Physician
Susan Fox, D.O., LLC
Susan Fox, D.O., LLC was paid $2.11M by Medicaid between Dec 2018 and Dec 2024, across 33 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 22% of everything it billed.
33Billing provider infoSUSAN FOX, D.O., LLC
MIAMI, FL 33183
MIAMI, FL 33183
33aNPI1801136734assigned 03/01/2013
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$2.11M
24GClaims74,812
24DCodes billed33
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Florida
Rank by total paid#2 of 69
Median peer was paid$14K
This provider vs. median152×
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 | 800 | $13K | |
| 2019 | 6,384 | $268K | |
| 2020 | 8,540 | $422K | |
| 2021 | 10,035 | $589K | |
| 2022 | 22,339 | $339K | |
| 2023 | 18,945 | $159K | |
| 2024incomplete | 7,769 | $323K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 22% | 9,815 | 5,503 | $455K |
| 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 | 19% | 15,556 | 9,682 | $408K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.4% | 4,399 | 2,852 | $157K |
| 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 | 7.3% | 3,138 | 2,029 | $154K |
| 99386 | 7.2% | 3,498 | 2,073 | $153K | |
| 99385 | 6.9% | 4,729 | 2,717 | $145K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.9% | 3,359 | 2,090 | $125K |
| 59430 | 3.8% | 982 | 784 | $80K | |
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | 3.5% | 180 | 113 | $74K |
| 57454 | 2.9% | 1,507 | 836 | $61K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,555 | 1,102 | $54K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 2.5% | 472 | 373 | $52K |
21 more codes
| 76857 | 1.5% | 1,988 | $32K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.5% | 105 | $31K |
| 99459 | 1.3% | 2,109 | $28K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 794 | $27K |
| 76998 | <1% | 1,273 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 489 | $13K |
| 58301 | <1% | 895 | $12K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 607 | $8K |
| 99443 | <1% | 394 | $6K | |
| 81025 | <1% | 6,186 | $5K | |
| 58300 | <1% | 1,205 | $5K | |
| 57456 | <1% | 315 | $4K | |
| 58100 | <1% | 80 | $3K | |
| 99442 | <1% | 172 | $2K | |
| 81005 | <1% | 8,567 | $2K | |
| 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) | <1% | 261 | $1K |
| 11981 | <1% | 67 | $804.10 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 16 | $647.73 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 67 | $543.76 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 17 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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 officialFOX, SUSAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Delligatti & Milewski Orthodontic Group, P.C. | Philadelphia, PA | $766K |
| Cichetti & Delligatti Orthodontics, P.C. | Philadelphia, PA | $126K |
| Tanner Intensive Medical Services INC | Wedowee, AL | $79K |
| Cichetti & Delligatti Orthodontics, P.C. | Ambler, PA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.