Lakeland Regional Health Systems, INC.
Lakeland Regional Health Systems, INC. was paid $12.09M by Medicaid between Jan 2018 and Dec 2024, across 161 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 12% of everything it billed.
33Billing provider infoLAKELAND REGIONAL HEALTH SYSTEMS, INC.
LAKELAND, FL 33805
LAKELAND, FL 33805
33aNPI1497748743assigned 08/23/2005
33bProvider typeDiabetes Educator Registered Nurse
28Total paid$12.09M
24GClaims680,495
24DCodes billed161
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Diabetes Educator Registered Nurse providers in Florida
Rank by total paid#1 of 5
Median peer was paid$1.12
This provider vs. median10,790,853×
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 GREEN, LANCE controls 13+ 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 | 4,467 | $54K | |
| 2019 | 37,831 | $1.38M | |
| 2020 | 50,525 | $1.68M | |
| 2021 | 61,870 | $2.31M | |
| 2022 | 195,047 | $2.61M | |
| 2023 | 203,517 | $2.86M | |
| 2024incomplete | 127,238 | $1.19M |
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 | 12% | 37,003 | 32,441 | $1.44M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 32,953 | 11,505 | $1.27M |
| 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 | 9.0% | 25,949 | 22,807 | $1.09M |
| H1000 | Prenatal care, at-risk assessment | 8.5% | 21,141 | 15,045 | $1.03M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 38,622 | 13,097 | $960K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 7,638 | 6,305 | $623K |
| 99220 | 5.1% | 7,407 | 6,346 | $613K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.1% | 8,537 | 3,638 | $610K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 5,478 | 5,250 | $523K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 5,757 | 5,443 | $490K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 10,685 | 9,595 | $357K |
| 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 | 2.7% | 4,672 | 3,623 | $326K |
149 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.5% | 5,071 | $303K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 5,186 | $267K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.7% | 3,887 | $205K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 5,386 | $199K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 3,888 | $187K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.2% | 5,740 | $148K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.1% | 1,254 | $135K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 2,087 | $134K |
| 99254 | <1% | 990 | $85K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,548 | $79K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 675 | $62K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,217 | $56K |
| 90461 | <1% | 3,961 | $53K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,806 | $52K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 749 | $47K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13,604 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,288 | $44K |
| 99242 | <1% | 910 | $38K | |
| 59410 | <1% | 37 | $35K | |
| 76818 | <1% | 522 | $34K | |
| 80053 | Comprehensive metabolic panel | <1% | 4,197 | $33K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,010 | $26K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 390 | $26K |
| 99243 | <1% | 516 | $26K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 5,196 | $21K |
| 99253 | <1% | 426 | $21K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 464 | $20K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 222 | $19K |
| 99205 | Prolong outpt/office vis | <1% | 162 | $17K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 50 | $15K |
| 59515 | <1% | 12 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,333 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,110 | $14K |
| 81003 | <1% | 12,330 | $13K | |
| 99245 | <1% | 126 | $13K | |
| 0012A | <1% | 1,002 | $12K | |
| 99255 | <1% | 98 | $12K | |
| 0002A | <1% | 412 | $11K | |
| 99307 | <1% | 4,083 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,397 | $10K |
| 0011A | <1% | 968 | $10K | |
| 99219 | <1% | 139 | $10K | |
| 96161 | <1% | 892 | $9K | |
| 0001A | <1% | 356 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,046 | $8K |
| 90670 | <1% | 3,056 | $8K | |
| 3078F | <1% | 40,477 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 81 | $7K |
| 90648 | <1% | 3,386 | $7K | |
| 90686 | <1% | 1,894 | $7K | |
| 59025 | Fetal non-stress test | <1% | 172 | $6K |
| 2001F | <1% | 78,290 | $6K | |
| 81025 | <1% | 1,568 | $6K | |
| 3074F | <1% | 37,527 | $6K | |
