Gulf Coast Hma Physician Management LLC

Gulf Coast Hma Physician Management LLC was paid $22K by Medicaid between Apr 2019 and May 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoGULF COAST HMA PHYSICIAN MANAGEMENT LLC
VENICE, FL 34292

33aNPI1497053839assigned 03/09/2011

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$22K

24GClaims2,083

24DCodes billed13

24AFirst – last monthApr 2019 – May 2022

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Florida

Rank by total paid#30 of 72

Median peer was paid$12K

This provider vs. median1.8×

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 JACKSON, JENNIFER 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
2019	15	$976.30
2020	29	$2K
2021	2,023	$19K
2022	16	$0.00

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	80%	277	263	$17K
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	20%	90	89	$4K
3008F		0%	683	625	$0.00
1031F		0%	152	142	$0.00
3074F		0%	205	194	$0.00
1036F		0%	384	355	$0.00
1125F		0%	16	13	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	29	26	$0.00
1034F		0%	18	16	$0.00
3079F		0%	33	33	$0.00
3078F		0%	115	110	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	69	66	$0.00

1 more codes

1160F

$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 officialJACKSON, JENNIFER (SENIOR DIRECTOR PROVIDER ENROLLMENT)

Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC.

Same official

Other billing entities under JACKSON, JENNIFER

Full network →

Provider	Location	Paid
Las Cruces Physician Services LLC	Las Cruces, NM	$62.87M
Roswell Clinic Corp	Roswell, NM	$14.65M
Pecos Valley of New Mexico, LLC	Carlsbad, NM	$6.43M
Regional Employee Assistance Program INC	Corsicana, TX	$4.25M
Flowood River Oaks Hma Medical Group, LLC	Flowood, MS	$2.83M
Statesville Hma Medical Group, LLC	Statesville, NC	$2.68M
Heartland Counseling Services, INC.	South Sioux City, NE	$2.31M
Mooresville PPM LLC	Mooresville, NC	$1.35M
Scranton Quincy Ambulance LLC	Scranton, PA	$1.35M
Brooksville Hma Physician Management LLC	Spring Hill, FL	$1.14M
Intermountain Medical Group, INC	Kingston, PA	$1.09M
Roswell Hospital Corporation	Roswell, NM	$714K
Woodward Clinic Company, LLC	Woodward, OK	$598K
Biloxi Hma Physician Management LLC	Biloxi, MS	$585K
South Arkansas Physician Services LLC	El Dorado, AR	$495K
Key West Hma Physician Management, LLC	Cudjoe Key, FL	$406K
Mooresville PPM LLC	Mooresville, NC	$385K
Heartland Counseling Services, INC.	Oneill, NE	$295K
Northwest Cardiology LLC	Tucson, AZ	$265K
Greenbrier Valley Emergency Physicians LLC	Ronceverte, WV	$224K

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