Baptist Health Medical Group Physicians LLC
Baptist Health Medical Group Physicians LLC was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC
MIAMI, FL 33176
MIAMI, FL 33176
33aNPI1891893343assigned 09/20/2006
33bProvider typeSpecialist
28Total paid$2.34M
24GClaims181,063
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#25 of 553
Median peer was paid$31K
This provider vs. median75×
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 | 5,926 | $54K | |
| 2019 | 30,110 | $450K | |
| 2020 | 24,274 | $411K | |
| 2021 | 38,830 | $452K | |
| 2022 | 30,999 | $254K | |
| 2023 | 34,384 | $513K | |
| 2024incomplete | 16,540 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 74,699 | 20,187 | $1.17M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 26,916 | 8,356 | $310K |
| 99220 | 7.5% | 4,926 | 3,230 | $175K | |
| 99223 | Prolong inpt eval add15 m | 6.5% | 4,473 | 3,128 | $152K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.2% | 4,932 | 3,541 | $122K |
| 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 | 4.5% | 11,225 | 8,122 | $105K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 39,341 | 20,011 | $73K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 3,226 | 2,250 | $70K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 540 | 517 | $42K |
| 99217 | 1.7% | 2,039 | 1,356 | $39K | |
| 99226 | <1% | 935 | 447 | $20K | |
| 73110 | <1% | 274 | 209 | $19K |
19 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,384 | $12K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 736 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 271 | $5K |
| 93000 | <1% | 579 | $3K | |
| 93297 | <1% | 1,499 | $3K | |
| 99225 | <1% | 169 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 353 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $2K |
| 93294 | <1% | 848 | $1K | |
| 99219 | <1% | 17 | $1K | |
| 32555 | <1% | 61 | $1K | |
| 93298 | <1% | 723 | $1K | |
| 93970 | <1% | 232 | $968.28 | |
| 93280 | <1% | 306 | $776.31 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 36 | $319.42 |
| 93295 | <1% | 77 | $242.74 | |
| 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% | 136 | $37.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $3.00 |
| 99443 | 0% | 26 | $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 officialARSENAULT, MATTHEW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Baptist Health Medical Group Oncology LLC | Miami, FL | $664K |
| Baptist Health Medical Group Upper Keys, LLC | Tavernier, FL | $5K |
| South Miami Gyn Oncology Physicians LLC | Miami, FL | $653.74 |
| Baptist Health Medical Group Orthopedics, LLC | Coral Gables, FL | $172.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.