Physician
Metcare of Florida, INC
Metcare of Florida, INC was paid $108K by Medicaid between Dec 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoMETCARE OF FLORIDA, INC
HIALEAH, FL 33015
HIALEAH, FL 33015
33aNPI1902893225assigned 10/03/2005
33bProvider typeInternal Medicine Physician
28Total paid$108K
24GClaims23,809
24DCodes billed34
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#210 of 1,247
Median peer was paid$9K
This provider vs. median12×
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 | 368 | $3K | |
| 2019 | 5,282 | $46K | |
| 2020 | 13,782 | $57K | |
| 2022 | 83 | $0.00 | |
| 2023 | 1,353 | $2K | |
| 2024incomplete | 2,941 | $123.60 |
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 | 61% | 3,673 | 2,911 | $66K |
| 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 | 30% | 1,652 | 1,346 | $33K |
| 99442 | 6.1% | 491 | 377 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 26 | 25 | $1K |
| 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% | 14 | 13 | $822.84 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,745 | 1,359 | $344.31 |
| 90674 | <1% | 36 | 26 | $139.50 | |
| 1126F | <1% | 1,112 | 892 | $14.17 | |
| 1125F | <1% | 602 | 507 | $14.17 | |
| 3008F | <1% | 1,991 | 1,571 | $12.61 | |
| 1159F | 0% | 2,543 | 1,937 | $0.00 | |
| 3016F | 0% | 772 | 608 | $0.00 |
22 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 904 | $0.00 |
| 1160F | 0% | 2,464 | $0.00 | |
| 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) | 0% | 132 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 799 | $0.00 |
| 3078F | 0% | 626 | $0.00 | |
| 3288F | 0% | 63 | $0.00 | |
| 3077F | 0% | 33 | $0.00 | |
| 3074F | 0% | 740 | $0.00 | |
| 96127 | 0% | 282 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 132 | $0.00 |
| 1036F | 0% | 562 | $0.00 | |
| 3075F | 0% | 19 | $0.00 | |
| 3079F | 0% | 295 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 919 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| 1000F | 0% | 726 | $0.00 | |
| 1220F | 0% | 244 | $0.00 | |
| 4010F | 0% | 14 | $0.00 | |
| 1170F | 0% | 65 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 59 | $0.00 |
| 3044F | 0% | 34 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 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 officialGARCIA, ANGEL (BILLING DEPARTMENT)
| Provider | Location | Paid |
|---|---|---|
| Conviva Medical Center Management LLC | Miami, FL | $318K |
| El Paso Center for Family & Sports Medicine PA | El Paso, TX | $54K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.