Physician
Vitalmd Group Holding LLC
Vitalmd Group Holding LLC was paid $747K by Medicaid between Mar 2022 and Jan 2023, across 51 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 36% of everything it billed.
33Billing provider infoVITALMD GROUP HOLDING LLC
MIAMI, FL 33133
MIAMI, FL 33133
33aNPI1871572032assigned 01/16/2006
33bProvider typeGynecologic Oncology Physician
28Total paid$747K
24GClaims12,916
24DCodes billed51
24AFirst – last monthMar 2022 – Jan 2023
Compared with peers
Next to other Gynecologic Oncology Physician providers in Florida
Rank by total paid#2 of 12
Median peer was paid$9K
This provider vs. median84×
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 | |
|---|---|---|---|
| 2022 | 12,831 | $744K | |
| 2023 | 85 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 36% | 4,605 | 3,237 | $270K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 2,468 | 2,044 | $230K |
| 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 | 9.7% | 608 | 531 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 377 | 371 | $50K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 4.7% | 526 | 501 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 175 | 157 | $15K |
| 59410 | 1.6% | 14 | 14 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 70 | 70 | $10K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.2% | 75 | 62 | $9K |
| 90698 | <1% | 23 | 23 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 907 | 850 | $6K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 55 | 52 | $5K |
39 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 86 | $5K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 108 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 21 | $3K |
| 76813 | <1% | 33 | $2K | |
| 99285 | Emergency room visit (most serious) | <1% | 13 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 13 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 162 | $1K |
| 90707 | <1% | 26 | $1K | |
| 90670 | <1% | 32 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 77 | $915.57 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 12 | $626.61 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 92 | $588.49 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $332.54 |
| 90461 | <1% | 165 | $192.04 | |
| 90686 | <1% | 260 | $156.30 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 182 | $101.84 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 27 | $100.77 |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $67.54 |
| H0049 | Alcohol and/or drug screening | <1% | 31 | $53.79 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 78 | $25.74 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 15 | $19.48 |
| 85018 | <1% | 147 | $2.32 | |
| 97802 | 0% | 123 | $0.00 | |
| 36416 | 0% | 121 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 13 | $0.00 |
| 90744 | 0% | 12 | $0.00 | |
| 92567 | 0% | 40 | $0.00 | |
| 99408 | 0% | 42 | $0.00 | |
| 99177 | 0% | 252 | $0.00 | |
| 99173 | 0% | 121 | $0.00 | |
| 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 | 0% | 123 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 92 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 60 | $0.00 |
| 81002 | 0% | 167 | $0.00 | |
| 92552 | 0% | 116 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 31 | $0.00 |
| 90633 | 0% | 45 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 17 | $0.00 |
| 99188 | 0% | 30 | $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 officialLEON, FRANCISCO (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| VMD Pediatrics, LLC | Miami, FL | $724K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.