Active NPI 1740226794 Individual Practitioner Male Practitioner

Dr. Esteban Alfonzo Ruiz , MD

Internal Medicine • Hudson, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Esteban Ruiz, MD is a certified Internal Medicine practicing in Hudson, FL. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Ruiz delivers high-quality medical care to the local community at 13910 FIVAY RD STE 15.

Dr. Ruiz accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13910 Fivay Rd Ste 15

Hudson, FL 346677130

Telephone 7274846169

Fax 7274846173

Associated Practice Facility / Clinic

🏢 Esteban Alfonzo Ruiz Md,pa Facility NPI 1174793871

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hudson, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +30.9 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

45 Specialists

Practicing in Hudson, FL (10650 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ruiz (48 Years) 48 Yrs

Hudson Specialty Average (17.1 Years) 17.1 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
J1010 Injection, methylprednisolone acetate, 1 mg	2,240	23	$0.20	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	225	$150.00	$124.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	427	65	$92.00	$77.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	345	51	$115.00	$104.53
99497 Advance care planning, first 30 minutes	340	220	$104.00	$79.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	281	62	$133.00	$115.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$250.00	$124.91
99238 Hospital discharge day management, 30 minutes or less	145	72	$92.00	$78.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	142	47	$31.00	$13.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	133	66	$258.00	$169.25
99291 Critical care, first 30-74 minutes	88	12	$348.00	$209.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	73	28	$87.70	$72.14
G0008 Administration of influenza virus vaccine	69	67	$25.00	$24.50
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	65	$80.00	$21.90
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	56	42	$66.75	$51.52
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	53	21	$51.80	$40.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	28	$25.00	$22.03
93000 Routine ekg using at least 12 leads including interpretation and report	28	23	$21.00	$13.89
99496 Transitional care management services for problem of high complexity	27	20	$275.00	$269.88
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	24	13	$3.00	$1.21
99306 Initial nursing facility visit, typically 45 minutes per day	20	18	$211.00	$176.49
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	20	18	$33.00	$24.69
99316 Nursing facility discharge management, more than 30 minutes	17	16	$135.88	$127.56
99495 Transitional care management services for problem of at least moderate complexity	15	14	$225.00	$198.90
J1040 Injection, methylprednisolone acetate, 80 mg	13	12	$14.00	$9.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	837	282	$150.12	$125.35
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	517	75	$115.00	$104.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	439	88	$92.00	$78.57
99497 Advance care planning, first 30 minutes	387	259	$104.00	$81.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	264	68	$133.00	$118.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$250.00	$125.73
99238 Hospital discharge day management, 30 minutes or less	135	93	$92.00	$79.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	122	85	$258.00	$170.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	33	$31.00	$13.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	93	32	$88.63	$73.26
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	67	51	$66.79	$50.63
G0008 Administration of influenza virus vaccine	55	55	$25.00	$24.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	53	53	$75.00	$21.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	24	$25.00	$22.17
99496 Transitional care management services for problem of high complexity	48	36	$275.29	$269.18
93000 Routine ekg using at least 12 leads including interpretation and report	47	42	$21.00	$14.18
J1040 Injection, methylprednisolone acetate, 80 mg	35	28	$14.00	$11.57
99306 Initial nursing facility visit, typically 45 minutes per day	35	35	$216.57	$179.46
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	34	20	$52.00	$40.20
99316 Nursing facility discharge management, more than 30 minutes	22	21	$134.00	$129.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$207.00	$165.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	15	13	$33.00	$25.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$261.00	$217.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,150	313	$146.91	$126.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	945	151	$115.00	$88.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	690	134	$92.00	$70.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	520	122	$133.00	$101.94
99497 Advance care planning, first 30 minutes	228	226	$104.00	$84.97
99238 Hospital discharge day management, 30 minutes or less	219	142	$92.00	$71.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	201	133	$258.00	$195.30
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	123	91	$67.00	$52.21
99291 Critical care, first 30-74 minutes	118	19	$348.00	$220.27
99306 Initial nursing facility visit, typically 45 minutes per day	109	102	$211.72	$162.90
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	89	63	$33.00	$26.34
G0008 Administration of influenza virus vaccine	73	69	$25.00	$24.59
90756 Vaccine for influenza for injection into muscle	73	69	$45.00	$29.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	32	$31.00	$14.03
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	67	33	$52.00	$40.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$261.00	$222.42
99496 Transitional care management services for problem of high complexity	45	35	$275.62	$272.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	16	$25.00	$22.47
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$21.00	$14.20
0013A Adm sarscov2 100mcg/0.5ml3rd	32	30	$50.00	$38.12
0134A Fee covid-19 vac 14 res	30	30	$50.00	$37.79
99316 Nursing facility discharge management, more than 30 minutes	26	24	$148.77	$102.01
