D.H. Medical, LLC

D.H. Medical, LLC was paid $599K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99307, — 45% of everything it billed.

33Billing provider infoD.H. MEDICAL, LLC
PORT ORANGE, FL 32127

33aNPI1477855815assigned 11/17/2010

33bProvider typeFamily Medicine Physician

28Total paid$599K

24GClaims174,876

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#83 of 996

Median peer was paid$13K

This provider vs. median45×

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	4,882	$50.08
2019	14,845	$27K
2020	23,716	$84K
2021	31,945	$122K
2022	38,994	$71K
2023	35,753	$213K
2024incomplete	24,741	$81K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99307		45%	78,395	32,422	$268K
99308	Subsequent nursing facility care, per day, straightforward	24%	25,411	12,353	$146K
99490	Ccm add 20min	10%	29,972	20,284	$61K
99348		5.2%	6,176	2,697	$31K
99334		3.4%	10,685	4,985	$21K
99305		2.8%	1,764	1,044	$17K
11721		2.2%	5,596	3,809	$13K
99306	Prolong nursin fac eval 15m	1.9%	610	456	$11K
99347		1.1%	1,978	948	$7K
11056		1.1%	1,082	765	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	3,486	905	$5K
99335		<1%	1,697	904	$5K

18 more codes

11055		<1%	525	$3K
11043		<1%	101	$1K
99304		<1%	94	$917.40
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	159	$765.22
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	<1%	103	$639.42
99325		<1%	187	$601.50
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	1,299	$458.17
99497		<1%	2,363	$404.67
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	279	$246.11
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	36	$237.63
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	589	$232.96
11720		<1%	14	$103.88
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%	1,079	$12.22
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	60	$0.00
99336		0%	1,028	$0.00
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	0%	46	$0.00
99337		0%	35	$0.00
99406		0%	27	$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 officialHEISE, DAVID (OWNER)