Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Lighthouse Point › NPI 1164711214
Physician

Premium Practice Solutions, LLC

Premium Practice Solutions, LLC was paid $1.69M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 33% of everything it billed.

33Billing provider infoPREMIUM PRACTICE SOLUTIONS, LLC
LIGHTHOUSE POINT, FL 33064
33aNPI1164711214assigned 03/29/2011
28Total paid$1.69M
24GClaims61,854
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#3 of 166
Median peer was paid$27K
This provider vs. median62×

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

$0$20K$40K$60K2018201920202021202220232024
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
20183,452$55K
20198,317$209K
20209,524$221K
202111,281$246K
202210,871$302K
202311,427$418K
2024incomplete6,982$239K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 33% 39,189 7,416 $555K
99222 Initial hospital care, per day, moderate complexity 16% 4,070 3,311 $277K
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 13% 6,058 5,291 $223K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6.7% 2,703 2,288 $113K
45380 Colonoscopy, flexible; with biopsy, single or multiple 6.6% 1,155 987 $112K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 3,892 3,481 $91K
99254 4.8% 644 562 $81K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.7% 720 653 $62K
44377 2.6% 510 423 $44K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.2% 261 193 $37K
99244 Office or other outpatient consultation, moderate to high complexity 2.1% 380 355 $35K
44361 1.3% 575 446 $22K
8 more codes
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,122 $11K
99203 Doctor's office visit, new patient (routine) <1% 154 $10K
99221 <1% 160 $10K
99243 <1% 28 $2K
44376 <1% 67 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 79 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 45 $0.00
99072 0% 42 $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 officialNGUYEN, HANG (OFFICE MANAGER)