RAISA D CAMILO, M.D
NPI 1427048495, individual, Sebring, FL, Pediatrics
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RAISA D CAMILO, M.D |
| Type | Individual |
| Status | Active |
| NPI issued | October 21, 2005, last updated November 9, 2009 |
| Practice location | 4958 SUN N LAKE BLVD, Sebring, FL 33872-2167, 863-385-4711 |
| Specialties | Pediatrics (208000000X, primary, license ME0061030 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 | $1.7M | 32% | $48 | $44 (top 5% from $110) | 56th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $930K | 17% | $57 | $60 (top 5% from $133) | 46th percentile | |
| 99392 | Medicaid service code | $447K | 8% | $80 | $78 (top 5% from $124) | 55th percentile | |
| 99391 | Medicaid service code | $420K | 8% | $86 | $76 (top 5% from $126) | 64th percentile | |
| 99393 | Medicaid service code | $375K | 7% | $80 | $78 (top 5% from $121) | 55th percentile | |
| 99394 | Medicaid service code | $283K | 5% | $80 | $83 (top 5% from $128) | 47th percentile | |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | $261K | 5% | $19 | $3.93 (top 5% from $105) | 70th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $174K | 3% | $36 | $28 (top 5% from $147) | 65th percentile |
In this area
2 providers in Highlands County, FL carry an indicator in the public record, with $202K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE, INC. Sebring, FL, ranked 3925 | $0 |
|
| 4 | NICHOLAS LUKERT Lake Placid, FL, ranked 9468 | $202K |
|
Recent enforcement in FL
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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.