Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY MEDICAL SERVICE ASSOCIATION INC

NPI: 1538360425 · TAMPA, FL 33612 · Pediatrics Physician · NPI assigned 05/30/2007

$29.39M
Total Medicaid Paid
768,429
Total Claims
559,787
Beneficiaries
200
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUBAULT, RENEE (CEO USF HEALTH)
NPI Enumeration Date05/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $8K
2019 114,443 $4.90M
2020 130,550 $5.86M
2021 148,347 $6.19M
2022 152,096 $4.95M
2023 151,514 $5.26M
2024 71,393 $2.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57,836 53,977 $3.84M
T1017 Targeted case management, each 15 minutes 191,588 72,493 $3.55M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 7,718 2,168 $2.82M
H1000 Prenatal care, at-risk assessment 33,309 29,271 $1.98M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,331 38,278 $1.75M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20,045 18,318 $1.27M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,706 13,946 $1.06M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3,045 812 $1.04M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 11,465 10,784 $996K
99479 Subsequent intensive care, per day, very low birth weight infant 8,842 2,927 $948K
99480 Subsequent intensive care, per day, low birth weight infant 7,906 2,984 $864K
99233 Prolong inpt eval add15 m 10,590 4,481 $835K
99232 Subsequent hospital care, per day, moderate complexity 13,779 6,584 $757K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 17,528 16,204 $727K
99215 Prolong outpt/office vis 6,143 5,762 $668K
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 7,503 6,342 $562K
99222 Initial hospital care, per day, moderate complexity 3,686 3,259 $431K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,213 4,967 $409K
90460 Immunization administration through 18 years of age via any route, first or only component 20,144 18,411 $385K
99238 Hospital discharge day management, 30 minutes or less 8,294 7,295 $370K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,224 3,034 $363K
76819 Fetal biophysical profile; without non-stress testing 12,030 9,955 $333K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,028 3,862 $286K
H1001 Prenatal care, at-risk enhanced service; antepartum management 2,423 2,254 $285K
99239 Hospital discharge day management, more than 30 minutes 3,045 2,877 $257K
99221 2,789 2,386 $236K
99223 Prolong inpt eval add15 m 882 769 $150K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 758 320 $137K
T1027 Family training and counseling for child development, per 15 minutes 2,805 1,271 $121K
0502F 32,843 27,758 $106K
31231 461 434 $100K
59430 1,915 1,804 $94K
99254 931 794 $91K
99217 1,399 1,336 $82K
99220 506 490 $79K
99219 670 645 $75K
J0585 Injection, onabotulinumtoxina, 1 unit 139 67 $71K
99188 6,791 6,434 $69K
54150 612 575 $60K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 633 568 $56K
90837 Psychotherapy, 53 minutes with patient 729 416 $55K
99205 Prolong outpt/office vis 317 291 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 564 530 $49K
59410 47 45 $49K
99245 265 242 $44K
99255 215 193 $43K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 639 613 $41K
99244 Office or other outpatient consultation, moderate to high complexity 310 278 $40K
76830 Ultrasound, transvaginal 591 550 $39K
59025 Fetal non-stress test 2,355 1,682 $37K
95810 Polysomnography; sleep staging with 4 or more additional parameters 264 263 $35K
96161 7,054 6,334 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12,848 11,700 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 303 292 $25K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 207 200 $25K
94760 5,688 4,756 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 995 740 $23K
87428 677 622 $23K
88305 Level IV - Surgical pathology, gross and microscopic examination 186 170 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,022 976 $21K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 524 170 $20K
59515 15 14 $18K
92134 984 837 $17K
97530 Therapeutic activities, direct patient contact, each 15 minutes 253 102 $17K
92060 403 378 $15K
95117 1,348 657 $13K
0002A 345 332 $13K
