Active NPI 1831112416 Individual Practitioner Male Practitioner

Roberto A Nicodemo , PA

Physician Assistant • Kissimmee, FL

Professional Overview & Biography Verified Profile Summary

Roberto Nicodemo, PA is a certified Physician Assistant practicing in Kissimmee, FL. With approximately 36 years of clinical experience since completing medical education in 1990, Roberto Nicodemo delivers high-quality medical care to the local community at 1044 PLAZA DR.

Roberto Nicodemo is affiliated with Heisu Research Group Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include axolotl graft, per square centimeter, application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less, residence visit for established patient with low level of medical decision making, per day, 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

1044 Plaza Dr

Kissimmee, FL 347434064

Telephone 4073505659

Fax 4073505662

Associated Practice Facility / Clinic

🏢 Medical Home Alliance Llc Facility NPI 1235668435

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kissimmee, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +25.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

78 Specialists

Practicing in Kissimmee, FL (10376 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicodemo (36 Years) 36 Yrs

Kissimmee Specialty Average (10.3 Years) 10.3 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
Q4331 Axolotl graft, per square centimeter	12,800	35	$1704.30	$1646.97
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	423	35	$154.02	$140.28
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	400	35	$154.13	$67.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	30	$154.80	$113.82
99492 Initial psychiatric collaborative care management, first calendar month, first 70 minutes	54	26	$173.07	$134.69
90838 Psychotherapy with evaluation and management visit, 1 hour	52	26	$142.28	$105.65
99213 Established patient office or other outpatient visit, typically 15 minutes	45	31	$135.80	$81.15
90792 Psychiatric diagnostic evaluation with medical services	33	18	$230.66	$170.08
90839 Psychotherapy for crisis, first hour	27	26	$164.62	$127.10
99344 New patient home visit, typically 1 hour	25	25	$222.00	$125.35
99473 Education and training to self measure blood pressure	16	16	$14.99	$12.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$166.89	$110.63

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	318	31	$150.78	$114.87
99213 Established patient office or other outpatient visit, typically 15 minutes	89	26	$107.43	$80.78
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	71	25	$72.81	$57.08
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	68	23	$75.00	$56.09
96375 Injection of additional new drug or substance into vein	68	25	$18.34	$13.73
99492 Initial psychiatric collaborative care management, first calendar month, first 70 minutes	43	23	$174.42	$133.18
90792 Psychiatric diagnostic evaluation with medical services	33	21	$230.65	$170.04
90838 Psychotherapy with evaluation and management visit, 1 hour	27	17	$134.55	$102.04
90836 Psychotherapy with evaluation and management visit, 45 minutes	26	16	$103.35	$75.39
90837 Psychotherapy, 60 minutes	24	17	$171.13	$127.23
99497 Advance care planning, first 30 minutes	22	18	$102.77	$74.53
90839 Psychotherapy for crisis, first hour	17	15	$161.26	$123.30
99493 Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes	15	11	$165.65	$126.09
99473 Education and training to self measure blood pressure	13	11	$19.84	$11.47
72040 X-ray of upper spine, 2-3 views	13	13	$42.89	$35.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$201.83	$151.70
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$49.00	$35.58

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	71	25	$151.38	$115.45
90792 Psychiatric diagnostic evaluation with medical services	37	21	$230.65	$176.89
99497 Advance care planning, first 30 minutes	36	20	$100.30	$76.91
90791 Psychiatric diagnostic evaluation	25	13	$203.90	$156.25
99213 Established patient office or other outpatient visit, typically 15 minutes	17	11	$121.03	$82.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$201.83	$155.18
90836 Psychotherapy with evaluation and management visit, 45 minutes	15	14	$103.59	$79.78
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	13	13	$328.30	$252.09

Medical Specialties & State Licenses

CMS Verified: 2024-02-09

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9101023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Number

PA9101023 (FL)

Hospital & Practice Group Affiliations

Heisu Research Group Llc

152 Nw 168th St, North Miami Beach, FL 331695510

Phone: 3057053475

Heisu Research Group Llc

Nw 168th St, North Miami Beach, FL 331695510

Practice Associates & Co-Workers

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

3 Associated Practitioners

Diego Clavell Rivera

General Practice

NPI 1265672778

Mariel Pinero

General Practice

NPI 1891795654

Dr. Ziolly Cortijo-Cortes , MD

General Practice

NPI 1952567216

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 09, 2024

Registered at 1044 PLAZA DR, KISSIMMEE, FL 347434064 (Tel: 4073505659)

📍

Updated Business Mailing Address February 09, 2024

Registered at 6675 WESTWOOD BLVD STE 475, ORLANDO, FL 328216027 (Tel: 4078450330)

👤

Provider Name / Credentials Updated February 09, 2024

Recorded as ROBERTO NICODEMO, PA

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 6461 SW 8TH ST, WEST MIAMI, FL 331444843 (Tel: 3052695141)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2051 RENAISSANCE BLVD APT 206, MIRAMAR, FL 330255680

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERTO NICODEMO, D.M., M.P.H., P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA9101023 in FL)

🟢

Initial NPI Registration & Enumeration July 25, 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: 1831112416

Entity Type:

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

Enumeration Date: July 25, 2006

Last Update: February 09, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6675 Westwood Blvd Ste 475

Orlando, FL 328216027

Phone: 4078450330

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.