Physician
Port Charlotte Hma Physician Management LLC
Port Charlotte Hma Physician Management LLC was paid $899K by Medicaid between Apr 2018 and Dec 2024, across 35 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 68% of everything it billed.
33Billing provider infoPORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
PUNTA GORDA, FL 33950
PUNTA GORDA, FL 33950
33aNPI1003985573assigned 11/07/2006
33bProvider typeGastroenterology Physician
28Total paid$899K
24GClaims59,036
24DCodes billed35
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#4 of 166
Median peer was paid$27K
This provider vs. median33×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28 | $2K | |
| 2019 | 5,722 | $206K | |
| 2020 | 28,066 | $228K | |
| 2021 | 16,715 | $296K | |
| 2022 | 6,151 | $106K | |
| 2023 | 1,095 | $39K | |
| 2024incomplete | 1,259 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 68% | 11,588 | 8,651 | $607K |
| 59410 | 8.5% | 77 | 76 | $77K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 2,827 | 2,579 | $71K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.8% | 1,006 | 772 | $43K |
| 59025 | Fetal non-stress test | 3.5% | 662 | 429 | $31K |
| 59430 | 2.9% | 217 | 201 | $27K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 2.5% | 191 | 189 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 94 | 93 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 88 | 61 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 52 | 44 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 42 | 37 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 78 | 67 | $2K |
23 more codes
| 99383 | <1% | 22 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 65 | $640.39 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $87.36 |
| 81025 | <1% | 53 | $46.71 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $21.82 |
| 1159F | 0% | 5,506 | $0.00 | |
| 3078F | 0% | 6,237 | $0.00 | |
| 1160F | 0% | 6,042 | $0.00 | |
| 0502F | 0% | 1,104 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 139 | $0.00 |
| 3511F | 0% | 27 | $0.00 | |
| 4035F | 0% | 36 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 78 | $0.00 |
| 1031F | 0% | 2,201 | $0.00 | |
| 3074F | 0% | 6,877 | $0.00 | |
| 3008F | 0% | 5,695 | $0.00 | |
| 1036F | 0% | 2,774 | $0.00 | |
| 0501F | 0% | 1,227 | $0.00 | |
| 3079F | 0% | 305 | $0.00 | |
| 1126F | 0% | 443 | $0.00 | |
| 2001F | 0% | 2,112 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 378 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 752 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Lutheran Medical Group LLC | Fort Wayne, IN | $21.97M |
| LA Porte Clinic Company LLC | Valparaiso, IN | $18.77M |
| Vicksburg Clinic LLC | Vicksburg, MS | $15.98M |
| Northwest Allied Physicians LLC | Tucson, AZ | $10.30M |
| Kosciusko Medical Group LLC | Warsaw, IN | $8.81M |
| Knoxville Hma Physician Management, LLC | Knoxville, TN | $8.70M |
| Wesley Physician Services LLC | Hattiesburg, MS | $8.20M |
| Porter Physician Services LLC | Valparaiso, IN | $6.44M |
| Hood Medical Group | Granbury, TX | $6.40M |
| Northwest Physicians LLC | Springdale, AR | $5.81M |
| QHG of Fort Wayne Company LLC | Fort Wayne, IN | $4.24M |
| Vicksburg Clinic LLC | Vicksburg, MS | $4.10M |
| Dukes Physician Services LLC | Peru, IN | $3.72M |
| Bluffton Physician Services LLC | Bluffton, IN | $3.45M |
| Bullhead City Clinic Corp | Bullhead City, AZ | $3.13M |
| Northwest Urgent Care LLC | Tucson, AZ | $2.64M |
| River Oaks Management Company LLC | Jackson, MS | $2.56M |
| Scranton Quincy Clinic Company LLC | Scranton, PA | $2.03M |
| Foley Clinic Corp | Gulf Shores, AL | $2.01M |
| Mat Su Valley Medical Center LLC | Wasilla, AK | $1.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.