Active NPI 1558308783 Individual Practitioner Male Practitioner

Dr. Jose Francisco Baca , MD

Internal Medicine • Hialeah, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jose Baca, MD is a registered healthcare professional specializing in Internal Medicine in Hialeah, FL. Practice services are available at 777 E 25TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

777 E 25th St
Suite 509

Hialeah, FL 33013

Telephone 3056967557

Fax 3056967469

Associated Practice Facility / Clinic

🏢 Walter F Proano, Inc. Facility NPI 1225077019

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hialeah, FL

Active Practitioner

Practitioner Clinical Experience

Active

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

23.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	41	25	$100.00	$95.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$200.00	$135.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	39	$100.00	$95.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$200.00	$131.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$175.00	$135.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	52	$100.00	$97.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$200.00	$138.66
G0444 Annual depression screening, 5 to 15 minutes	37	37	$100.00	$19.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	25	$175.00	$136.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	56	$100.00	$99.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$175.00	$140.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$200.00	$140.26
G0442 Annual alcohol misuse screening, 5 to 15 minutes	44	44	$100.00	$19.69
G0444 Annual depression screening, 5 to 15 minutes	43	43	$100.00	$19.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	70	$100.00	$82.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$200.00	$125.48
G0442 Annual alcohol misuse screening, 5 to 15 minutes	62	62	$100.00	$19.53
G0444 Annual depression screening, 5 to 15 minutes	61	61	$100.00	$19.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$175.00	$118.60
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$75.00	$49.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	97	$100.00	$79.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	55	$175.00	$115.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$200.00	$123.10
99495 Transitional care management services for problem of at least moderate complexity	16	12	$200.00	$173.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	115	$100.00	$75.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	82	$175.00	$111.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$200.00	$120.32
99495 Transitional care management services for problem of at least moderate complexity	28	22	$200.00	$168.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$250.00	$219.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$200.00	$177.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	121	$100.00	$75.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	100	$175.00	$110.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$200.00	$118.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$200.00	$175.33
99495 Transitional care management services for problem of at least moderate complexity	13	12	$200.00	$167.23

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME57517

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

371253200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners

Ventura Silverio Solis , ARNP

Nurse Practitioner - Family

NPI 1053010645

Advanced Registered Nurse Practitioner

Dr. Hector Meruelo , MD

Internal Medicine

NPI 1124197009

Doctor of Medicine (M.D.)

Dr. Joshua Ortiz-Delgado , DC

Chiropractor

NPI 1174253249

Doctor of Chiropractic

Dr. Dragos Radulescu , MD

Internal Medicine

NPI 1225211584

Doctor of Medicine (M.D.)

Dr. Tomas Braunschweig , MD

Internal Medicine - Hematology & Oncology

NPI 1265420459

Doctor of Medicine (M.D.)

Dr. Nelson Ramirez , MD

Medical Genetics, Ph.D. Medical Genetics

NPI 1295885440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2012

Registered at 777 E 25TH ST, SUITE 509, HIALEAH, FL 33013 (Tel: 3056967557)

📍

Updated Business Mailing Address February 07, 2012

Registered at 777 E 25TH ST, SUITE 509, HIALEAH, FL 33013 (Tel: 3056967557)

👤

Provider Name / Credentials Updated February 07, 2012

Recorded as JOSE BACA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Internal Medicine (License #ME57517 in FL)

🟢

Initial NPI Registration & Enumeration May 31, 2006

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: 1558308783

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: February 07, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

777 E 25th St, Suite 509

Hialeah, FL 33013

Phone: 3056967557

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.