Physician
Cleanslate Medical Group of Florida, PLLC
Cleanslate Medical Group of Florida, PLLC was paid $79K by Medicaid between Jan 2019 and Jun 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoCLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC
JACKSONVILLE, FL 32206
JACKSONVILLE, FL 32206
33aNPI1225577760assigned 02/16/2017
33bProvider typeAddiction Medicine (Internal Medicine) Physician
28Total paid$79K
24GClaims4,092
24DCodes billed7
24AFirst – last monthJan 2019 – Jun 2020
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 | |
|---|---|---|---|
| 2019 | 2,996 | $56K | |
| 2020 | 1,096 | $23K |
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 | 76% | 2,504 | 1,170 | $60K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 499 | 317 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 345 | 230 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 150 | 132 | $3K |
| Q3014 | Telehealth originating site facility fee | <1% | 68 | 61 | $760.78 |
| 81025 | <1% | 347 | 282 | $498.55 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 179 | 146 | $48.15 |
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 officialHUTCHISON, ROBERT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Cleanslate Medical Group of Arizona PLLC | Phoenix, AZ | $2.42M |
| Cleanslate Medical Group of Connecticut LLC | Hartford, CT | $730K |
| Robert W Hutchison, DPM, LLC | Union, NJ | $174K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.