Physician
Optumcare Florida LLC
Optumcare Florida LLC was paid $39K by Medicaid between Jan 2018 and Jun 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoOPTUMCARE FLORIDA LLC
TAMPA, FL 33634
TAMPA, FL 33634
33aNPI1053384214assigned 02/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$39K
24GClaims7,632
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#352 of 996
Median peer was paid$13K
This provider vs. median2.9×
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.
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 | 237 | $1K | |
| 2019 | 3,384 | $16K | |
| 2020 | 1,923 | $10K | |
| 2021 | 1,987 | $11K | |
| 2023 | 101 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 1,120 | 875 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 520 | 455 | $7K |
| 1159F | 13% | 1,947 | 1,647 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 71 | 14 | $542.28 |
| 1160F | 1.3% | 1,943 | 1,644 | $484.47 | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $126.94 |
| 99443 | <1% | 55 | 39 | $98.08 | |
| 3074F | <1% | 650 | 575 | $62.44 | |
| 3078F | 0% | 732 | 649 | $0.00 | |
| 3077F | 0% | 41 | 41 | $0.00 | |
| 99499 | 0% | 20 | 12 | $0.00 | |
| 3079F | 0% | 31 | 25 | $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 officialDOUGHERTY, LAURENE (SVP OF INTEGRATION & TRANSFORMATION)