ALEJANDRA LAVERDE, PA
NPI 1174192561, individual, Gainesville, FL, Physician Assistant
- Hours beyond a day in 1 month, but with up to 215 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99213 ($159 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2024 | More hours than a day holds at a conservative unit price | 3.4 | 48.1 | 32.1 | 45.8 | 215 | 1 | 99205 99213 99214 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALEJANDRA LAVERDE, PA |
| Type | Individual |
| Status | Active |
| NPI issued | June 21, 2021, last updated April 9, 2022 |
| Practice location | 1600 SW ARCHER RD, Gainesville, FL 32610-3432, 352-265-5911 |
| Mailing address | PO BOX 100186, Gainesville, FL 32610-0186 |
| Specialties | Physician Assistant (363A00000X, license PA59630 CA) Physician Assistant (363A00000X, primary, license PA9114093 FL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $114K | 40% | $159 | $44 (top 5% from $110) | 98th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $57K | 20% | $249 | $128 (top 5% from $249) | 95th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $53K | 19% | $238 | $60 (top 5% from $133) | 99th percentile | |
| T1015 | Medicaid service code | $33K | 12% | $227 | $182 (top 5% from $488) | too few months to rank | |
| T1014 | Medicaid service code | $11K | 4% | $10 | $14 (top 5% from $123) | 42nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $8K | 3% | $169 | $95 (top 5% from $171) | too few months to rank | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | $3K | 1% | $35 | $75 (top 5% from $185) | too few months to rank | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $2K | 1% | $57 | $67 (top 5% from $121) | too few months to rank |
In this area
2 providers in Alachua County, FL carry an indicator in the public record, with $6K at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JASON HUNT Gainesville, FL, ranked 310 | $6K |
|
| 3 | ALL CARE HOME NURSING SERVICES, LLC Gainesville, FL, ranked 4906 | $0 |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.