Physician
Poinciana Medical Clinic
Poinciana Medical Clinic was paid $418K by Medicaid between Jan 2019 and Oct 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoPOINCIANA MEDICAL CLINIC
KISSIMMEE, FL 34758
KISSIMMEE, FL 34758
33aNPI1871923037assigned 11/25/2013
33bProvider typeGeneral Practice Physician
28Total paid$418K
24GClaims66,332
24DCodes billed43
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#57 of 420
Median peer was paid$23K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 10,100 | $73K | |
| 2020 | 10,749 | $67K | |
| 2021 | 13,691 | $107K | |
| 2022 | 12,332 | $83K | |
| 2023 | 10,760 | $50K | |
| 2024incomplete | 8,700 | $37K |
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 | 62% | 9,861 | 8,425 | $262K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18% | 3,474 | 3,343 | $76K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.5% | 401 | 387 | $27K |
| 99385 | 4.6% | 279 | 270 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.7% | 275 | 263 | $15K |
| 99386 | 1.7% | 74 | 73 | $7K | |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 4,013 | 3,832 | $6K |
| 99397 | <1% | 38 | 36 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 29 | $2K |
| 3074F | <1% | 2,663 | 2,388 | $1K | |
| 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 | <1% | 13 | 13 | $633.87 |
| 3075F | <1% | 1,568 | 1,440 | $625.00 |
31 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $194.59 |
| 82947 | <1% | 61 | $60.32 | |
| 94760 | <1% | 1,645 | $2.68 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,307 | $0.00 |
| 1160F | 0% | 9,579 | $0.00 | |
| 1159F | 0% | 9,583 | $0.00 | |
| 3077F | 0% | 845 | $0.00 | |
| 3078F | 0% | 3,104 | $0.00 | |
| 1090F | 0% | 319 | $0.00 | |
| 2022F | 0% | 18 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 65 | $0.00 |
| 76140 | 0% | 12 | $0.00 | |
| 3044F | 0% | 173 | $0.00 | |
| 3061F | 0% | 303 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 5,257 | $0.00 |
| 1101F | 0% | 185 | $0.00 | |
| 1220F | 0% | 1,275 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,318 | $0.00 |
| 3014F | 0% | 908 | $0.00 | |
| 3017F | 0% | 199 | $0.00 | |
| 3079F | 0% | 1,822 | $0.00 | |
| 1157F | 0% | 107 | $0.00 | |
| 1111F | 0% | 379 | $0.00 | |
| 3080F | 0% | 224 | $0.00 | |
| 1036F | 0% | 1,584 | $0.00 | |
| 1170F | 0% | 96 | $0.00 | |
| 3008F | 0% | 126 | $0.00 | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 46 | $0.00 |
| 3072F | 0% | 39 | $0.00 | |
| G8410 | Footwear evaluation performed and documented | 0% | 26 | $0.00 |
| 1126F | 0% | 14 | $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 officialRIVERA SOLER, IVAN (MD)