Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University Medical Service Association INC

University Medical Service Association INC was paid $29.39M by Medicaid between Feb 2018 and Dec 2024, across 200 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.

33Billing provider infoUNIVERSITY MEDICAL SERVICE ASSOCIATION INC
TAMPA, FL 33612
33aNPI1538360425assigned 05/30/2007
33bProvider typePediatrics Physician
28Total paid$29.39M
24GClaims768,429
24DCodes billed200
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#5 of 971
Median peer was paid$238K
This provider vs. median123×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201886$8K
2019114,443$4.90M
2020130,550$5.86M
2021148,347$6.19M
2022152,096$4.95M
2023151,514$5.26M
2024incomplete71,393$2.22M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 13% 57,836 53,977 $3.84M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 12% 191,588 72,493 $3.55M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 9.6% 7,718 2,168 $2.82M
H1000 Prenatal care, at-risk assessment 6.7% 33,309 29,271 $1.98M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 41,331 38,278 $1.75M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 20,045 18,318 $1.27M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 14,706 13,946 $1.06M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3.5% 3,045 812 $1.04M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3.4% 11,465 10,784 $996K
99479 Subsequent intensive care, per day, very low birth weight infant 3.2% 8,842 2,927 $948K
99480 Subsequent intensive care, per day, low birth weight infant 2.9% 7,906 2,984 $864K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.8% 10,590 4,481 $835K
188 more codes
99232 Hospital visit by a doctor, follow-up day 2.6% 13,779 $757K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.5% 17,528 $727K
99215 Doctor's office visit, returning patient (complex) 2.3% 6,143 $668K
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 1.9% 7,503 $562K
99222 Initial hospital care, per day, moderate complexity 1.5% 3,686 $431K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 5,213 $409K
90460 Immunization administration through 18 years of age via any route, first or only component 1.3% 20,144 $385K
99238 Hospital discharge day management, 30 minutes or less 1.3% 8,294 $370K
99204 Doctor's office visit, new patient (more involved) 1.2% 3,224 $363K
76819 Fetal biophysical profile; without non-stress testing 1.1% 12,030 $333K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 4,028 $286K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 2,423 $285K
99239 Hospital discharge day management, more than 30 minutes <1% 3,045 $257K
99221 <1% 2,789 $236K
99223 Prolong inpt eval add15 m <1% 882 $150K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 758 $137K
T1027 Family training and counseling for child development, per 15 minutes <1% 2,805 $121K
0502F <1% 32,843 $106K
31231 <1% 461 $100K
59430 <1% 1,915 $94K
99254 <1% 931 $91K
99217 <1% 1,399 $82K
99220 <1% 506 $79K
99219 <1% 670 $75K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 139 $71K
99188 <1% 6,791 $69K
54150 <1% 612 $60K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 633 $56K
90837 Psychotherapy session, about an hour <1% 729 $55K
99205 Prolong outpt/office vis <1% 317 $54K
99203 Doctor's office visit, new patient (routine) <1% 564 $49K
59410 <1% 47 $49K
99245 <1% 265 $44K
99255 <1% 215 $43K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 639 $41K
99244 Office or other outpatient consultation, moderate to high complexity <1% 310 $40K
76830 Ultrasound, transvaginal <1% 591 $39K
59025 Fetal non-stress test <1% 2,355 $37K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 264 $35K
96161 <1% 7,054 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12,848 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 303 $25K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 207 $25K
94760 <1% 5,688 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 995 $23K
87428 <1% 677 $23K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 186 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,022 $21K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 524 $20K
59515 <1% 15 $18K
92134 <1% 984 $17K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 253 $17K