| 76801 | <1% | 84 | $5K | |
| 99285 | Emergency room visit (most serious) | <1% | 71 | $5K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 281 | $5K |
| 99283 | Emergency room visit (moderate) | <1% | 93 | $4K |
| 90723 | <1% | 1,955 | $4K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 94 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 798 | $4K |
| 99252 | <1% | 83 | $4K | |
| 95819 | <1% | 147 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 112 | $4K |
| 99217 | <1% | 120 | $3K | |
| 92557 | <1% | 149 | $3K | |
| 99221 | <1% | 132 | $3K | |
| 92567 | <1% | 657 | $3K | |
| 87807 | <1% | 450 | $3K | |
| 20610 | <1% | 72 | $3K | |
| 92579 | <1% | 69 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 116 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 71 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 159 | $2K |
| 82962 | <1% | 770 | $2K | |
| 73562 | <1% | 122 | $2K | |
| 85652 | <1% | 877 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 26 | $2K |
| 0072A | <1% | 39 | $1K | |
| 90633 | <1% | 427 | $1K | |
| 92587 | <1% | 123 | $1K | |
| 99226 | <1% | 20 | $1K | |
| 82728 | <1% | 75 | $1K | |
| 83655 | <1% | 251 | $1K | |
| 93000 | <1% | 324 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 27 | $982.21 |
| 99188 | <1% | 86 | $977.98 | |
| 85018 | <1% | 425 | $956.42 | |
| 36416 | <1% | 109 | $738.63 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $737.50 |
| 99381 | <1% | 21 | $675.24 | |
| 96127 | <1% | 91 | $630.38 | |
| 3075F | <1% | 2,523 | $571.59 | |
| 90681 | <1% | 453 | $535.50 | |
| 99407 | <1% | 386 | $516.65 | |
| 0071A | <1% | 13 | $487.16 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 98 | $481.39 |
| 73130 | <1% | 54 | $475.75 | |
| 59430 | <1% | 13 | $451.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 770 | $448.26 |
| 90474 | <1% | 107 | $408.00 | |
| 90651 | <1% | 13 | $402.39 | |
| 83615 | <1% | 329 | $379.10 | |
| 95816 | <1% | 15 | $371.57 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 24 | $358.46 |
| 99406 | <1% | 75 | $357.86 | |
| 17110 | <1% | 13 | $341.48 | |
| 73110 | <1% | 39 | $338.09 | |
| 51798 | <1% | 118 | $335.55 | |
| 90710 | <1% | 201 | $282.17 | |
| 84466 | <1% | 54 | $253.48 | |
| 90656 | <1% | 50 | $250.00 | |
| 11102 | <1% | 17 | $246.93 | |
| 99356 | <1% | 20 | $245.22 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 80 | $244.56 |
| 73630 | <1% | 42 | $238.12 | |
| 3079F | <1% | 2,546 | $235.21 | |
| 90696 | <1% | 13 | $220.91 | |
| 99173 | <1% | 236 | $213.61 | |
| 95251 | <1% | 64 | $135.64 | |
| 99401 | <1% | 68 | $100.27 | |
| 1159F | <1% | 51,530 | $91.75 | |
| 83540 | <1% | 75 | $79.02 | |
| 73564 | <1% | 13 | $71.68 | |
| 83735 | <1% | 58 | $65.65 | |
| 99000 | <1% | 158 | $51.35 | |
| 85027 | <1% | 37 | $21.38 | |
| 2000F | 0% | 63,403 | $0.00 | |
| 1220F | 0% | 5,727 | $0.00 | |
| 91301 | 0% | 103 | $0.00 | |
| 90677 | 0% | 451 | $0.00 | |
| 1126F | 0% | 1,517 | $0.00 | |
| 99024 | 0% | 431 | $0.00 | |
| 1125F | 0% | 390 | $0.00 | |
| 1170F | 0% | 1,836 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 44 | $0.00 |
| 90716 | 0% | 16 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 1160F | 0% | 51,737 | $0.00 | |
| 3288F | 0% | 1,842 | $0.00 | |
| 3077F | 0% | 434 | $0.00 | |
| 1158F | 0% | 173 | $0.00 | |
| 3210F | 0% | 1,230 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 90707 | 0% | 46 | $0.00 | |
| 91300 | 0% | 118 | $0.00 | |
| 1090F | 0% | 39 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 96381 | 0% | 25 | $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 officialGREEN, LANCE (SENIOR VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Lakeland Regional Medical Center, INC. | Lakeland, FL | $61.98M |
| Lakeland Regional Health Systems, INC. | Winter Haven, FL | $80K |
| Lakeland Regional Health Systems, INC. | Lakeland, FL | $55K |
| Lakeland Regional Health System, INC. | Lakeland, FL | $29K |
| Lakeland Regional Health Systems, INC. | Lakeland, FL | $20K |
| Lakeland Regional Health Systems, INC. | Lakeland, FL | $13K |
| Lakeland Regional Health Systems, INC. | Lakeland, FL | $948.03 |
| Lakeland Regional Health Systems, INC. | Lakeland, FL | $888.47 |
| Lakeland Regional Health Systems, INC. | Auburndale, FL | $760.73 |
| Lakeland Regional Health Systems, INC. | Lakeland, FL | $0.00 |
| Lakeland Regional Health Systems, INC | Plant City, FL | $0.00 |
| Lakeland Regional Health Systems, INC | Lakeland, FL | $0.00 |
| Lakeland Regional Health System, INC | Lakeland, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.