Medicaid Provider Spending

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

MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC

NPI: 1154677300 · MIAMI, FL 33137 · Cardiovascular Disease Physician · NPI assigned 07/25/2012

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

Authorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more

$2.32M
Total Medicaid Paid
109,168
Total Claims
49,399
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (GROUP VICE PRESIDENT/AO)
NPI Enumeration Date07/25/2012

Related Entities

Other providers sharing the same authorized official: JOHNSON, WILLIAM

ProviderCityStateTotal Paid
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA CITY OK $21.69M
1ST PRIORITY HOMECARE LLC KANSAS CITY MO $5.21M
COASTAL CAROLINA PRIMARY CARE, LLC MYRTLE BEACH SC $4.04M
CITRUS SPECIALTY GROUP, INC INVERNESS FL $3.80M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
CAPITAL REGIONAL HEALTHCARE LLC TALLAHASSEE FL $1.73M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.66M
CHILDRENS CLINIC OF FREDERICKSBURG URGENT CARE PC FREDERICKSBURG VA $820K
LAYTON FAMILY PRACTICE LLC LAYTON UT $673K
LARGO PHYSICIAN GROUP, LLC BROOKSVILLE FL $653K
WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL $411K
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC SARASOTA FL $332K
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC GAINESVILLE FL $204K
CITRUS PRIMARY CARE, INC HOMOSASSA FL $190K
COVENANT PRIMARY & BEHAVIORAL CARE PEMBROKE NC $166K
BROWARD NEUROSURGEONS LLC PLANTATION FL $77K
FAMILY MEDICINE OF BLACKSBURG, LLC BLACKSBURG VA $59K
LAWNWOOD CARDIOVASCULAR SURGERY LLC FORT PIERCE FL $54K
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC SOUTH PASADENA FL $45K
SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC BLACKSBURG VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,389 $49K
2019 20,245 $456K
2020 18,025 $447K
2021 19,273 $472K
2022 22,578 $270K
2023 16,087 $429K
2024 7,571 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 31,742 6,650 $699K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,235 12,909 $408K
99232 Subsequent hospital care, per day, moderate complexity 25,394 5,989 $369K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,165 3,943 $324K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,166 1,675 $135K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 747 482 $80K
93000 8,876 6,762 $76K
93015 905 693 $41K
J2785 Injection, regadenoson, 0.1 mg 128 110 $38K
99223 Prolong inpt eval add15 m 1,700 975 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,324 1,711 $32K
99254 422 329 $29K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 682 456 $20K
99222 Initial hospital care, per day, moderate complexity 2,000 1,204 $16K
93880 102 79 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 660 183 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,691 1,255 $5K
99215 Prolong outpt/office vis 108 83 $2K
93244 86 75 $2K
99255 14 12 $1K
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,761 861 $635.31
99152 259 140 $436.09
93016 61 51 $345.83
1123F 2,639 1,709 $340.44
93308 37 31 $228.31
93242 114 98 $217.62
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $216.24
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 849 697 $126.99
93018 61 51 $44.81
93290 30 13 $22.88
93321 35 30 $5.46
93325 37 31 $4.41
1124F 106 87 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 16 12 $0.00