Physician
PCCC of Volusia LLC
PCCC of Volusia LLC was paid $722K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 29% of everything it billed.
33Billing provider infoPCCC OF VOLUSIA LLC
NEW SMYRNA BEACH, FL 32168
NEW SMYRNA BEACH, FL 32168
33aNPI1285685370assigned 05/13/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$722K
24GClaims41,524
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#7 of 55
Median peer was paid$37K
This provider vs. median20×
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 | 2,730 | $15K | |
| 2019 | 5,464 | $101K | |
| 2020 | 8,903 | $158K | |
| 2021 | 9,345 | $154K | |
| 2022 | 6,163 | $103K | |
| 2023 | 6,127 | $143K | |
| 2024incomplete | 2,792 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 29% | 9,233 | 3,034 | $208K |
| 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 | 27% | 9,982 | 8,111 | $192K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 9,423 | 3,622 | $150K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 1,203 | 948 | $55K |
| 94060 | 7.3% | 2,537 | 2,270 | $53K | |
| 94729 | 3.0% | 1,007 | 910 | $22K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.3% | 430 | 111 | $17K |
| 94726 | 1.7% | 1,033 | 938 | $12K | |
| 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 | <1% | 82 | 71 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 156 | 131 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 313 | 269 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 279 | 242 | $1K |
16 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $641.96 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 898 | $474.95 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 738 | $107.22 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 52 | $8.14 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,145 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 60 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 62 | $0.00 |
| 1036F | 0% | 13 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 859 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 864 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 520 | $0.00 |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 174 | $0.00 |
| 3023F | 0% | 164 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 134 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 118 | $0.00 |
| 4040F | 0% | 30 | $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 officialAILANI, RAJESH (MD)
| Provider | Location | Paid |
|---|---|---|
| RDC of Volusia, LLC | New Smyrna Beach, FL | $486.25 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.