OFELIA ELISA MARIN, M.D.
NPI 1740359900, individual, Naples, FL, Pediatrics, Pediatric Gastroenterology
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99233 ($831 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2019 | More hours than a day holds at a conservative unit price | 13.8 | 39.8 | 26.6 | 36.2 | 285 | 1 | 99204 99214 99222 99233 | $75K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | OFELIA ELISA MARIN, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 6, 2006, last updated August 29, 2014 |
| Practice location | 2600 IMMOKALEE RD, Naples, FL 34110-1424, 239-213-0690 |
| Mailing address | 5955 PONCE DE LEON BLVD, Coral Gables, FL 33146-2423 |
| Specialties | Pediatrics, Pediatric Gastroenterology (2080P0206X, primary, license 11214 MT) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $847K | 53% | $122 | $60 (top 5% from $133) | 93rd percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $411K | 26% | $831 | $96 (top 5% from $249) | 100th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $196K | 12% | $180 | $95 (top 5% from $171) | 96th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $96K | 6% | $92 | $44 (top 5% from $110) | 92nd percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $30K | 2% | $181 | $63 (top 5% from $137) | 98th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $6K | 0% | $192 | $88 (top 5% from $210) | too few months to rank | |
| 43762 | Replacement of stomach stoma tube | $4K | 0% | $299 | $113 (top 5% from $286) | too few months to rank | |
| 99254 | Medicaid service code | $4K | 0% | $326 | $90 (top 5% from $178) | too few months to rank |
In this area
6 providers in Collier County, FL carry an indicator in the public record, with $4.7M at stake between them. The most common is named in an enforcement record, on 2 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MY SLEEP APNEA, LLC Naples, FL, ranked 347 | $3K |
|
| 3 | TERRACINA III, LLC Naples, FL, ranked 4054 | $0 |
|
| 3 | KEVIN ROSENBACH Naples, FL, ranked 4079 | $0 |
|
| 3 | KEVIN P ROSENBACH, MD PA Naples, FL, ranked 4735 | $0 |
|
| 4 | MATTHEW TARGOFF Naples, FL, ranked 9042 | $846K |
|
| 5 | LOURDES BADIA Naples, FL, ranked 9819 | $3.8M |
|
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.