Active NPI 1083690366 Individual Practitioner Male Practitioner

Dr. Gilberto Jimenez , MD

Internal Medicine • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gilberto Jimenez, MD is a certified Internal Medicine practicing in Hialeah, FL. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Jimenez delivers high-quality medical care to the local community at 1435 W 49TH PL STE 306.

Dr. Jimenez accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, established patient outpatient office visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1435 W 49th Pl Ste 306

Hialeah, FL 330123147

Telephone 3053649949

Fax 3053640927

Associated Practice Facility / Clinic

🏢 Gilberto Jimenez Md Inc Facility NPI 1871549840

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +26.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

146 Specialists

Practicing in Hialeah, FL (10650 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jimenez (50 Years) 50 Yrs

Hialeah Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	318	76	$270.00	$79.05
99213 Established patient office or other outpatient visit, typically 15 minutes	191	41	$200.00	$95.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	150	67	$150.00	$55.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$300.00	$135.09
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	14	$100.00	$43.40
99496 Transitional care management services for problem of high complexity	20	13	$400.00	$288.60
36415 Insertion of needle into vein for collection of blood sample	14	14	$30.00	$8.65
99443 Telephone medical discussion with physician, 21-30 minutes	12	11	$80.00	$78.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	360	84	$270.00	$79.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	184	79	$150.00	$54.56
99213 Established patient office or other outpatient visit, typically 15 minutes	179	44	$200.00	$95.72
99496 Transitional care management services for problem of high complexity	31	21	$400.00	$290.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$300.00	$135.09
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	24	22	$400.00	$135.69
36415 Insertion of needle into vein for collection of blood sample	13	11	$30.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	432	108	$270.00	$88.58
99213 Established patient office or other outpatient visit, typically 15 minutes	209	42	$200.00	$98.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	186	83	$150.00	$57.05
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	120	75	$400.00	$136.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	11	$225.00	$77.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$300.00	$139.81
99496 Transitional care management services for problem of high complexity	36	29	$400.00	$297.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	12	$100.00	$44.35
36415 Insertion of needle into vein for collection of blood sample	24	17	$30.00	$2.98
99343 New patient home visit, typically 45 minutes	21	21	$400.00	$132.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	11	$450.00	$148.29
99238 Hospital discharge day management, 30 minutes or less	14	11	$225.00	$77.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	62	$200.57	$100.05
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	330	95	$270.00	$90.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	172	12	$225.00	$78.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	163	84	$150.00	$57.38
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	153	79	$400.00	$139.68
36415 Insertion of needle into vein for collection of blood sample	69	34	$30.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$300.00	$144.13
99496 Transitional care management services for problem of high complexity	39	25	$397.44	$300.22
99443 Telephone medical discussion with physician, 21-30 minutes	35	30	$80.00	$80.75
99344 New patient home visit, typically 1 hour	32	32	$500.00	$195.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	11	$450.00	$150.28
99343 New patient home visit, typically 45 minutes	17	17	$400.00	$136.31
99238 Hospital discharge day management, 30 minutes or less	16	11	$225.00	$78.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$534.02	$186.08
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	12	11	$180.00	$58.39
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$60.00	$60.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	58	$200.48	$82.41
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	184	44	$400.00	$140.29
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	90	39	$270.00	$92.18
36415 Insertion of needle into vein for collection of blood sample	53	38	$30.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$300.00	$125.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	41	$150.00	$58.32
99443 Telephone medical discussion with physician, 21-30 minutes	25	24	$80.00	$80.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$510.87	$183.65
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$100.00	$18.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$130.00	$50.00
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$60.00	$58.15
99344 New patient home visit, typically 1 hour	14	14	$500.00	$201.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$350.00	$119.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	370	30	$225.61	$78.83
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	247	14	$135.00	$47.19
99213 Established patient office or other outpatient visit, typically 15 minutes	224	30	$200.00	$79.13
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	212	42	$400.00	$139.24
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	71	27	$279.15	$90.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	30	$150.00	$56.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$300.00	$123.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	26	$450.00	$149.62
99238 Hospital discharge day management, 30 minutes or less	37	23	$225.00	$78.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	400	12	$135.00	$47.92
99213 Established patient office or other outpatient visit, typically 15 minutes	329	47	$200.00	$78.00
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	306	43	$400.00	$139.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	34	$224.80	$79.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	31	$150.00	$57.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$300.00	$124.05
99238 Hospital discharge day management, 30 minutes or less	41	32	$224.20	$79.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	24	$450.00	$149.81
99343 New patient home visit, typically 45 minutes	15	15	$400.00	$142.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	548	15	$135.00	$47.69
99213 Established patient office or other outpatient visit, typically 15 minutes	437	59	$200.00	$77.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	366	62	$221.83	$77.31
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	211	35	$400.00	$138.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$300.00	$122.57
36415 Insertion of needle into vein for collection of blood sample	55	30	$30.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	37	$438.44	$148.61
99238 Hospital discharge day management, 30 minutes or less	54	39	$222.22	$77.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	31	$150.00	$57.33
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$100.00	$18.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$300.00	$180.75

Medical Specialties & State Licenses

CMS Verified: 2020-11-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL M82228

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 18, 2020

Registered at 1435 W 49TH PL STE 306, HIALEAH, FL 330123147 (Tel: 3053649949)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2020

Internal Medicine (License #M82228 in FL)

✅

NPI Profile Active February 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2009

Registered at 3401 W 4TH AVE, HIALEAH, FL 330124349 (Tel: 3058233312)

📍

Updated Business Mailing Address February 02, 2009

Registered at 19346 SW 41ST ST, MIRAMAR, FL 330292752 (Tel: 9544300838)

👤

Provider Name / Credentials Updated February 02, 2009

Recorded as GILBERTO JIMENEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2009

Specialist (License #ME82228 in FL)

🟢

Initial NPI Registration & Enumeration December 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083690366

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2005

Last Update: November 18, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

19346 Sw 41st St

Miramar, FL 330292752

Phone: 9544300838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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