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

Cogent Healthcare of Jacksonville, LLC

Cogent Healthcare of Jacksonville, LLC was paid $1.85M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.

33Billing provider infoCOGENT HEALTHCARE OF JACKSONVILLE, LLC
JACKSONVILLE, FL 32209
33aNPI1124252333assigned 05/04/2009
28Total paid$1.85M
24GClaims129,692
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#35 of 996
Median peer was paid$13K
This provider vs. median139×

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 FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
20186,056$7K
201916,950$345K
202024,338$326K
202123,925$343K
202217,665$167K
202332,017$530K
2024incomplete8,741$132K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 50% 49,167 12,400 $917K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 22% 31,683 5,785 $411K
99223 Prolong inpt eval add15 m 15% 7,176 4,882 $269K
99239 Hospital discharge day management, more than 30 minutes 6.1% 7,233 4,817 $112K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5.8% 32,128 11,309 $108K
99220 <1% 273 172 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 283 123 $8K
99306 Prolong nursin fac eval 15m <1% 518 282 $5K
99310 Prolong nursin fac eval 15m <1% 125 51 $4K
99222 Initial hospital care, per day, moderate complexity <1% 94 57 $2K
99226 <1% 29 12 $490.56
99308 Subsequent nursing facility care, per day, straightforward <1% 401 256 $434.63
6 more codes
99217 <1% 68 $422.92
99238 Hospital discharge day management, 30 minutes or less <1% 21 $90.82
99497 <1% 177 $82.16
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 72 $0.00
1123F 0% 180 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 64 $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 officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.