Jose R Prieto MD PA

Jose R Prieto MD PA was paid $792K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.

33Billing provider infoJOSE R PRIETO MD PA
BRANDON, FL 33511

33aNPI1689708844assigned 03/16/2007

33bProvider typeInfectious Disease Physician

28Total paid$792K

24GClaims35,765

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Florida

Rank by total paid#15 of 174

Median peer was paid$60K

This provider vs. median13×

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	1,748	$7K
2019	6,026	$129K
2020	8,535	$162K
2021	5,499	$149K
2022	5,433	$121K
2023	6,196	$181K
2024incomplete	2,328	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	51%	26,125	6,561	$407K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	26%	6,027	2,115	$203K
99223	Prolong inpt eval add15 m	19%	2,515	2,050	$151K
99222	Initial hospital care, per day, moderate complexity	1.9%	359	284	$15K
99255		1.1%	65	65	$9K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	632	158	$4K
99254		<1%	28	27	$3K
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	<1%	14	12	$334.68

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 officialRIVERA, JOSEFINA (PRACTICE ADMINISTRATOR)