Physician
Groupo Medico Dominicano PLLC
Groupo Medico Dominicano PLLC was paid $3.70M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoGROUPO MEDICO DOMINICANO PLLC
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1679646061assigned 11/16/2006
33bProvider typeInterventional Cardiology Physician
28Total paid$3.70M
24GClaims724,273
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in New York
Rank by total paid#3 of 138
Median peer was paid$16K
This provider vs. median235×
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 | 66,178 | $743K | |
| 2019 | 101,826 | $683K | |
| 2020 | 89,913 | $504K | |
| 2021 | 128,179 | $582K | |
| 2022 | 117,551 | $452K | |
| 2023 | 119,873 | $514K | |
| 2024incomplete | 100,753 | $225K |
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 | 26% | 41,467 | 39,952 | $952K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.9% | 5,065 | 5,051 | $367K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 13,065 | 12,453 | $287K |
| G0444 | Annual depression screening, 5 to 15 minutes | 6.8% | 35,654 | 34,454 | $252K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.7% | 18,807 | 18,408 | $247K |
| 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 | 5.7% | 2,766 | 2,725 | $212K |
| 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 | 3.3% | 819 | 817 | $121K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.8% | 25,738 | 24,845 | $105K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.2% | 984 | 979 | $83K |
| 73630 | 2.2% | 3,200 | 2,046 | $80K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 287 | 284 | $67K |
| 95886 | 1.8% | 432 | 353 | $67K |
132 more codes
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.6% | 553 | $58K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 877 | $56K |
| 76770 | 1.4% | 603 | $52K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 267 | $49K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 1,349 | $39K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,269 | $34K |
| H0001 | Alcohol and/or drug assessment | <1% | 32,814 | $33K |
| 20550 | <1% | 1,029 | $33K | |
| 97802 | <1% | 25,029 | $32K | |
| 99397 | <1% | 4,224 | $30K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,643 | $27K |
| 51728 | <1% | 84 | $26K | |
| 99401 | <1% | 6,521 | $26K | |
| 95912 | <1% | 118 | $25K | |
| 93923 | <1% | 273 | $23K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 960 | $22K |
| 93975 | <1% | 88 | $22K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 27,923 | $21K |
| 3074F | <1% | 22,880 | $19K | |
| 93922 | <1% | 325 | $18K | |
| 3079F | <1% | 17,106 | $17K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 3,650 | $16K |
| 90674 | <1% | 1,639 | $12K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 313 | $11K |
| 97035 | <1% | 1,232 | $10K | |
| 99442 | <1% | 354 | $9K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 52 | $8K |
| 76882 | <1% | 229 | $8K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 729 | $8K |
| 90658 | <1% | 1,111 | $7K | |
| 93000 | <1% | 790 | $7K | |
| 99386 | <1% | 312 | $7K | |
| 99443 | <1% | 161 | $7K | |
| 52204 | <1% | 25 | $6K | |
| 97014 | <1% | 464 | $6K | |
| 52000 | <1% | 24 | $5K | |
| 11721 | <1% | 198 | $5K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 25,859 | $4K |
| 97161 | <1% | 60 | $4K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 259 | $4K |
| 0012A | <1% | 112 | $4K | |
| 0011A | <1% | 110 | $4K | |
| 95913 | <1% | 12 | $3K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 32,819 | $3K |
| 3078F | <1% | 7,504 | $3K | |
| 86328 | <1% | 484 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $3K |
| 11720 | <1% | 138 | $3K | |
| 99243 | <1% | 24 | $3K | |
| 0064A | <1% | 94 | $2K | |
| 1159F | <1% | 22,516 | $2K | |
| 51784 | <1% | 72 | $2K | |
| 99385 | <1% | 137 | $2K | |
| 1160F | <1% | 22,615 | $2K | |
| 3077F | <1% | 806 | $2K | |
