Physician
Fraga Pediatrics & Associates, P.A.
Fraga Pediatrics & Associates, P.A. was paid $48K by Medicaid between Dec 2018 and Sep 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoFRAGA PEDIATRICS & ASSOCIATES, P.A.
HIALEAH, FL 33016
HIALEAH, FL 33016
33aNPI1891890059assigned 09/13/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$48K
24GClaims3,804
24DCodes billed10
24AFirst – last monthDec 2018 – Sep 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Florida
Rank by total paid#45 of 56
Median peer was paid$221K
This provider vs. median0.2×
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 | 27 | $35.88 | |
| 2019 | 873 | $1K | |
| 2020 | 209 | $3K | |
| 2021 | 448 | $8K | |
| 2022 | 1,027 | $12K | |
| 2023 | 832 | $13K | |
| 2024incomplete | 388 | $11K |
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 | 93% | 2,265 | 1,965 | $45K |
| 99385 | 5.6% | 37 | 37 | $3K | |
| 3074F | 1.6% | 421 | 389 | $795.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 155 | 72 | $70.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 413 | 365 | $14.18 |
| 3078F | 0% | 291 | 270 | $0.00 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 0% | 17 | 15 | $0.00 |
| 90461 | 0% | 15 | 13 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 13 | 12 | $0.00 |
| 97802 | 0% | 177 | 156 | $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 officialCASANOVA, RENE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lazaro Fraga MD PA | Coral Gables, FL | $1.68M |
| Fraga Medical Center, INC. | Coral Gables, FL | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.