Behavioral
Baycare Medical Group, INC.
Baycare Medical Group, INC. was paid $14.89M by Medicaid between Jan 2018 and Dec 2024, across 143 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoBAYCARE MEDICAL GROUP, INC.
CLEARWATER, FL 33759
CLEARWATER, FL 33759
33aNPI1043269871assigned 05/09/2006
33bProvider typeClinical Psychologist
28Total paid$14.89M
24GClaims542,413
24DCodes billed143
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Florida
Rank by total paid#1 of 94
Median peer was paid$11K
This provider vs. median1,299×
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 GORKEN, LYNDA 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 | 7,048 | $108K | |
| 2019 | 85,092 | $2.64M | |
| 2020 | 69,253 | $2.23M | |
| 2021 | 83,259 | $2.89M | |
| 2022 | 127,201 | $2.35M | |
| 2023 | 106,906 | $3.27M | |
| 2024incomplete | 63,654 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 86,434 | 62,683 | $3.99M |
| 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 | 15% | 62,475 | 44,779 | $2.20M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.3% | 45,269 | 16,212 | $1.38M |
| 99223 | Prolong inpt eval add15 m | 8.5% | 21,840 | 16,349 | $1.26M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 53,390 | 17,314 | $945K |
| H1000 | Prenatal care, at-risk assessment | 4.1% | 13,373 | 8,883 | $616K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 11,285 | 7,147 | $578K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 7,482 | 5,807 | $462K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 5,309 | 3,579 | $408K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.7% | 6,095 | 2,099 | $403K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 30,923 | 13,717 | $360K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 15,330 | 11,291 | $298K |
131 more codes
| 99220 | 1.3% | 3,189 | $192K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 2,230 | $185K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 3,422 | $161K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,704 | $138K |
| 90461 | <1% | 7,997 | $117K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 43,666 | $110K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 4,186 | $109K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,031 | $93K |
| 59410 | <1% | 109 | $82K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16,917 | $82K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,484 | $75K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 939 | $67K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 584 | $54K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 211 | $41K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 545 | $41K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,100 | $38K |
| 87428 | <1% | 2,432 | $34K | |
| 90961 | <1% | 1,115 | $32K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 2,254 | $31K |
| 90937 | <1% | 1,724 | $31K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,914 | $24K |
| 81003 | <1% | 4,915 | $16K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,814 | $16K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 42 | $15K |
| 99306 | Prolong nursin fac eval 15m | <1% | 1,022 | $15K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 273 | $12K |
| 59025 | Fetal non-stress test | <1% | 665 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 817 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 1,955 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,769 | $9K |
| 25600 | <1% | 98 | $9K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 652 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 202 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 257 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 56 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,090 | $6K |
| 95816 | <1% | 382 | $6K | |
| 81002 | <1% | 4,657 | $6K | |
| 99255 | <1% | 77 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 318 | $4K |
| 01922 | <1% | 31 | $4K | |
| 90670 | <1% | 2,551 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 54 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,355 | $3K |
| 99221 | <1% | 117 | $3K | |
| 93356 | <1% | 885 | $3K | |
| 76376 | <1% | 842 | $3K | |
| 95819 | <1% | 226 | $3K | |
| 85018 | <1% | 2,434 | $3K | |
| 99173 | <1% | 253 | $3K | |
| 99024 | <1% | 6,312 | $3K | |
| 99219 | <1% | 45 | $2K | |
| 80061 | Lipid panel | <1% | 566 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 381 | $2K |
| 73562 | <1% | 360 | $2K | |
| 99254 | <1% | 16 | $2K | |
| 73100 | <1% | 245 | $2K | |
| 90686 | <1% | 5,007 | $2K | |
| 90962 | <1% | 78 | $1K | |
| 81025 | <1% | 431 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 231 | $1K |
| 99217 | <1% | 30 | $1K | |
| 99051 | <1% | 595 | $1K | |
| 90698 | <1% | 1,082 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 76 | $1K |
| 99152 | <1% | 54 | $1K | |
| 93296 | <1% | 367 | $1K | |
| 20610 | <1% | 91 | $1K | |
| 87807 | <1% | 76 | $980.28 | |
| 93000 | <1% | 500 | $953.78 | |
| 0011A | <1% | 230 | $941.56 | |
| 99243 | <1% | 12 | $914.77 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 25 | $784.50 |
| 90966 | <1% | 19 | $710.34 | |
| 29075 | <1% | 49 | $678.72 | |
| 0012A | <1% | 99 | $519.75 | |
| 93018 | <1% | 57 | $465.26 | |
| 94060 | <1% | 68 | $367.83 | |
| 00731 | <1% | 16 | $351.84 | |
| 90473 | <1% | 18 | $336.14 | |
| 99497 | <1% | 127 | $301.57 | |
| 93016 | <1% | 56 | $268.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 273 | $262.75 |
| 11721 | <1% | 46 | $252.67 | |
| 73610 | <1% | 50 | $224.51 | |
| 73090 | <1% | 20 | $192.11 | |
| 99307 | <1% | 42 | $170.85 | |
| 93294 | <1% | 53 | $152.70 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 40 | $146.97 |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 84 | $141.45 |
| 96156 | <1% | 28 | $116.50 | |
| 90656 | <1% | 138 | $96.39 | |
| 92558 | <1% | 164 | $72.52 | |
| 90633 | <1% | 220 | $68.62 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 51 | $64.08 |
| G0008 | Administration of influenza virus vaccine | <1% | 31 | $59.30 |
| Q4012 | Cast supplies, short arm cast, pediatric (0-10 years), fiberglass | <1% | 73 | $57.19 |
| 36416 | <1% | 939 | $44.67 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 19 | $38.61 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 464 | $38.60 |
| 73630 | <1% | 16 | $31.82 | |
| 3074F | <1% | 1,740 | $25.00 | |
| 51798 | <1% | 36 | $22.08 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 78 | $14.40 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $2.16 |
| 92551 | <1% | 54 | $1.70 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,688 | $0.00 |
| 90744 | 0% | 158 | $0.00 | |
| 1111F | 0% | 106 | $0.00 | |
| 99000 | 0% | 35 | $0.00 | |
| 90677 | 0% | 78 | $0.00 | |
| 94760 | 0% | 180 | $0.00 | |
| 90680 | 0% | 392 | $0.00 | |
| 90696 | 0% | 23 | $0.00 | |
| 3079F | 0% | 66 | $0.00 | |
| 99140 | 0% | 26 | $0.00 | |
| 90651 | 0% | 160 | $0.00 | |
| 90619 | 0% | 28 | $0.00 | |
| 1036F | 0% | 17 | $0.00 | |
| 96127 | 0% | 15 | $0.00 | |
| 99406 | 0% | 16 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,029 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 985 | $0.00 |
| 90710 | 0% | 14 | $0.00 | |
| 3078F | 0% | 1,439 | $0.00 | |
| 99177 | 0% | 102 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| 90685 | 0% | 28 | $0.00 | |
| 99188 | 0% | 12 | $0.00 | |
| 4004F | 0% | 15 | $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 officialGORKEN, LYNDA (VP, PFS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.