99495 Transitional care management services for problem of at least moderate complexity	23	22	$225.00	$203.90
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$110.57	$90.14
G0444 Annual depression screening, 5 to 15 minutes	20	20	$22.00	$18.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$207.00	$168.06
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	12	$277.00	$211.72
J1030 Injection, methylprednisolone acetate, 40 mg	14	13	$12.00	$6.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,314	313	$135.00	$129.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	672	118	$92.00	$72.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	622	113	$115.00	$90.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	528	116	$133.00	$103.66
99497 Advance care planning, first 30 minutes	356	266	$104.00	$85.28
99336 Established patient assisted living visit, typically 40 minutes	254	32	$171.00	$134.96
0013A Adm sarscov2 100mcg/0.5ml3rd	216	216	$50.00	$38.88
99238 Hospital discharge day management, 30 minutes or less	210	124	$92.00	$72.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	185	115	$258.00	$197.78
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	99	$67.00	$52.42
99291 Critical care, first 30-74 minutes	123	29	$348.00	$224.07
99306 Initial nursing facility visit, typically 45 minutes per day	100	96	$214.90	$166.26
G0444 Annual depression screening, 5 to 15 minutes	94	94	$22.00	$18.25
0011A Adm sarscov2 100mcg/0.5ml1st	92	91	$50.00	$38.88
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	77	39	$52.00	$40.64
0012A Adm sarscov2 100mcg/0.5ml2nd	76	76	$50.00	$38.88
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	73	59	$33.00	$26.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	23	$29.83	$13.97
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$21.00	$14.80
90756 Vaccine for influenza for injection into muscle	35	35	$45.00	$28.37
G0008 Administration of influenza virus vaccine	35	35	$25.00	$16.59
99496 Transitional care management services for problem of high complexity	29	28	$275.00	$275.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	23	$182.00	$181.61
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$92.63	$91.01
99316 Nursing facility discharge management, more than 30 minutes	25	24	$144.24	$104.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$261.00	$223.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$207.00	$169.08
99495 Transitional care management services for problem of at least moderate complexity	20	19	$225.00	$204.14
J1040 Injection, methylprednisolone acetate, 80 mg	17	12	$14.00	$10.66
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	16	16	$172.00	$134.40
99337 Established patient assisted living visit, typically 60 minutes	16	13	$246.88	$193.10
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	16	14	$36.00	$28.95
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	13	12	$150.00	$105.52
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	12	12	$257.83	$185.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,128	325	$134.93	$108.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	742	134	$92.00	$73.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	545	119	$133.00	$105.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	467	54	$115.00	$91.56
99497 Advance care planning, first 30 minutes	313	296	$104.09	$85.81
99238 Hospital discharge day management, 30 minutes or less	252	137	$92.00	$73.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	242	126	$258.00	$206.00
G0444 Annual depression screening, 5 to 15 minutes	197	197	$21.98	$17.58
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	179	115	$67.00	$53.07
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	160	99	$33.00	$26.46
99291 Critical care, first 30-74 minutes	132	34	$348.00	$226.88
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	122	52	$150.00	$107.69
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	87	49	$52.00	$40.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	42	$30.66	$14.11
99496 Transitional care management services for problem of high complexity	53	36	$287.68	$242.70
99306 Initial nursing facility visit, typically 45 minutes per day	47	45	$211.66	$167.58
90756 Vaccine for influenza for injection into muscle	39	39	$45.00	$27.70
G0008 Administration of influenza virus vaccine	39	39	$25.00	$16.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$261.00	$209.51
J1040 Injection, methylprednisolone acetate, 80 mg	38	30	$13.97	$11.58
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	35	29	$35.79	$28.72
93000 Routine ekg using at least 12 leads including interpretation and report	32	29	$21.00	$16.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	26	$25.00	$22.65
99337 Established patient assisted living visit, typically 60 minutes	26	13	$250.00	$196.03
99495 Transitional care management services for problem of at least moderate complexity	25	23	$206.52	$183.46
99336 Established patient assisted living visit, typically 40 minutes	25	13	$171.00	$136.67
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$91.00	$75.24
99217 Hospital observation care on day of discharge	23	21	$92.00	$73.50
99220 Hospital observation care, typically 70 minutes	23	21	$236.00	$188.23
99225 Subsequent observation care, typically 25 minutes per day	16	14	$93.00	$73.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$207.00	$165.86
99316 Nursing facility discharge management, more than 30 minutes	14	13	$146.07	$105.81
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	11	$172.00	$136.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,101	328	$134.95	$107.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	751	140	$92.00	$72.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	535	125	$133.00	$103.54
99497 Advance care planning, first 30 minutes	295	279	$103.94	$85.12
G0444 Annual depression screening, 5 to 15 minutes	276	276	$22.00	$17.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	265	51	$115.00	$91.36
99238 Hospital discharge day management, 30 minutes or less	247	148	$92.00	$72.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	235	138	$258.00	$202.38
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	197	107	$32.97	$25.74
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	117	$67.00	$52.30
99336 Established patient assisted living visit, typically 40 minutes	144	27	$171.00	$135.80
