Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lake Wales Clinic Corp

Lake Wales Clinic Corp was paid $20K by Medicaid between Aug 2018 and Aug 2019, across 6 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 35% of everything it billed.

33Billing provider infoLAKE WALES CLINIC CORP
LAKE WALES, FL 33853
33aNPI1457350027assigned 07/18/2005
33bProvider typeSurgery Physician
28Total paid$20K
24GClaims902
24DCodes billed6
24AFirst – last monthAug 2018 – Aug 2019
Compared with peers

Next to other Surgery Physician providers in Florida

Rank by total paid#44 of 126
Median peer was paid$7K
This provider vs. median2.8×

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 WRIGHT, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201840$182.45
2019862$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 35% 265 107 $7K
99222 Initial hospital care, per day, moderate complexity 30% 67 55 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 14% 277 85 $3K
99239 Hospital discharge day management, more than 30 minutes 12% 68 59 $2K
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 4.8% 99 67 $978.18
99231 Subsequent hospital care, per day, straightforward or low complexity 4.0% 126 43 $809.83

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 officialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
Parent organizationLAKE WALES CLINIC CORP
Same official

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Carolinas Medical Alliance INCFlorence, SC$93K
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Bluefield HBP Medical Group LLCBluefield, WV$23K
Campbell County Hma, LLCLa Follette, TN$19K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.