Physician
Southwest Florida Medicine PLLC
Southwest Florida Medicine PLLC was paid $142K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSOUTHWEST FLORIDA MEDICINE PLLC
BRADENTON, FL 34209
BRADENTON, FL 34209
33aNPI1356886790assigned 12/20/2016
33bProvider typeFamily Medicine Physician
28Total paid$142K
24GClaims16,837
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#194 of 996
Median peer was paid$13K
This provider vs. median11×
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 | 578 | $773.58 | |
| 2019 | 1,922 | $19K | |
| 2020 | 3,557 | $23K | |
| 2021 | 3,021 | $22K | |
| 2022 | 2,529 | $35K | |
| 2023 | 3,685 | $29K | |
| 2024incomplete | 1,545 | $12K |
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 | 49% | 3,502 | 2,141 | $69K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 35% | 10,592 | 3,573 | $49K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 237 | 155 | $7K |
| 99310 | Prolong nursin fac eval 15m | 4.2% | 751 | 316 | $6K |
| 99349 | 3.8% | 94 | 74 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 195 | 58 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.0% | 41 | 28 | $1K |
| 99490 | Ccm add 20min | <1% | 31 | 27 | $391.10 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 809 | 349 | $180.89 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 52 | 18 | $137.88 |
| 99421 | <1% | 207 | 131 | $82.56 | |
| 99318 | <1% | 40 | 27 | $57.18 |
13 more codes
| 99441 | <1% | 19 | $20.08 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 45 | $18.44 |
| 99442 | <1% | 15 | $17.95 | |
| 90785 | <1% | 24 | $3.58 | |
| 3288F | 0% | 31 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 31 | $0.00 |
| 0518F | 0% | 19 | $0.00 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 0% | 23 | $0.00 |
| 1101F | 0% | 18 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $0.00 |
| 1036F | 0% | 14 | $0.00 | |
| 1125F | 0% | 16 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $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 officialLALANI, PARVEEN (OFFICE MANAGER)