Mario Alberto Jimenez, M.D.
NPI 1225353766ActiveIndividual· General Practice· Miami, FL
General Practice (M.D.) with Criticare Clinics Inc and 6 other groups, practicing in Miami, Florida. Their prescriptions cost Medicare Part D more than their services did: $46,765 for 1,098 claims, against $9,349 paid for services in 2024. Exact Sciences Corporation was the largest of 7 companies reporting payments in 2025, $198.94 in all, mostly food and beverage. Lists Baptist Hospital of Miami and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225353766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 27, 2010 |
| Last updated in NPPES | Sep 13, 2024 |
| Certified by provider | Sep 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ME114414 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 141 across 13 procedure codes |
| Paid by Medicare | $9,349 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,098 · 1,543 30-day fills |
|---|---|
| Patients | 409 |
| Total drug cost | $46,765 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Criticare Clinics IncMiami Lakes, FL · 104 clinicians
- Urgent Care Physicians of Country Walk LLCMiami, FL · 35 clinicians
- Urgent Care Physicians of Palmetto Bay LLCMiami, FL · 34 clinicians
- Urgent Care Physicians of Tamiami LLCMiami, FL · 29 clinicians
- Urgent Care Physicians of Westchester LLCMiami, FL · 23 clinicians
- Urgent Care Physicians of Cutler Bay LLCCutler Bay, FL · 22 clinicians
- Kendall South Medical Center IncMiami, FL · 7 clinicians
Hospital affiliations
- Baptist Hospital of MiamiMiami, FL
- South Miami HospitalMiami, FL
Industry payments (Open Payments)
- 2025$198.94 · 11 payments from 7 companies
- 2024$217.41 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $78.38 | 3 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $35.34 | 2 |
| Abbott Laboratories | $20.28 | 1 |
| Pfizer Inc. | $18.24 | 2 |
| Novo Nordisk Inc | $17.69 | 1 |
What the 2025 payments were for
- Food and Beverage$198.94 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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