Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ACCESS MEDICAL GROUP OF TAMPA, LLC.

NPI: 1942710793 · PLANT CITY, FL 33563 · Family Medicine Physician · NPI assigned 10/06/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAMIREZ, RAYNY controls 11+ related entities in our dataset. Read more

$50K
Total Medicaid Paid
80,108
Total Claims
69,489
Beneficiaries
53
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMIREZ, RAYNY (PRESIDENT)
NPI Enumeration Date10/06/2017

Related Entities

Other providers sharing the same authorized official: RAMIREZ, RAYNY

ProviderCityStateTotal Paid
ACCESS MEDICAL GROUP OF WESTCHESTER, LLC. MIAMI FL $1.07M
ACCESS MEDICAL GROUP OF MIAMI, LLC. MIAMI FL $689K
ACCESS MEDICAL GROUP OF HIALEAH, LLC. HIALEAH FL $517K
ACCESS MEDICAL GROUP OF PERRINE, LLC. MIAMI FL $499K
ACCESS MEDICAL GROUP OF FLORIDA CITY, LLC. FLORIDA CITY FL $382K
ACCESS MEDICAL GROUP OF OPA-LOCKA, LLC. OPA LOCKA FL $194K
ACCESS MEDICAL GROUP OF NORTH MIAMI BEACH, LLC. NORTH MIAMI BEACH FL $191K
ACCESS MEDICAL GROUP OF TAMPA II, LLC. TAMPA FL $12K
ACCESS MEDICAL GROUP OF LAKELAND, LLC LAKELAND FL $5K
ACCESS MEDICAL GROUP OF MARGATE, LLC MARGATE FL $849.03
ACCESS MEDICAL GROUP OF TAMPA III, LLC. AUBURNDALE FL $122.62

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,710 $52.79
2020 7,541 $960.00
2021 2,942 $1K
2022 13,626 $5K
2023 22,875 $24K
2024 31,414 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,442 9,164 $17K
99385 1,652 1,583 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,599 3,459 $5K
99386 844 800 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,145 2,008 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 445 436 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 703 673 $2K
3074F 9,802 8,413 $2K
36415 Collection of venous blood by venipuncture 4,574 4,312 $850.90
99384 96 95 $715.54
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 105 105 $714.19
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 86 85 $572.53
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 157 155 $501.75
93000 988 972 $442.90
99383 139 139 $430.14
0012A 12 12 $332.83
3075F 2,008 1,828 $325.00
99382 12 12 $214.50
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 68 66 $140.71
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 383 363 $100.07
3079F 4,273 3,626 $78.62
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 195 183 $54.75
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 68 62 $33.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 97 95 $16.52
99387 26 26 $0.24
99442 58 56 $0.21
1159F 9,681 8,035 $0.06
1160F 9,669 8,031 $0.04
3078F 8,141 6,867 $0.01
3049F 470 448 $0.00
3080F 701 618 $0.00
1111F 737 670 $0.00
3044F 840 823 $0.00
90677 47 47 $0.00
94760 38 29 $0.00
3008F 1,525 1,401 $0.00
3048F 700 672 $0.00
3061F 71 71 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 210 123 $0.00
90651 12 12 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 166 81 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 179 99 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 114 52 $0.00
90698 12 12 $0.00
91301 31 26 $0.00
3011F 37 26 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 459 258 $0.00
99071 1,271 766 $0.00
3050F 231 228 $0.00
3077F 1,276 1,055 $0.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 164 94 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 281 149 $0.00
90710 68 68 $0.00