Physician
Integral Medicine Group INC
Integral Medicine Group INC was paid $15K by Medicaid between Jan 2018 and Jan 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoINTEGRAL MEDICINE GROUP INC
MIAMI, FL 33144
MIAMI, FL 33144
33aNPI1992716310assigned 08/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$15K
24GClaims15,685
24DCodes billed24
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#536 of 1,247
Median peer was paid$9K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2018 | 1,696 | $8K | |
| 2019 | 2,842 | $3K | |
| 2020 | 4,637 | $3K | |
| 2021 | 2,603 | $371.86 | |
| 2022 | 2,087 | $0.00 | |
| 2023 | 1,792 | $0.00 | |
| 2024incomplete | 28 | $0.00 |
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 | 68% | 4,440 | 2,391 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 12% | 173 | 18 | $2K |
| 99348 | 11% | 503 | 97 | $2K | |
| 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 | 7.7% | 182 | 81 | $1K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,997 | 1,185 | $121.60 |
| 0513F | <1% | 953 | 491 | $109.68 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 23 | 18 | $72.57 |
| 99442 | <1% | 43 | 34 | $23.82 | |
| 1125F | <1% | 374 | 176 | $0.54 | |
| 1126F | 0% | 1,227 | 759 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,424 | 947 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 56 | 38 | $0.00 |
12 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,831 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 195 | $0.00 |
| 1170F | 0% | 449 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 28 | $0.00 |
| 3044F | 0% | 27 | $0.00 | |
| 99349 | 0% | 15 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 645 | $0.00 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 12 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 14 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 42 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 20 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 12 | $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 officialHERNANDEZ, HUMBERTO (OWNER)