Clinic
Suncoast Community Health Centers, INC
Suncoast Community Health Centers, INC was paid $734K by Medicaid between Jan 2019 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoSUNCOAST COMMUNITY HEALTH CENTERS, INC
WIMAUMA, FL 33598
WIMAUMA, FL 33598
33aNPI1518388354assigned 12/20/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$734K
24GClaims34,480
24DCodes billed54
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#63 of 293
Median peer was paid$114K
This provider vs. median6.5×
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 RODRIGUEZ, ROBERT controls 16+ 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 | 9,610 | $139K | |
| 2020 | 9,551 | $152K | |
| 2021 | 4,681 | $94K | |
| 2022 | 3,392 | $98K | |
| 2023 | 3,956 | $113K | |
| 2024incomplete | 3,290 | $138K |
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 | 55% | 13,226 | 10,812 | $403K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,345 | 1,117 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,076 | 1,049 | $78K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 636 | 597 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 730 | 706 | $49K |
| 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 | 3.8% | 431 | 375 | $28K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 304 | 299 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,553 | 3,424 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 302 | 301 | $7K |
| 90686 | <1% | 1,985 | 1,924 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 501 | 496 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,677 | 2,093 | $2K |
42 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,141 | $1K |
| D1110 | Prophylaxis - adult | <1% | 24 | $1K |
| D0350 | <1% | 367 | $952.46 | |
| 90620 | <1% | 344 | $813.94 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 269 | $715.00 |
| D0120 | Dental checkup, returning patient | <1% | 38 | $555.56 |
| 90651 | <1% | 364 | $474.62 | |
| D1330 | <1% | 543 | $286.68 | |
| 81003 | <1% | 1,243 | $183.92 | |
| 90461 | <1% | 691 | $168.63 | |
| 0011A | <1% | 14 | $140.52 | |
| 85018 | <1% | 594 | $132.38 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 115 | $128.76 |
| G0467 | Community health center visit, returning patient | <1% | 20 | $120.00 |
| 90670 | <1% | 153 | $101.47 | |
| D0191 | <1% | 14 | $83.60 | |
| 3074F | <1% | 27 | $75.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 180 | $47.81 |
| 90633 | <1% | 57 | $20.00 | |
| 82962 | <1% | 39 | $11.31 | |
| 87430 | <1% | 14 | $8.07 | |
| 96161 | <1% | 17 | $6.33 | |
| 90734 | <1% | 103 | $5.00 | |
| 90715 | <1% | 53 | $5.00 | |
| D1310 | 0% | 227 | $0.00 | |
| 90647 | 0% | 42 | $0.00 | |
| 92551 | 0% | 84 | $0.00 | |
| 87428 | 0% | 26 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 164 | $0.00 |
| 91301 | 0% | 32 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90680 | 0% | 36 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 28 | $0.00 |
| 1160F | 0% | 140 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 181 | $0.00 |
| 90685 | 0% | 17 | $0.00 | |
| D9996 | 0% | 107 | $0.00 | |
| 1159F | 0% | 140 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 90621 | 0% | 14 | $0.00 | |
| 99173 | 0% | 15 | $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 officialRODRIGUEZ, ROBERT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Suncoast Community Health Centers INC | Plant City, FL | $4.21M |
| Suncoast Community Health Centers INC | Dover, FL | $3.93M |
| Suncoast Community Health Centers, INC | Brandon, FL | $3.79M |
| Suncoast Community Health Centers, INC | Tampa, FL | $1.41M |
| Suncoast Community Health Centers, INC | Lakeland, FL | $902K |
| Suncoast Community Health Centers, INC | Ruskin, FL | $278K |
| Suncoast Community Health Centers, INC | Thonotosassa, FL | $94K |
| Suncoast Community Health Centers INC | Plant City, FL | $41K |
| Mecnb, LLC | Deerfield Beach, FL | $27K |
| Practice Transitions PC | Cedar Rapids, IA | $26K |
| Mecnb, LLC | Stuart, FL | $23K |
| Suncoast Community Health Centers, INC | Dover, FL | $14K |
| Mecnb, LLC | Palm Springs, FL | $12K |
| Helix Virtual, INC | Palm Springs, FL | $11K |
| Suncoast Community Health Center, INC | Tampa, FL | $4K |
| Suncoast Community Health Centers, INC | Brandon, FL | $828.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.