Physician
Palm Beach General Surgery LLC
Palm Beach General Surgery LLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoPALM BEACH GENERAL SURGERY LLC
LOXAHATCHEE, FL 33470
LOXAHATCHEE, FL 33470
33aNPI1235326760assigned 09/28/2007
33bProvider typeSurgery Physician
28Total paid$1.24M
24GClaims48,965
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Florida
Rank by total paid#5 of 126
Median peer was paid$7K
This provider vs. median172×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more
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 | 1,598 | $12K | |
| 2019 | 6,639 | $180K | |
| 2020 | 6,281 | $170K | |
| 2021 | 7,427 | $222K | |
| 2022 | 12,048 | $220K | |
| 2023 | 11,011 | $327K | |
| 2024incomplete | 3,961 | $112K |
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 | 20% | 10,586 | 8,045 | $246K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 12,318 | 5,031 | $241K |
| 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 | 18% | 3,919 | 2,786 | $227K |
| 99222 | Initial hospital care, per day, moderate complexity | 10% | 4,092 | 3,117 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 6,587 | 5,176 | $122K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.5% | 1,662 | 1,236 | $56K |
| 99223 | Prolong inpt eval add15 m | 4.5% | 979 | 711 | $56K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 1,428 | 892 | $49K |
| 99254 | 1.7% | 273 | 246 | $21K | |
| 99205 | Prolong outpt/office vis | 1.6% | 195 | 169 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 426 | 326 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 469 | 171 | $18K |
15 more codes
| 15002 | 1.1% | 297 | $14K | |
| 15004 | <1% | 124 | $12K | |
| 15003 | <1% | 30 | $6K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 44 | $3K |
| 93970 | <1% | 16 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 19 | $1K |
| 15273 | <1% | 25 | $539.35 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,976 | $407.30 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 13 | $204.83 |
| 99152 | <1% | 18 | $42.69 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 231 | $0.00 |
| 1123F | 0% | 197 | $0.00 | |
| G9197 | Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis | 0% | 14 | $0.00 |
| 4044F | 0% | 14 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $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 officialDUNCAN, GARY (VP)
| Provider | Location | Paid |
|---|---|---|
| ST Lucie Medical Specialists LLC | Port St Lucie, FL | $1.26M |
| Columbia Primary Care LLC | West Palm Beach, FL | $663K |
| Internal Medicine Associates of Southern Hills LLC | Nashville, TN | $281K |
| Lawnwood Healthcare Specialists LLC | Vero Beach, FL | $248K |
| Middle Tennessee Neurology LLC | Smyrna, TN | $172K |
| Greenview Primecare LLC | Franklin, KY | $171K |
| Tristar Medical Group - Centennial Primary Care, LLC | Nashville, TN | $160K |
| Southern Hills Neurology Consultants LLC | Nashville, TN | $29K |
| Hermitage Primary Care LLC | Hermitage, TN | $25K |
| Tristar Joint Replacement Institute, LLC | Nashville, TN | $16K |
| Sterling Primary Care Associates LLC | Nashville, TN | $10K |
| Centennial Surgical Associates LLC | Nashville, TN | $9K |
| North Georgia Primary Care Group LLC | Ringgold, GA | $9K |
| Greenview Specialty Associates LLC | Bowling Green, KY | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.