Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAPITAL REGIONAL HEALTHCARE LLC

NPI: 1417127499 · TALLAHASSEE, FL 32308 · Internal Medicine Physician · NPI assigned 03/06/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more

$1.73M
Total Medicaid Paid
147,266
Total Claims
110,850
Beneficiaries
87
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (VICE PRESIDENT)
NPI Enumeration Date03/06/2008

Related Entities

Other providers sharing the same authorized official: JOHNSON, WILLIAM

ProviderCityStateTotal Paid
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA CITY OK $21.69M
1ST PRIORITY HOMECARE LLC KANSAS CITY MO $5.21M
COASTAL CAROLINA PRIMARY CARE, LLC MYRTLE BEACH SC $4.04M
CITRUS SPECIALTY GROUP, INC INVERNESS FL $3.80M
MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC MIAMI FL $2.32M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.66M
CHILDRENS CLINIC OF FREDERICKSBURG URGENT CARE PC FREDERICKSBURG VA $820K
LAYTON FAMILY PRACTICE LLC LAYTON UT $673K
LARGO PHYSICIAN GROUP, LLC BROOKSVILLE FL $653K
WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL $411K
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC SARASOTA FL $332K
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC GAINESVILLE FL $204K
CITRUS PRIMARY CARE, INC HOMOSASSA FL $190K
COVENANT PRIMARY & BEHAVIORAL CARE PEMBROKE NC $166K
BROWARD NEUROSURGEONS LLC PLANTATION FL $77K
FAMILY MEDICINE OF BLACKSBURG, LLC BLACKSBURG VA $59K
LAWNWOOD CARDIOVASCULAR SURGERY LLC FORT PIERCE FL $54K
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC SOUTH PASADENA FL $45K
SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC BLACKSBURG VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,687 $4K
2019 11,137 $95K
2020 13,006 $286K
2021 17,386 $325K
2022 25,764 $404K
2023 34,422 $451K
2024 41,864 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,896 14,311 $529K
H1000 Prenatal care, at-risk assessment 13,949 9,950 $478K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,057 5,877 $141K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,120 950 $90K
76830 Ultrasound, transvaginal 1,316 1,115 $82K
76801 1,239 892 $60K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 831 630 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 684 570 $43K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 771 610 $31K
99308 Subsequent nursing facility care, per day, straightforward 7,473 3,007 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,070 1,737 $29K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 513 447 $23K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 532 381 $19K
59410 28 24 $18K
3008F 11,382 8,619 $16K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 195 156 $12K
99222 Initial hospital care, per day, moderate complexity 331 248 $9K
11721 2,213 1,811 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,488 616 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 127 104 $7K
99223 Prolong inpt eval add15 m 102 80 $7K
81025 1,901 1,502 $6K
93976 39 38 $4K
76376 171 126 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 170 107 $3K
76819 Fetal biophysical profile; without non-stress testing 87 71 $3K
81002 1,400 1,149 $2K
1159F 10,522 8,555 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 459 365 $2K
H1001 Prenatal care, at-risk enhanced service; antepartum management 29 24 $2K
99334 461 365 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 37 28 $2K
99232 Subsequent hospital care, per day, moderate complexity 854 111 $1K
99318 373 262 $1K
3725F 15,418 11,081 $1K
99336 138 105 $1K
17110 105 93 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 159 117 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $877.78
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 120 115 $806.74
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 45 24 $699.80
90686 96 95 $636.87
59430 12 12 $419.83
94060 33 30 $295.58
76857 12 12 $274.72
3074F 5,339 4,334 $273.32
94726 32 29 $164.08
G9920 Screening performed and negative 2,539 1,871 $145.79
94729 30 27 $112.92
1123F 2,515 1,728 $82.52
1160F 8,034 6,561 $51.00
1220F 4,093 3,270 $46.36
1125F 1,221 1,036 $20.18
36415 Collection of venous blood by venipuncture 42 37 $10.00
1170F 6,545 5,133 $0.00
3079F 744 653 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,473 1,101 $0.00
1126F 1,619 1,376 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 165 130 $0.00
2000F 450 371 $0.00
3080F 82 57 $0.00
3017F 31 29 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 130 119 $0.00
3075F 103 94 $0.00
99024 40 39 $0.00
3014F 13 13 $0.00
M1294 Normal blood pressure reading documented, follow-up not required 24 16 $0.00
4010F 36 33 $0.00
77001 18 14 $0.00
99324 33 15 $0.00
3078F 4,771 3,656 $0.00
99307 243 215 $0.00
3077F 152 118 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 216 154 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 931 814 $0.00
1175F 249 165 $0.00
3288F 963 773 $0.00
1100F 63 48 $0.00
0518F 62 47 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 92 91 $0.00
99238 Hospital discharge day management, 30 minutes or less 28 27 $0.00
G0444 Annual depression screening, 5 to 15 minutes 23 14 $0.00
G8482 Influenza immunization administered or previously received 23 15 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 27 15 $0.00
4040F 62 48 $0.00
G8484 Influenza immunization was not administered, reason not given 22 16 $0.00
76937 18 14 $0.00