Clinic
Suncoast Community Health Centers INC
Suncoast Community Health Centers INC was paid $3.93M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 28% of everything it billed.
33Billing provider infoSUNCOAST COMMUNITY HEALTH CENTERS INC
DOVER, FL 33527
DOVER, FL 33527
33aNPI1144230640assigned 08/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.93M
24GClaims206,066
24DCodes billed108
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#16 of 293
Median peer was paid$114K
This provider vs. median35×
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 RODRIGUEZ, ROBERT controls 16+ 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 | 3,511 | $83K | |
| 2019 | 27,979 | $571K | |
| 2020 | 34,616 | $661K | |
| 2021 | 24,115 | $674K | |
| 2022 | 55,958 | $698K | |
| 2023 | 38,008 | $869K | |
| 2024incomplete | 21,879 | $372K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 28% | 13,517 | 7,587 | $1.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 40,233 | 27,829 | $1.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 5,006 | 3,796 | $297K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 3,852 | 2,823 | $224K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 4,477 | 2,844 | $215K |
| D1110 | Prophylaxis - adult | 4.4% | 4,689 | 4,654 | $173K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 3,593 | 3,569 | $126K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 2,480 | 1,678 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 2,374 | 1,815 | $116K |
| D0330 | Panoramic radiographic image | 2.7% | 1,283 | 1,277 | $106K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 1,595 | 1,169 | $43K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,270 | 3,190 | $39K |
96 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,376 | $38K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 813 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 761 | $28K |
| D1206 | Topical application of fluoride varnish | <1% | 8,922 | $25K |
| G0467 | Community health center visit, returning patient | <1% | 2,053 | $21K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 434 | $21K |
| 99381 | <1% | 243 | $20K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 760 | $17K |
| D1351 | Sealant - per tooth | <1% | 1,933 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 2,534 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 121 | $12K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 342 | $12K |
| D0191 | <1% | 4,211 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,523 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,455 | $10K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 762 | $8K |
| D0120 | Dental checkup, returning patient | <1% | 3,076 | $7K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,215 | $6K |
| 90686 | <1% | 5,997 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | $4K |
| D9996 | <1% | 944 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 31 | $3K |
| 99188 | <1% | 1,617 | $3K | |
| D0350 | <1% | 937 | $2K | |
| D1330 | <1% | 9,486 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,850 | $2K |
| 0002A | <1% | 54 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 90670 | <1% | 2,751 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,328 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,104 | $775.90 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $716.18 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,164 | $680.62 |
| 0001A | <1% | 48 | $625.01 | |
| V2020 | Frames, purchases | <1% | 238 | $623.30 |
| 90651 | <1% | 1,097 | $606.39 | |
| 90633 | <1% | 854 | $455.93 | |
| 81329 | <1% | 291 | $303.93 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $300.72 |
| 81003 | <1% | 12,239 | $291.21 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 130 | $287.15 |
| 3074F | <1% | 213 | $225.00 | |
| 90620 | <1% | 171 | $205.00 | |
| 85018 | <1% | 1,960 | $180.54 | |
| 90674 | <1% | 94 | $151.18 | |
| 90685 | <1% | 187 | $120.00 | |
| 0011A | <1% | 12 | $118.58 | |
| 90707 | <1% | 39 | $97.84 | |
| 0012A | <1% | 15 | $85.17 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 200 | $75.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $40.00 |
| 90700 | <1% | 37 | $38.00 | |
| 92015 | Determination of refractive state | <1% | 1,550 | $37.57 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 349 | $35.00 |
| 90716 | <1% | 52 | $28.00 | |
| 90734 | <1% | 829 | $25.00 | |
| 90696 | <1% | 12 | $20.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,321 | $15.88 |
| 90723 | <1% | 1,702 | $5.00 | |
| 90647 | <1% | 1,425 | $5.00 | |
| 1159F | 0% | 834 | $0.00 | |
| 1160F | 0% | 833 | $0.00 | |
| 3078F | 0% | 186 | $0.00 | |
| 90715 | 0% | 294 | $0.00 | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | 0% | 26 | $0.00 |
| D0180 | 0% | 84 | $0.00 | |
| 91300 | 0% | 139 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90681 | 0% | 306 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 83 | $0.00 |
| 86787 | 0% | 27 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 12 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 40 | $0.00 |
| 86703 | 0% | 20 | $0.00 | |
| 81025 | 0% | 17 | $0.00 | |
| 1126F | 0% | 551 | $0.00 | |
| 2020F | 0% | 879 | $0.00 | |
| D1310 | 0% | 4,419 | $0.00 | |
| 1036F | 0% | 28 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 910 | $0.00 |
| D0603 | 0% | 48 | $0.00 | |
| 91301 | 0% | 15 | $0.00 | |
| 88174 | 0% | 53 | $0.00 | |
| 87428 | 0% | 506 | $0.00 | |
| 1000F | 0% | 28 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 40 | $0.00 |
| 92551 | 0% | 14 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 27 | $0.00 |
| 85660 | 0% | 12 | $0.00 | |
| 90688 | 0% | 78 | $0.00 | |
| D0601 | 0% | 38 | $0.00 | |
| 83789 | 0% | 26 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 12 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 12 | $0.00 |
| 80055 | 0% | 26 | $0.00 | |
| 92250 | 0% | 14 | $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 officialRODRIGUEZ, ROBERT (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Suncoast Community Health Centers INC | Plant City, FL | $4.21M |
| Suncoast Community Health Centers, INC | Brandon, FL | $3.79M |
| Suncoast Community Health Centers, INC | Tampa, FL | $1.41M |
| Suncoast Community Health Centers, INC | Lakeland, FL | $902K |
| Suncoast Community Health Centers, INC | Wimauma, FL | $734K |
| Suncoast Community Health Centers, INC | Ruskin, FL | $278K |
| Suncoast Community Health Centers, INC | Thonotosassa, FL | $94K |
| Suncoast Community Health Centers INC | Plant City, FL | $41K |
| Mecnb, LLC | Deerfield Beach, FL | $27K |
| Practice Transitions PC | Cedar Rapids, IA | $26K |
| Mecnb, LLC | Stuart, FL | $23K |
| Suncoast Community Health Centers, INC | Dover, FL | $14K |
| Mecnb, LLC | Palm Springs, FL | $12K |
| Helix Virtual, INC | Palm Springs, FL | $11K |
| Suncoast Community Health Center, INC | Tampa, FL | $4K |
| Suncoast Community Health Centers, INC | Brandon, FL | $828.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.