99282 Emergency department visit for the evaluation and management, low to moderate severity 231 217 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,008 1,444 $11K
0001A 361 344 $11K
95819 148 121 $10K
76820 1,570 1,232 $9K
94664 109 107 $8K
94010 451 403 $8K
83036 Hemoglobin; glycosylated (A1C) 2,169 2,063 $8K
99417 Prolong home eval add 15m 1,003 727 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 415 361 $8K
99242 178 157 $8K
96401 140 97 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 50 50 $7K
99253 98 84 $7K
92551 2,791 2,505 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 136 131 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 142 124 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 89 37 $6K
16020 94 82 $5K
93000 892 849 $5K
99283 Emergency department visit for the evaluation and management, moderate severity 73 70 $5K
64615 82 81 $5K
76801 120 118 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 270 250 $5K
90461 746 708 $4K
82962 374 360 $4K
99460 51 49 $4K
99243 64 61 $4K
90791 Psychiatric diagnostic evaluation 37 31 $3K
77427 23 13 $3K
90686 5,026 4,704 $3K
99442 117 116 $3K
G8484 Influenza immunization was not administered, reason not given 33,300 29,277 $3K
93298 135 127 $2K
99464 37 36 $2K
99235 14 13 $2K
96112 86 67 $2K
99252 41 36 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 357 341 $2K
95782 14 14 $2K
93308 54 53 $2K
99236 Prolong inpt eval add15 m 12 12 $2K
99173 2,521 2,263 $2K
92100 39 39 $2K
0503F 1,783 1,603 $2K
82948 1,120 1,065 $2K
96132 16 14 $1K
95115 146 73 $1K
93296 152 146 $1K
90670 4,022 3,725 $1K
97802 2,376 2,165 $1K
93015 49 45 $1K
95806 315 306 $1K
90480 66 60 $1K
20610 36 26 $1K
0124A 45 37 $1K
83655 306 293 $958.65
96116 19 12 $853.73
96127 6,374 5,570 $849.38
96160 8,257 7,138 $801.72
99443 28 27 $787.57
90677 133 108 $700.19
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 28,618 24,108 $525.62
94729 72 72 $500.65
92250 25 25 $496.35
J2785 Injection, regadenoson, 0.1 mg 14 13 $471.12
94726 52 52 $432.53
72110 16 12 $427.89
0003A 44 30 $423.20
36415 Collection of venous blood by venipuncture 173 169 $415.87
90647 1,733 1,576 $361.01
90681 444 411 $350.00
93016 16 14 $326.45
85018 779 729 $321.30
96113 87 66 $304.97
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 25 16 $286.78
94375 15 13 $284.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 203 111 $248.86
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 6,236 5,289 $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) 688 640 $190.56
93356 41 41 $186.77
90674 100 87 $175.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 24 $163.00
81002 486 459 $153.02
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 13 $129.42
1111F 1,190 881 $122.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 13 $122.28
G8482 Influenza immunization administered or previously received 6,803 6,198 $118.41
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,723 1,479 $69.23
90633 251 224 $60.00
93321 26 26 $50.37
90697 285 252 $38.00
93325 47 42 $37.77
90685 14 12 $33.00
93018 17 15 $28.86
90723 1,991 1,829 $10.00
1036F 16,668 14,115 $0.00
87276 12 12 $0.00
G8432 Depression screening not documented, reason not given 4,318 4,084 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 171 152 $0.00
3017F 911 791 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 512 453 $0.00
88720 46 35 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 134 112 $0.00
4010F 80 70 $0.00
3074F 125 110 $0.00
3075F 13 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 13 13 $0.00
90651 12 12 $0.00
G8756 No documentation of blood pressure measurement, reason not given 17 17 $0.00
90716 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 12 $0.00
91307 16 13 $0.00
91318 15 14 $0.00
36416 13 13 $0.00
96139 19 13 $0.00
2022F 1,261 1,112 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 288 253 $0.00
83037 125 111 $0.00
G8421 Bmi not documented and no reason is given 237 188 $0.00
3078F 168 147 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 28 26 $0.00
4004F 49 37 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 12 12 $0.00
90700 31 26 $0.00
95251 16 14 $0.00
91312 15 14 $0.00
91300 74 74 $0.00
90707 12 12 $0.00
96138 19 13 $0.00
3046F 59 52 $0.00
87275 12 12 $0.00
97803 16 12 $0.00