Physician
Gaps Health FL
Gaps Health FL was paid $9K by Medicaid between Oct 2021 and Jun 2022, across 4 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 42% of everything it billed.
33Billing provider infoGAPS HEALTH FL
FORT PIERCE, FL 34950
FORT PIERCE, FL 34950
33aNPI1174299655assigned 08/17/2021
33bProvider typeInternal Medicine Physician
28Total paid$9K
24GClaims1,543
24DCodes billed4
24AFirst – last monthOct 2021 – Jun 2022
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#609 of 1,247
Median peer was paid$9K
This provider vs. median1.0×
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
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 | |
|---|---|---|---|
| 2021 | 494 | $1K | |
| 2022 | 1,049 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 42% | 633 | 337 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 28% | 207 | 97 | $3K |
| 99307 | 28% | 662 | 248 | $3K | |
| 99306 | Prolong nursin fac eval 15m | 2.6% | 41 | 30 | $241.39 |
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 officialWILBORN, SONALI (CHIEF CLINICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Gaps Health Wi LTD | South Milwaukee, WI | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.