Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COGENT HEALTHCARE OF JACKSONVILLE, LLC

NPI: 1124252333 · JACKSONVILLE, FL 32209 · Family Medicine Physician · NPI assigned 05/04/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$1.85M
Total Medicaid Paid
129,692
Total Claims
40,591
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date05/04/2009

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,056 $7K
2019 16,950 $345K
2020 24,338 $326K
2021 23,925 $343K
2022 17,665 $167K
2023 32,017 $530K
2024 8,741 $132K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 49,167 12,400 $917K
99232 Subsequent hospital care, per day, moderate complexity 31,683 5,785 $411K
99223 Prolong inpt eval add15 m 7,176 4,882 $269K
99239 Hospital discharge day management, more than 30 minutes 7,233 4,817 $112K
99309 Subsequent nursing facility care, per day, low to moderate complexity 32,128 11,309 $108K
99220 273 172 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 283 123 $8K
99306 Prolong nursin fac eval 15m 518 282 $5K
99310 Prolong nursin fac eval 15m 125 51 $4K
99222 Initial hospital care, per day, moderate complexity 94 57 $2K
99226 29 12 $490.56
99308 Subsequent nursing facility care, per day, straightforward 401 256 $434.63
99217 68 54 $422.92
99238 Hospital discharge day management, 30 minutes or less 21 14 $90.82
99497 177 127 $82.16
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 72 67 $0.00
1123F 180 149 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 64 34 $0.00