Physician
Coral Reef Medical Group LLC
Coral Reef Medical Group LLC was paid $166K by Medicaid between Jan 2018 and Sep 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoCORAL REEF MEDICAL GROUP LLC
HOMESTEAD, FL 33033
HOMESTEAD, FL 33033
33aNPI1982870143assigned 05/07/2008
33bProvider typeFamily Medicine Physician
28Total paid$166K
24GClaims41,593
24DCodes billed32
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#181 of 996
Median peer was paid$13K
This provider vs. median13×
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 | 1,017 | $2K | |
| 2019 | 7,266 | $21K | |
| 2020 | 5,274 | $30K | |
| 2021 | 7,089 | $43K | |
| 2022 | 10,887 | $26K | |
| 2023 | 6,695 | $25K | |
| 2024incomplete | 3,365 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 5,724 | 4,136 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 4,393 | 3,113 | $55K |
| 36415 | Collection of venous blood by venipuncture | 12% | 2,047 | 1,944 | $20K |
| 99499 | 2.3% | 1,721 | 836 | $4K | |
| 3008F | 2.2% | 7,445 | 5,518 | $4K | |
| 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% | 76 | 75 | $2K |
| 99442 | <1% | 147 | 113 | $2K | |
| 3725F | <1% | 2,120 | 1,874 | $623.48 | |
| 3074F | <1% | 6,372 | 4,697 | $524.29 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 31 | 31 | $439.27 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $170.04 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 92 | 70 | $170.04 |
20 more codes
| 1160F | <1% | 832 | $28.34 | |
| 3075F | <1% | 263 | $28.34 | |
| 3078F | <1% | 5,053 | $14.17 | |
| 1111F | <1% | 78 | $14.17 | |
| 1159F | 0% | 831 | $0.00 | |
| 3077F | 0% | 160 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 513 | $0.00 |
| 3016F | 0% | 81 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 32 | $0.00 |
| 3044F | 0% | 43 | $0.00 | |
| 3079F | 0% | 2,121 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 257 | $0.00 |
| 3080F | 0% | 27 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 194 | $0.00 |
| 1157F | 0% | 42 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 641 | $0.00 |
| 1000F | 0% | 125 | $0.00 | |
| 1036F | 0% | 42 | $0.00 | |
| 1126F | 0% | 36 | $0.00 | |
| 1170F | 0% | 42 | $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 officialBLANCO, ROBERT (OWNER)