Specialist Doctors Group LLC
Specialist Doctors Group LLC was paid $903K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSPECIALIST DOCTORS GROUP LLC
PLANT CITY, FL 33563
PLANT CITY, FL 33563
33aNPI1487963864assigned 10/01/2010
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$903K
24GClaims44,656
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Florida
Rank by total paid#1 of 184
Median peer was paid$4K
This provider vs. median210×
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 | 1,430 | $6K | |
| 2019 | 9,529 | $190K | |
| 2020 | 6,753 | $141K | |
| 2021 | 9,642 | $160K | |
| 2022 | 6,738 | $164K | |
| 2023 | 6,124 | $132K | |
| 2024incomplete | 4,440 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 20,880 | 15,968 | $358K |
| 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 | 36% | 10,779 | 9,232 | $329K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 2,414 | 2,019 | $107K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 734 | 610 | $41K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 312 | 281 | $21K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 244 | 229 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 648 | 521 | $6K |
| 11750 | <1% | 51 | 42 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 64 | 54 | $4K |
| 17110 | <1% | 113 | 93 | $3K | |
| 11721 | <1% | 540 | 482 | $3K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 24 | 12 | $1K |
30 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 451 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,245 | $599.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 223 | $379.00 |
| 0001A | <1% | 26 | $347.60 | |
| 81002 | <1% | 819 | $345.77 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 124 | $340.00 |
| 99401 | <1% | 12 | $270.33 | |
| 0002A | <1% | 19 | $232.00 | |
| 0011A | <1% | 13 | $224.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 16 | $113.41 |
| 90674 | <1% | 23 | $87.60 | |
| 91300 | <1% | 56 | $72.00 | |
| 90686 | <1% | 13 | $64.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $61.78 |
| 90688 | <1% | 55 | $43.52 | |
| 3074F | <1% | 484 | $43.00 | |
| 1160F | <1% | 553 | $32.56 | |
| 90756 | <1% | 19 | $26.66 | |
| 3077F | 0% | 74 | $0.00 | |
| 1159F | 0% | 159 | $0.00 | |
| 3078F | 0% | 417 | $0.00 | |
| 90649 | 0% | 15 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 3008F | 0% | 634 | $0.00 | |
| 3075F | 0% | 54 | $0.00 | |
| 3079F | 0% | 141 | $0.00 | |
| 1111F | 0% | 59 | $0.00 | |
| 3080F | 0% | 48 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 39 | $0.00 |
| 99024 | 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 officialSALVATO, MICHAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Urgent Care USA LLC | Plant City, FL | $3.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.