OPUSCARE OF FLORIDA LLC
NPI: 1033753793
· MIAMI, FL 33157
· Community Based Hospice Care Agency
· NPI assigned 11/05/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code Q5003 with only 2 total codes billed. Highly concentrated billing profile.
$2.23M
Total Medicaid Paid
Provider Details
| Authorized Official | ROQUE, NICOLAS (ADMINISTRATOR/CCO) |
| NPI Enumeration Date | 11/05/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
126 |
$137K |
| 2021 |
428 |
$671K |
| 2022 |
451 |
$1.17M |
| 2023 |
61 |
$247K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q5003 |
Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) |
1,043 |
431 |
$2.17M |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
23 |
12 |
$60K |