| 76872 | <1% | 15 | $2K | |
| 99496 | <1% | 152 | $1K | |
| 73610 | <1% | 35 | $1K | |
| 3080F | <1% | 301 | $949.05 | |
| 11055 | <1% | 16 | $892.26 | |
| 93784 | <1% | 418 | $752.93 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 30 | $747.86 |
| 76857 | <1% | 26 | $694.05 | |
| 51741 | <1% | 85 | $656.98 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 388 | $655.20 |
| 1170F | <1% | 1,237 | $583.00 | |
| 3075F | <1% | 810 | $566.55 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 353 | $548.81 |
| 1126F | <1% | 752 | $453.00 | |
| 3044F | <1% | 4,129 | $428.32 | |
| 1111F | <1% | 237 | $288.00 | |
| 3048F | <1% | 4,912 | $218.00 | |
| 99495 | <1% | 13 | $204.71 | |
| 51798 | <1% | 40 | $195.80 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 108 | $186.74 |
| 3050F | <1% | 2,646 | $182.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 116 | $145.02 |
| 3049F | <1% | 3,191 | $142.00 | |
| 3061F | <1% | 358 | $64.00 | |
| 4274F | <1% | 1,585 | $51.09 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 20 | $49.49 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 257 | $43.72 |
| 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 | <1% | 12 | $40.44 |
| 82270 | <1% | 31 | $26.74 | |
| J1094 | Injection, dexamethasone acetate, 1 mg | <1% | 99 | $24.84 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 25,337 | $10.25 |
| G0008 | Administration of influenza virus vaccine | <1% | 19 | $10.00 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 30,704 | $10.00 |
| 1158F | <1% | 1,820 | $8.00 | |
| 3046F | <1% | 98 | $8.00 | |
| 3008F | <1% | 31,339 | $2.89 | |
| 91306 | <1% | 92 | $0.28 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 8,127 | $0.25 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 93 | $0.19 |
| 3045F | <1% | 248 | $0.07 | |
| 1000F | <1% | 22,365 | $0.01 | |
| 1036F | 0% | 22,231 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 25,370 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 11,830 | $0.00 |
| 3017F | 0% | 825 | $0.00 | |
| 3014F | 0% | 849 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 378 | $0.00 |
| 1125F | 0% | 111 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 210 | $0.00 |
| 97010 | 0% | 200 | $0.00 | |
| 82043 | 0% | 698 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 17 | $0.00 |
| 81528 | Oncology (colorectal) screening, quantitative real-time target and signal amplification | 0% | 15 | $0.00 |
| 91301 | 0% | 212 | $0.00 | |
| 1100F | 0% | 1,056 | $0.00 | |
| 3016F | 0% | 24,390 | $0.00 | |
| A4927 | Gloves, non-sterile, per 100 | 0% | 1,010 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,884 | $0.00 |
| 3725F | 0% | 24,120 | $0.00 | |
| 4013F | 0% | 7,472 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 24,558 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 800 | $0.00 |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 932 | $0.00 |
| 3288F | 0% | 243 | $0.00 | |
| A4245 | Alcohol wipes, per box | 0% | 1,010 | $0.00 |
| 2028F | 0% | 1,652 | $0.00 | |
| 0521F | 0% | 407 | $0.00 | |
| A4208 | Syringe with needle, sterile 3 cc, each | 0% | 893 | $0.00 |
| S9449 | Weight management classes, non-physician provider, per session | 0% | 225 | $0.00 |
| 3015F | 0% | 214 | $0.00 | |
| A4550 | Surgical trays | 0% | 257 | $0.00 |
| G9276 | Documentation that patient is a current tobacco user | 0% | 171 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 199 | $0.00 |
| 4004F | 0% | 44 | $0.00 | |
| 99499 | 0% | 13 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 15 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 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 officialTAVERAS, FERNANDO (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Fernando Taveras, MD PC | New York, NY | $7.11M |
| Mih Experience LTD | New York, NY | $2.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.