Physician

Jose P. Hernandez-Gala, M.D.

According to 2025 Medicare claims, Jose Hernandez-Gala, M.D. (NPI: 1366536799) 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 HEALING REHABILITATION CENTER CORP (NPI: 1962079814) and primary practice location at 33016-1531.

Hernandez-Gala's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 27 traditional Medicare patients, billed 170 HCPCS/CPT codes, and received $14,075 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,947 prescription claims across 106 beneficiaries totaling $147,272 in drug costs, led by Jardiance (Empagliflozin). 2023 DME data shows 18 claims. No Open Payments records. 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 declined steadily, from $45,265 to $14,075. Similarly, Part D prescription costs have fallen sharply in recent years, from $535,642 to $147,272. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,134 and ending at $1,254.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	91	602	$45,265
2016	74	465	$36,409
2017	63	430	$34,302
2018	56	412	$33,681
2019	52	387	$33,219
2020	41	325	$23,884
2021	41	369	$33,928
2022	40	338	$30,191
2023	37	269	$22,682
2024	27	170	$14,075

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	325	12,514	$535,642
2016	321	12,087	$481,106
2017	321	12,118	$479,157
2018	338	12,262	$484,916
2019	312	9,932	$503,369
2020	286	7,386	$431,175
2021	234	5,454	$380,613
2022	165	3,448	$287,064
2023	133	2,565	$218,514
2024	106	1,947	$147,272

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	54	174	$2,026
2016	29	149	$1,846
2017	N/R	95	$1,185
2018	N/R	59	$663
2019	N/R	27	$430
2020	N/R	48	$471
2021	N/R	79	$1,254
2022	N/R	53	$543
2023	N/R	18	$242
2024	N/R	N/R	N/R

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	22	$146
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	45	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	22	94	$72

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	74	3,160	$61,876
Eliquis	Apixaban	28	1,350	$26,062
Entresto	Sacubitril/Valsartan	15	600	$13,378
Farxiga	Dapagliflozin Propanediol	16	600	$11,213
Rosuvastatin Calcium	Rosuvastatin Calcium	129	7,830	$1,268

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Jose P. Hernandez-Gala, M.D.?

Tedicare shows public-source Medicare data for Jose P. Hernandez-Gala, M.D. (NPI 1366536799), 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 Jose P. Hernandez-Gala, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Jose P. Hernandez-Gala, M.D.?

Jose P. Hernandez-Gala, M.D. is linked to HEALING REHABILITATION CENTER CORP (billing NPI 1962079814) in the available physician profile data.

Does Jose P. Hernandez-Gala, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.