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	135	63	$150.00	$106.18
99291 Critical care, first 30-74 minutes	121	23	$348.00	$225.34
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	108	58	$52.00	$40.39
99496 Transitional care management services for problem of high complexity	64	53	$289.00	$228.46
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	61	30	$172.00	$135.34
99306 Initial nursing facility visit, typically 45 minutes per day	55	50	$211.00	$164.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	28	$31.00	$16.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	31	$25.00	$22.14
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$21.00	$16.69
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	39	30	$36.00	$28.33
99217 Hospital observation care on day of discharge	32	24	$92.00	$73.04
99220 Hospital observation care, typically 70 minutes	31	23	$236.00	$186.27
99358 Prolonged patient service without direct patient contact first hour	29	29	$199.14	$112.11
99495 Transitional care management services for problem of at least moderate complexity	28	27	$204.00	$161.75
99316 Nursing facility discharge management, more than 30 minutes	20	17	$134.80	$105.74
99335 Established patient assisted living visit, typically 25 minutes	18	15	$120.00	$95.15
J1040 Injection, methylprednisolone acetate, 80 mg	17	15	$14.00	$12.08
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$91.00	$73.24
99337 Established patient assisted living visit, typically 60 minutes	16	13	$250.00	$194.34
99225 Subsequent observation care, typically 25 minutes per day	16	16	$93.00	$73.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$207.00	$163.94
20610 Aspiration and/or injection of fluid from large joint	12	12	$77.00	$60.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$261.00	$206.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,245	376	$134.96	$100.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	783	138	$92.00	$69.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	569	125	$133.00	$98.91
99497 Advance care planning, first 30 minutes	368	318	$104.00	$79.53
99238 Hospital discharge day management, 30 minutes or less	257	136	$92.00	$69.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	239	128	$258.00	$192.67
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	231	137	$67.00	$50.13
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	204	116	$33.00	$24.07
99336 Established patient assisted living visit, typically 40 minutes	95	28	$170.65	$128.05
99291 Critical care, first 30-74 minutes	92	26	$347.25	$212.72
93000 Routine ekg using at least 12 leads including interpretation and report	77	71	$21.00	$15.46
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	77	45	$52.00	$38.65
99496 Transitional care management services for problem of high complexity	72	56	$289.00	$216.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	25	$31.00	$18.92
99335 Established patient assisted living visit, typically 25 minutes	54	20	$120.00	$89.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	35	$24.93	$19.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$261.00	$195.66
85610 Blood test, clotting time	38	12	$7.00	$4.75
99495 Transitional care management services for problem of at least moderate complexity	36	32	$202.90	$152.99
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	35	26	$36.00	$26.30
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$91.00	$66.92
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	11	$119.60	$86.34
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	18	17	$277.00	$207.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	16	13	$172.00	$128.39
99220 Hospital observation care, typically 70 minutes	15	13	$236.00	$176.70
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	12	$18.00	$13.61
99217 Hospital observation care on day of discharge	12	11	$92.00	$69.11
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$211.00	$157.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,403	383	$159.46	$99.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,069	153	$111.11	$67.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	735	143	$163.01	$97.84
99238 Hospital discharge day management, 30 minutes or less	311	155	$115.39	$67.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	283	146	$320.03	$190.23
99497 Advance care planning, first 30 minutes	248	236	$126.43	$76.14
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	225	134	$95.25	$49.65
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	174	112	$38.02	$23.88
93000 Routine ekg using at least 12 leads including interpretation and report	97	94	$29.29	$15.59
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	68	42	$67.66	$37.97
99291 Critical care, first 30-74 minutes	68	20	$467.76	$211.04
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	55	11	$197.22	$64.19
97032 Application of electrical stimulation with therapist present, each 15 minutes	55	11	$26.09	$15.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	14	$32.95	$23.16
91122 Study of rectum sensitivity and function	39	12	$249.36	$204.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	11	$53.95	$36.91
97750 Test or measurement for functional capacity, each 15 minutes	36	12	$45.50	$30.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$301.86	$188.87
99496 Transitional care management services for problem of high complexity	27	24	$278.56	$212.74
99336 Established patient assisted living visit, typically 40 minutes	25	17	$168.68	$126.04
93880 Ultrasound of both sides of head and neck blood flow	23	22	$187.27	$82.83
99495 Transitional care management services for problem of at least moderate complexity	23	22	$201.13	$150.30
99217 Hospital observation care on day of discharge	19	18	$123.11	$68.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$23.67	$18.49
99218 Hospital observation care typically 30 minutes	15	15	$182.60	$93.73
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$88.20	$64.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	14	13	$226.00	$97.01
99335 Established patient assisted living visit, typically 25 minutes	14	11	$101.00	$88.93
93925 Ultrasound of leg arteries or artery grafts	13	12	$256.92	$123.01
20610 Aspiration and/or injection of fluid from large joint	11	11	$110.27	$56.98

