Physician
Citrus Specialty Group, INC
Citrus Specialty Group, INC was paid $3.80M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 28% of everything it billed.
33Billing provider infoCITRUS SPECIALTY GROUP, INC
INVERNESS, FL 34452
INVERNESS, FL 34452
33aNPI1437552858assigned 09/30/2014
33bProvider typeSurgery Physician
28Total paid$3.80M
24GClaims68,987
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Florida
Rank by total paid#1 of 126
Median peer was paid$7K
This provider vs. median526×
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 JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more
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 | 44 | $2K | |
| 2019 | 9,528 | $616K | |
| 2020 | 12,800 | $691K | |
| 2021 | 11,502 | $706K | |
| 2022 | 18,620 | $776K | |
| 2023 | 11,731 | $744K | |
| 2024incomplete | 4,762 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 28% | 25,335 | 18,341 | $1.07M |
| 59410 | 18% | 855 | 740 | $679K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 10.0% | 6,630 | 4,474 | $379K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 7.4% | 2,467 | 1,849 | $281K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 7,676 | 6,198 | $247K |
| 59515 | 5.6% | 292 | 222 | $211K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.5% | 1,937 | 1,631 | $135K |
| 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 | 3.4% | 4,739 | 2,859 | $127K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.1% | 3,178 | 1,412 | $116K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 2.6% | 1,002 | 866 | $97K |
| 59430 | 2.4% | 1,866 | 1,642 | $92K | |
| 59025 | Fetal non-stress test | 2.1% | 3,668 | 2,135 | $81K |
22 more codes
| 99205 | Prolong outpt/office vis | 1.8% | 1,957 | $68K |
| 76801 | 1.3% | 856 | $49K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 526 | $29K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 260 | $26K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 400 | $19K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 353 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 343 | $17K |
| 76820 | <1% | 1,629 | $14K | |
| 76830 | Ultrasound, transvaginal | <1% | 208 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 872 | $10K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 135 | $8K |
| 81025 | <1% | 1,018 | $6K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 127 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | $2K |
| 99234 | <1% | 19 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | $638.50 |
| 81003 | <1% | 337 | $466.74 | |
| 99243 | <1% | 31 | $434.73 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $369.11 |
| 99283 | Emergency room visit (moderate) | <1% | 13 | $363.65 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 167 | $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) | 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 officialJOHNSON, WILLIAM (VICE PRESIDENT/AO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.