Medicaid Provider Spending

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

CITRUS SPECIALTY GROUP, INC

NPI: 1437552858 · INVERNESS, FL 34452 · Surgery Physician · NPI assigned 09/30/2014

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

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

$3.80M
Total Medicaid Paid
68,987
Total Claims
48,987
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (VICE PRESIDENT/AO)
NPI Enumeration Date09/30/2014

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
MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC MIAMI FL $2.32M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
CAPITAL REGIONAL HEALTHCARE LLC TALLAHASSEE FL $1.73M
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 44 $2K
2019 9,528 $616K
2020 12,800 $691K
2021 11,502 $706K
2022 18,620 $776K
2023 11,731 $744K
2024 4,762 $267K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1000 Prenatal care, at-risk assessment 25,335 18,341 $1.07M
59410 855 740 $679K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,630 4,474 $379K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,467 1,849 $281K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,676 6,198 $247K
59515 292 222 $211K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,937 1,631 $135K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,739 2,859 $127K
76819 Fetal biophysical profile; without non-stress testing 3,178 1,412 $116K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,002 866 $97K
59430 1,866 1,642 $92K
59025 Fetal non-stress test 3,668 2,135 $81K
99205 Prolong outpt/office vis 1,957 1,338 $68K
76801 856 671 $49K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 526 463 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 260 226 $26K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 400 343 $19K
J1050 Injection, medroxyprogesterone acetate, 1 mg 353 298 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 343 303 $17K
76820 1,629 542 $14K
76830 Ultrasound, transvaginal 208 175 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 872 620 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 135 131 $8K
81025 1,018 864 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 127 90 $4K
99223 Prolong inpt eval add15 m 16 15 $2K
99234 19 15 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 41 $638.50
81003 337 287 $466.74
99243 31 29 $434.73
99215 Prolong outpt/office vis 16 15 $369.11
99283 Emergency department visit for the evaluation and management, moderate severity 13 12 $363.65
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 167 127 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 16 13 $0.00