131 | <1% | 427 | $6K | |
| 83655 | <1% | 1,098 | $6K | |
| 93227 | <1% | 242 | $6K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 191 | $6K |
| 85018 | <1% | 4,705 | $5K | |
| 93971 | <1% | 463 | $5K | |
| 73562 | <1% | 932 | $5K | |
| 99415 | Prolong outpt/office vis | <1% | 868 | $5K |
| 72141 | <1% | 92 | $5K | |
| 73110 | <1% | 565 | $5K | |
| 99242 | <1% | 113 | $4K | |
| 58300 | <1% | 12 | $4K | |
| 95816 | <1% | 187 | $4K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 239 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 60 | $4K |
| 99236 | Prolong inpt eval add15 m | <1% | 31 | $4K |
| 94664 | <1% | 297 | $4K | |
| 73090 | <1% | 219 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,827 | $3K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 47 | $3K |
| 73030 | <1% | 441 | $3K | |
| 95718 | <1% | 30 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 91 | $2K |
| 93880 | <1% | 127 | $2K | |
| 94729 | <1% | 71 | $2K | |
| 99219 | <1% | 43 | $2K | |
| 93272 | <1% | 71 | $2K | |
| 93224 | <1% | 19 | $2K | |
| 77427 | <1% | 15 | $2K | |
| 93016 | <1% | 126 | $2K | |
| 74174 | <1% | 33 | $2K | |
| 57456 | <1% | 12 | $1K | |
| 54150 | <1% | 13 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 36416 | <1% | 1,724 | $1K | |
| 90670 | <1% | 3,520 | $1K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 221 | $1K |
| 99285 | Emergency room visit (most serious) | <1% | 22 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 119 | $1K |
| 78816 | <1% | 15 | $1K | |
| 96161 | <1% | 763 | $999.34 | |
| 87428 | <1% | 26 | $998.34 | |
| 20610 | <1% | 188 | $988.75 | |
| 78264 | <1% | 46 | $980.50 | |
| 93356 | <1% | 91 | $973.06 | |
| 99234 | <1% | 14 | $956.98 | |
| 93018 | <1% | 229 | $918.23 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 113 | $916.93 |
| 76641 | <1% | 55 | $891.98 | |
| 72128 | <1% | 58 | $882.75 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 19 | $848.86 |
| 90656 | <1% | 421 | $845.32 | |
| 73070 | <1% | 36 | $822.80 | |
| 64642 | <1% | 139 | $807.71 | |
| 73700 | <1% | 33 | $789.27 | |
| 72146 | <1% | 13 | $698.51 | |
| 70486 | <1% | 28 | $675.88 | |
| 70498 | <1% | 14 | $609.47 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 121 | $586.74 |
| 76377 | <1% | 58 | $500.61 | |
| 74230 | <1% | 43 | $472.00 | |
| 90686 | <1% | 5,297 | $471.76 | |
| 73140 | <1% | 13 | $449.68 | |
| 90474 | <1% | 165 | $420.00 | |
| 76870 | <1% | 28 | $356.01 | |
| 90648 | <1% | 4,288 | $354.19 | |
| 73080 | <1% | 63 | $353.10 | |
| 73590 | <1% | 86 | $351.12 | |
| 76885 | <1% | 13 | $348.08 | |
| 78582 | <1% | 21 | $320.23 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 13 | $304.02 |
| 84703 | <1% | 168 | $289.17 | |
| 99459 | <1% | 16 | $257.87 | |
| 93295 | <1% | 12 | $248.79 | |
| 93294 | <1% | 45 | $247.79 | |
| 90715 | <1% | 14 | $242.02 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 105 | $226.62 |
| 76942 | <1% | 105 | $196.56 | |
| 99251 | <1% | 125 | $194.86 | |
| 90633 | <1% | 1,112 | $189.06 | |
| 64643 | <1% | 50 | $180.04 | |
| 99152 | <1% | 77 | $172.01 | |
| 99451 | <1% | 21 | $164.13 | |
| 76642 | <1% | 15 | $155.50 | |
| 93280 | <1% | 14 | $144.52 | |
| 92558 | <1% | 26 | $136.63 | |
| 90681 | <1% | 757 | $125.00 | |
| 71250 | <1% | 17 | $121.95 | |
| 94060 | <1% | 39 | $105.46 | |
| 99354 | <1% | 15 | $96.61 | |
| 82962 | <1% | 72 | $87.79 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,135 | $40.80 |
| 96160 | <1% | 17 | $40.80 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 173 | $26.81 |
| 77077 | <1% | 28 | $25.81 | |
| 99173 | <1% | 1,411 | $20.04 | |
| 99497 | <1% | 57 | $15.16 | |
| 90723 | <1% | 2,724 | $14.18 | |
| 1123F | 0% | 47 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 617 | $0.00 |
| 3074F | 0% | 694 | $0.00 | |
| 96127 | 0% | 142 | $0.00 | |
| 99174 | 0% | 25 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 90696 | 0% | 48 | $0.00 | |
| 96112 | 0% | 55 | $0.00 | |
| 90688 | 0% | 29 | $0.00 | |
| 1159F | 0% | 453 | $0.00 | |
| 3078F | 0% | 1,614 | $0.00 | |
| 90671 | 0% | 807 | $0.00 | |
| 1160F | 0% | 426 | $0.00 | |
| 3077F | 0% | 96 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90685 | 0% | 38 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 22 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 15 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 122 | $0.00 |
| 90700 | 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.
From NPPES
Who's on the registration
Authorized officialNAPIER, MICHELE (SVP, REVENUE MANAGEMENT & CRO)
| Provider | Location | Paid |
|---|---|---|
| Orlando Health, INC. | Orlando, FL | $105.45M |
| South Lake Hospital, INC. | Clermont, FL | $16.88M |
| Orlando Physicians Network INC | Orlando, FL | $9.44M |
| Baptist Health Centers LLC | Talladega, AL | $6.99M |
| Baptist Health Centers, LLC | Winfield, AL | $2.15M |
| Baptist Health Centers LLC | Talladega, AL | $2.00M |
| Ohi West Medical Group, LLC | St Petersburg, FL | $1.28M |
| Orlando Regional Healthcare | Orlando, FL | $1.01M |
| Baptist Health Centers, LLC | Lincoln, AL | $988K |
| BW Physician Practices, LLC | Birmingham, AL | $967K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.