Physician
Highlands Advanced Rheumatology and Arthritis Center PL
Highlands Advanced Rheumatology and Arthritis Center PL was paid $2.74M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is J3262, Injection, tocilizumab, 1 mg — 34% of everything it billed.
33Billing provider infoHIGHLANDS ADVANCED RHEUMATOLOGY AND ARTHRITIS CENTER PL
AVON PARK, FL 33825
AVON PARK, FL 33825
33aNPI1700017118assigned 08/03/2009
33bProvider typeRheumatology Physician
28Total paid$2.74M
24GClaims32,731
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rheumatology Physician providers in Florida
Rank by total paid#1 of 55
Median peer was paid$43K
This provider vs. median64×
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 | 1,859 | $32K | |
| 2019 | 2,786 | $244K | |
| 2020 | 3,134 | $744K | |
| 2021 | 3,393 | $396K | |
| 2022 | 5,246 | $342K | |
| 2023 | 9,710 | $609K | |
| 2024incomplete | 6,603 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3262 | Injection, tocilizumab, 1 mg | 34% | 805 | 361 | $934K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 24% | 1,453 | 1,142 | $653K |
| 96415 | 12% | 541 | 467 | $333K | |
| 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 | 10% | 9,989 | 7,654 | $280K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 5.5% | 2,748 | 1,343 | $152K |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 3.7% | 163 | 114 | $101K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.8% | 4,832 | 2,565 | $76K |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 2.3% | 33 | 25 | $62K |
| 96521 | 1.3% | 1,219 | 362 | $36K | |
| 96401 | 1.1% | 72 | 24 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,478 | 1,086 | $25K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 431 | 375 | $18K |
17 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 197 | $13K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 4,235 | $11K |
| 76881 | <1% | 198 | $10K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 1,241 | $5K |
| 20610 | <1% | 147 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,090 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 909 | $983.41 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 17 | $161.76 |
| J1817 | Insulin for administration through dme (i.e., insulin pump) per 50 units | <1% | 323 | $151.24 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 16 | $116.94 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 20 | $67.90 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 209 | $0.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 91 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 103 | $0.00 |
| 99490 | Ccm add 20min | 0% | 131 | $0.00 |
| G9451 | Patient received one-time screening for hcv infection | 0% | 15 | $0.00 |
| 99497 | 0% | 25 | $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 officialTORRES, ALEXANDER (OWNER)