Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Columbia Primary Care LLC

Columbia Primary Care LLC was paid $663K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoCOLUMBIA PRIMARY CARE LLC
WEST PALM BEACH, FL 33407
33aNPI1265567994assigned 02/22/2007
28Total paid$663K
24GClaims35,651
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Florida

Rank by total paid#57 of 1,247
Median peer was paid$9K
This provider vs. median76×

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

$0$10K$20K2018201920202021202220232024
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
2018869$8K
20194,750$79K
20204,510$104K
20217,879$149K
20228,776$114K
20234,857$127K
2024incomplete4,010$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 10,864 8,645 $316K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.6% 2,895 2,364 $64K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8.8% 2,298 1,806 $59K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.3% 3,290 1,409 $55K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6.4% 623 500 $42K
99223 Prolong inpt eval add15 m 6.3% 792 616 $42K
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 5.7% 600 479 $38K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.7% 664 271 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 133 127 $10K
93000 1.3% 3,186 2,405 $9K
99222 Initial hospital care, per day, moderate complexity <1% 127 107 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 55 51 $3K
26 more codes
83036 Hemoglobin; glycosylated (A1C) <1% 211 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 2,167 $528.64
1111F <1% 134 $252.22
99308 Subsequent nursing facility care, per day, straightforward <1% 83 $116.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $103.50
82962 <1% 29 $35.84
99307 <1% 36 $28.39
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) <1% 14 $22.00
1160F 0% 124 $0.00
3078F 0% 1,318 $0.00
1159F 0% 135 $0.00
3077F 0% 13 $0.00
G9905 Patient not screened for tobacco use 0% 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 12 $0.00
4004F 0% 14 $0.00
3074F 0% 1,321 $0.00
3008F 0% 3,237 $0.00
3079F 0% 312 $0.00
1123F 0% 208 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 230 $0.00
3075F 0% 24 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 277 $0.00
1170F 0% 42 $0.00
1036F 0% 32 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 49 $0.00
1126F 0% 76 $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)
Same official

Other billing entities under DUNCAN, GARY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.