Physician
Enrique C Fernandez MD PA
Enrique C Fernandez MD PA was paid $42K by Medicaid between Dec 2018 and Dec 2022, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoENRIQUE C FERNANDEZ MD PA
MIAMI, FL 33175
MIAMI, FL 33175
33aNPI1932383460assigned 12/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$42K
24GClaims11,254
24DCodes billed25
24AFirst – last monthDec 2018 – Dec 2022
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#338 of 996
Median peer was paid$13K
This provider vs. median3.2×
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 | 312 | $1K | |
| 2019 | 3,168 | $16K | |
| 2020 | 1,569 | $12K | |
| 2021 | 714 | $10K | |
| 2022 | 5,491 | $2K |
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 | 75% | 3,168 | 2,070 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 926 | 701 | $9K |
| 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 | 3.7% | 226 | 111 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 67 | 12 | $88.55 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,421 | 815 | $81.69 |
| 99058 | <1% | 15 | 12 | $27.99 | |
| 82962 | <1% | 656 | 361 | $26.78 | |
| 1100F | 0% | 65 | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 425 | 206 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,222 | 506 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 35 | 31 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 116 | 102 | $0.00 |
13 more codes
| 4040F | 0% | 15 | $0.00 | |
| 3288F | 0% | 40 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 27 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 13 | $0.00 |
| 99000 | 0% | 821 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 69 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 558 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 157 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 502 | $0.00 |
| 1036F | 0% | 215 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 414 | $0.00 |
| 1101F | 0% | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 66 | $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 officialFERNANDEZ, ENRIQUE (PRESIDENT)