Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMEHEALTH PHYSICIANS LLC

NPI: 1871838193 · MIAMI, FL 33176 · Family Medicine Physician · NPI assigned 11/28/2012

$38K
Total Medicaid Paid
19,619
Total Claims
14,037
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialORTIZ, CESAR (CEO)
NPI Enumeration Date11/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,788 $1K
2019 3,829 $9K
2020 3,130 $8K
2021 2,742 $9K
2022 2,833 $4K
2023 1,834 $3K
2024 463 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,691 3,257 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,530 800 $9K
99222 Initial hospital care, per day, moderate complexity 55 40 $3K
99232 Subsequent hospital care, per day, moderate complexity 586 155 $2K
99490 Ccm add 20min 805 714 $1K
99238 Hospital discharge day management, 30 minutes or less 76 55 $188.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 80 64 $31.58
36415 Collection of venous blood by venipuncture 2,406 1,616 $0.18
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 58 41 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,482 1,175 $0.00
1101F 80 62 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 310 268 $0.00
1036F 1,098 914 $0.00
1170F 108 97 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 367 272 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 435 391 $0.00
3074F 123 12 $0.00
G9275 Documentation that patient is a current non-tobacco user 118 90 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 37 25 $0.00
1126F 31 31 $0.00
3044F 47 31 $0.00
G0008 Administration of influenza virus vaccine 35 34 $0.00
1123F 67 64 $0.00
3017F 29 26 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 33 29 $0.00
2000F 13 12 $0.00
3008F 117 13 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 19 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,544 1,884 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,251 984 $0.00
G0444 Annual depression screening, 5 to 15 minutes 45 37 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 86 78 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 204 172 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 26 $0.00
4040F 86 76 $0.00
1090F 58 57 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 118 112 $0.00
1124F 44 42 $0.00
90682 74 54 $0.00
3288F 216 189 $0.00
90662 15 14 $0.00