Physician
Access Medical Group of Opa-Locka, LLC.
Access Medical Group of Opa-Locka, LLC. was paid $194K by Medicaid between Dec 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoACCESS MEDICAL GROUP OF OPA-LOCKA, LLC.
OPA LOCKA, FL 33054
OPA LOCKA, FL 33054
33aNPI1790044287assigned 05/03/2012
33bProvider typeFamily Medicine Physician
28Total paid$194K
24GClaims144,545
24DCodes billed73
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#159 of 996
Median peer was paid$13K
This provider vs. median15×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RAMIREZ, RAYNY controls 11+ related entities in our dataset. Read more
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 | 1,056 | $968.68 | |
| 2019 | 16,636 | $21K | |
| 2020 | 6,928 | $11K | |
| 2021 | 16,365 | $26K | |
| 2022 | 31,621 | $31K | |
| 2023 | 39,299 | $56K | |
| 2024incomplete | 32,640 | $48K |
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 | 52% | 24,663 | 21,822 | $102K |
| 99385 | 7.1% | 2,171 | 2,102 | $14K | |
| 99386 | 5.6% | 1,173 | 1,126 | $11K | |
| 36415 | Collection of venous blood by venipuncture | 4.5% | 7,728 | 7,004 | $9K |
| 3074F | 3.5% | 19,937 | 17,441 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 917 | 873 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 4,361 | 4,097 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 799 | 788 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 707 | 671 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 825 | 760 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 566 | 537 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 796 | 764 | $3K |
61 more codes
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.2% | 3,096 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 225 | $2K |
| 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% | 967 | $2K |
| 0011A | <1% | 62 | $1K | |
| 99442 | <1% | 788 | $1K | |
| 0012A | <1% | 47 | $1K | |
| 1159F | <1% | 18,130 | $986.69 | |
| 99397 | <1% | 187 | $943.05 | |
| 3075F | <1% | 2,122 | $875.22 | |
| 93000 | <1% | 913 | $499.53 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 138 | $439.23 |
| 0013A | <1% | 15 | $294.59 | |
| 99383 | <1% | 30 | $176.98 | |
| 1160F | <1% | 18,104 | $164.01 | |
| 3078F | <1% | 15,678 | $138.74 | |
| 99387 | <1% | 12 | $131.59 | |
| 99384 | <1% | 14 | $114.08 | |
| 3079F | <1% | 6,219 | $113.51 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 93 | $85.58 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,855 | $50.44 |
| 99071 | <1% | 1,477 | $32.13 | |
| 3077F | <1% | 419 | $25.22 | |
| 86580 | <1% | 15 | $13.45 | |
| 1111F | <1% | 305 | $12.61 | |
| 90687 | <1% | 117 | $10.00 | |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | <1% | 256 | $0.23 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 21 | $0.14 |
| 83655 | <1% | 58 | $0.07 | |
| 3049F | 0% | 554 | $0.00 | |
| 90716 | 0% | 40 | $0.00 | |
| 3048F | 0% | 888 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 104 | $0.00 |
| 3044F | 0% | 906 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 308 | $0.00 |
| 90686 | 0% | 1,491 | $0.00 | |
| 3008F | 0% | 1,606 | $0.00 | |
| 3014F | 0% | 14 | $0.00 | |
| 90651 | 0% | 211 | $0.00 | |
| 91301 | 0% | 82 | $0.00 | |
| 1126F | 0% | 13 | $0.00 | |
| 3080F | 0% | 277 | $0.00 | |
| 1170F | 0% | 27 | $0.00 | |
| 3061F | 0% | 46 | $0.00 | |
| 3017F | 0% | 26 | $0.00 | |
| 90619 | 0% | 48 | $0.00 | |
| 1157F | 0% | 27 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 18 | $0.00 |
| 90674 | 0% | 19 | $0.00 | |
| 92568 | 0% | 84 | $0.00 | |
| 90633 | 0% | 441 | $0.00 | |
| 90670 | 0% | 228 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 482 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 17 | $0.00 |
| 3050F | 0% | 440 | $0.00 | |
| 90671 | 0% | 26 | $0.00 | |
| 90734 | 0% | 15 | $0.00 | |
| 90685 | 0% | 41 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90681 | 0% | 14 | $0.00 | |
| 90710 | 0% | 21 | $0.00 | |
| 90648 | 0% | 13 | $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 officialRAMIREZ, RAYNY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Access Medical Group of Westchester, LLC. | Miami, FL | $1.07M |
| Access Medical Group of Miami, LLC. | Miami, FL | $689K |
| Access Medical Group of Hialeah, LLC. | Hialeah, FL | $517K |
| Access Medical Group of Perrine, LLC. | Miami, FL | $499K |
| Access Medical Group of Florida City, LLC. | Florida City, FL | $382K |
| Access Medical Group of North Miami Beach, LLC. | North Miami Beach, FL | $191K |
| Access Medical Group of Tampa, LLC. | Plant City, FL | $50K |
| Access Medical Group of Tampa II, LLC. | Tampa, FL | $12K |
| Access Medical Group of Lakeland, LLC | Lakeland, FL | $5K |
| Access Medical Group of Margate, LLC | Margate, FL | $849.03 |
| Access Medical Group of Tampa III, LLC. | Auburndale, FL | $122.62 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.