Clinic
Abreu & Sanchez Medical Group LLC
Abreu & Sanchez Medical Group LLC was paid $67K by Medicaid between Jan 2023 and Oct 2024, across 13 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 32% of everything it billed.
33Billing provider infoABREU & SANCHEZ MEDICAL GROUP LLC
MIAMI, FL 33145
MIAMI, FL 33145
33aNPI1962029231assigned 07/02/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$67K
24GClaims6,251
24DCodes billed13
24AFirst – last monthJan 2023 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Florida
Rank by total paid#82 of 215
Median peer was paid$25K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2023 | 1,824 | $25K | |
| 2024incomplete | 4,427 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 32% | 879 | 498 | $21K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 22% | 1,751 | 412 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 1,175 | 397 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 779 | 508 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.7% | 734 | 222 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 514 | 130 | $2K |
| 99236 | Prolong inpt eval add15 m | 1.6% | 27 | 19 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 55 | 42 | $974.37 |
| 99348 | 1.3% | 172 | 128 | $847.98 | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 41 | 27 | $766.59 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | 27 | $380.93 |
| 99496 | <1% | 32 | 27 | $59.11 |
1 more codes
| 99490 | Ccm add 20min | <1% | 51 | $40.08 |
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 officialCABEZA, LIENA (ADMINISTRATOR)