92060 <1% 403 $15K
95117 <1% 1,348 $13K
0002A <1% 345 $13K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 231 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,008 $11K
0001A <1% 361 $11K
95819 <1% 148 $10K
76820 <1% 1,570 $9K
94664 <1% 109 $8K
94010 <1% 451 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 2,169 $8K
99417 Prolong home eval add 15m <1% 1,003 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 415 $8K
99242 <1% 178 $8K
96401 <1% 140 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 50 $7K
99253 <1% 98 $7K
92551 <1% 2,791 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 136 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 142 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 89 $6K
16020 <1% 94 $5K
93000 <1% 892 $5K
99283 Emergency room visit (moderate) <1% 73 $5K
64615 <1% 82 $5K
76801 <1% 120 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 270 $5K
90461 <1% 746 $4K
82962 <1% 374 $4K
99460 <1% 51 $4K
99243 <1% 64 $4K
90791 Psychiatric diagnostic evaluation <1% 37 $3K
77427 <1% 23 $3K
90686 <1% 5,026 $3K
99442 <1% 117 $3K
G8484 Influenza immunization was not administered, reason not given <1% 33,300 $3K
93298 <1% 135 $2K
99464 <1% 37 $2K
99235 <1% 14 $2K
96112 <1% 86 $2K
99252 <1% 41 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 357 $2K
95782 <1% 14 $2K
93308 <1% 54 $2K
99236 Prolong inpt eval add15 m <1% 12 $2K
99173 <1% 2,521 $2K
92100 <1% 39 $2K
0503F <1% 1,783 $2K
82948 <1% 1,120 $2K
96132 <1% 16 $1K
95115 <1% 146 $1K
93296 <1% 152 $1K
90670 <1% 4,022 $1K
97802 <1% 2,376 $1K
93015 <1% 49 $1K
95806 <1% 315 $1K
90480 <1% 66 $1K
20610 <1% 36 $1K
0124A <1% 45 $1K
83655 <1% 306 $958.65
96116 <1% 19 $853.73
96127 <1% 6,374 $849.38
96160 <1% 8,257 $801.72
99443 <1% 28 $787.57
90677 <1% 133 $700.19
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 28,618 $525.62
94729 <1% 72 $500.65
92250 <1% 25 $496.35
J2785 Injection, regadenoson, 0.1 mg <1% 14 $471.12
94726 <1% 52 $432.53
72110 <1% 16 $427.89
0003A <1% 44 $423.20
36415 Collection of venous blood by venipuncture <1% 173 $415.87
90647 <1% 1,733 $361.01
90681 <1% 444 $350.00
93016 <1% 16 $326.45
85018 <1% 779 $321.30
96113 <1% 87 $304.97
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 25 $286.78
94375 <1% 15 $284.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 203 $248.86
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given <1% 6,236 $225.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 688 $190.56
93356 <1% 41 $186.77
90674 <1% 100 $175.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 29 $163.00
81002 <1% 486 $153.02
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15 $129.42
1111F <1% 1,190 $122.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 15 $122.28
G8482 Influenza immunization administered or previously received <1% 6,803 $118.41
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 1,723 $69.23
90633 <1% 251 $60.00
93321 <1% 26 $50.37
90697 <1% 285 $38.00
93325 <1% 47 $37.77
90685 <1% 14 $33.00
93018 <1% 17 $28.86
90723 <1% 1,991 $10.00
1036F 0% 16,668 $0.00
87276 0% 12 $0.00
G8432 Depression screening not documented, reason not given 0% 4,318 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 171 $0.00
3017F 0% 911 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 512 $0.00
88720 0% 46 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 134 $0.00
4010F 0% 80 $0.00
3074F 0% 125 $0.00
3075F 0% 13 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 13 $0.00
90651 0% 12 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 17 $0.00
90716 0% 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
91307 0% 16 $0.00
91318 0% 15 $0.00
36416 0% 13 $0.00
96139 0% 19 $0.00
2022F 0% 1,261 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 288 $0.00
83037 0% 125 $0.00
G8421 Bmi not documented and no reason is given 0% 237 $0.00
3078F 0% 168 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 28 $0.00
4004F 0% 49 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 0% 12 $0.00
90700 0% 31 $0.00
95251 0% 16 $0.00
91312 0% 15 $0.00
91300 0% 74 $0.00
90707 0% 12 $0.00
96138 0% 19 $0.00
3046F 0% 59 $0.00
87275 0% 12 $0.00
97803 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 officialDUBAULT, RENEE (CEO USF HEALTH)