Physician

Gilberto Jimenez, MD

According to 2025 Medicare claims, Gilberto Jimenez, MD (NPI: 1083690366) practices internal medicine in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is GILBERTO JIMENEZ MD INC (NPI: 1871549840; TIN: 010644224) and primary practice location at 33015-9998. Jimenez is affiliated with the Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Jimenez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 103 traditional Medicare patients, billed 958 HCPCS/CPT codes, and received $136,060 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 4,951 prescription claims across 115 beneficiaries totaling $355,690 in drug costs, led by Eliquis (Apixaban). DME data shows 151 claims. Open Payments data shows 100 records totaling $9,783,530. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $119,521 and ending at $136,060. Concurrently, Part D prescription costs have risen steadily, from $233,677 to $355,690. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $3,529 to $17,405.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	211	1,792	$119,521
2016	217	2,227	$137,035
2017	175	2,061	$127,597
2018	136	1,568	$104,986
2019	101	1,430	$99,450
2020	124	970	$73,154
2021	163	1,699	$131,034
2022	155	1,378	$98,224
2023	124	1,174	$77,277
2024	103	958	$136,060

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	313	5,151	$233,677
2016	248	6,132	$337,953
2017	202	6,926	$384,391
2018	214	6,676	$411,629
2019	126	6,186	$478,153
2020	122	5,531	$402,785
2021	175	6,526	$620,607
2022	157	7,262	$683,752
2023	140	6,368	$561,436
2024	115	4,951	$355,690

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	27	145	$3,056
2016	81	313	$5,611
2017	82	372	$4,013
2018	93	411	$108,288
2019	304	583	$795,408
2020	77	350	$3,750
2021	127	486	$18,616
2022	102	642	$34,625
2023	45	479	$34,230
2024	16	151	$14,150

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$135
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	41	191	$72
99348	Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	76	318	$57
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	150	$40
36415	Insertion of needle into vein for collection of blood sample	14	14	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	48	1,932	$33,626
Mounjaro	Tirzepatide	32	930	$31,784
Trulicity	Dulaglutide	34	972	$30,199
Linzess	Linaclotide	32	960	$16,806
Tradjenta	Linagliptin	24	1,020	$16,800

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	24	$11,049
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	21	$1,024
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	11	$771
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	16	45	$558
E0261	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress	Y	N/R	11	$366

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	0	$0	N/R
Research Payments	Reported research-related payment or transfer-of-value amount.	100	$9,783,530	ModernaTX, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Gilberto Jimenez, MD?

Tedicare shows public-source Medicare data for Gilberto Jimenez, MD (NPI 1083690366), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Gilberto Jimenez, MD have ACO affiliation data?

Gilberto Jimenez, MD is shown with ACO affiliation data for Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Gilberto Jimenez, MD?

Gilberto Jimenez, MD is linked to GILBERTO JIMENEZ MD INC (billing NPI 1871549840) in the available physician profile data.

Does Gilberto Jimenez, MD have Open Payments data?

Gilberto Jimenez, MD has 100 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.