Clinic
Epsaltos Healthcare,pa
Epsaltos Healthcare,pa was paid $14K by Medicaid between Oct 2018 and Aug 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoEPSALTOS HEALTHCARE,PA
NEW PORT RICHEY, FL 34653
NEW PORT RICHEY, FL 34653
33aNPI1174975106assigned 07/01/2016
33bProvider typeClinic/Center
28Total paid$14K
24GClaims3,762
24DCodes billed14
24AFirst – last monthOct 2018 – Aug 2024
Compared with peers
Next to other Clinic/Center providers in Florida
Rank by total paid#251 of 349
Median peer was paid$95K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 30 | $364.90 | |
| 2019 | 191 | $2K | |
| 2020 | 511 | $3K | |
| 2021 | 687 | $2K | |
| 2022 | 997 | $2K | |
| 2023 | 1,138 | $3K | |
| 2024incomplete | 208 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 93% | 1,081 | 710 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 50 | 12 | $788.07 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 20 | 14 | $155.23 |
| 3074F | 0% | 91 | 71 | $0.00 | |
| 1126F | 0% | 191 | 126 | $0.00 | |
| 1036F | 0% | 1,203 | 708 | $0.00 | |
| 3008F | 0% | 329 | 249 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 129 | 72 | $0.00 |
| 1125F | 0% | 99 | 66 | $0.00 | |
| 1160F | 0% | 206 | 156 | $0.00 | |
| 1159F | 0% | 170 | 126 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 138 | 106 | $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 officialFALTAS, WAEL (PRESIDENT)