Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Opuscare of Florida LLC

Opuscare of Florida LLC was paid $2.23M by Medicaid between Dec 2020 and Mar 2023, across 2 billing codes. Its largest line is Q5003, Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) — 97% of everything it billed.

33Billing provider infoOPUSCARE OF FLORIDA LLC
MIAMI, FL 33157
33aNPI1033753793assigned 11/05/2019
28Total paid$2.23M
24GClaims1,066
24DCodes billed2
24AFirst – last monthDec 2020 – Mar 2023
Compared with peers

Next to other Community Based Hospice Care Agency providers in Florida

Rank by total paid#22 of 47
Median peer was paid$1.55M
This provider vs. median1.4×

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.

Single-Code Concentration97% of spending on code Q5003 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2020126$137K
2021428$671K
2022451$1.17M
202361$247K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q5003 Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) 97% 1,043 431 $2.17M
Q5001 Hospice or home health care provided in patient's home/residence 2.7% 23 12 $60K

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 officialROQUE, NICOLAS (ADMINISTRATOR/CCO)