Medical Specialties & State Licenses

CMS Verified: 2026-07-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME53805

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

049101200 (FL)

Commercial Insurance / Payer ID Bc/bs

07434 (FL)

Commercial Insurance / Payer ID Aetna

0527859 (FL)

Commercial Insurance / Payer ID Npi Group

1174793871 (FL)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2018

Registered at 13910 FIVAY RD STE 15, HUDSON, FL 346677130 (Tel: 7274846169)

📍

Updated Business Mailing Address February 01, 2018

Registered at 13910 FIVAY RD STE 15, HUDSON, FL 346677130 (Tel: 7274846169)

👤

Provider Name / Credentials Updated February 01, 2018

Recorded as ESTEBAN RUIZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Internal Medicine (License #ME53805 in FL)

✅

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2016

Registered at 13910 FIVAY RD STE 15, HUDSON, FL 346677130 (Tel: 7274846169)

📍

Updated Business Mailing Address November 09, 2016

Registered at 13910 FIVAY RD STE 15, HUDSON, FL 346677130 (Tel: 7274846169)

👤

Provider Name / Credentials Updated November 09, 2016

Recorded as ESTEBAN RUIZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Internal Medicine (License #ME53805 in FL)

🟢

Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1740226794

Entity Type:

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

Enumeration Date: June 20, 2006

Last Update: July 14, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

13910 Fivay Rd Ste 15

Hudson, FL 346677130

Phone: 7274846169

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.