Medicaid Provider Spending

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

MOLINA HEALTHCARE OF FLORIDA, INC.

NPI: 1538393780 · DORAL, FL 33122 · Health Maintenance Organization · NPI assigned 05/03/2009

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code G9002 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official JONES, MICHAEL controls 15+ related entities in our dataset. Read more

$9.46M
Total Medicaid Paid
351,817
Total Claims
209,012
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, MICHAEL (HEALTH PLAN PRESIDENT)
Parent OrganizationMOLINA HEALTHCARE, INC.
NPI Enumeration Date05/03/2009

Related Entities

Other providers sharing the same authorized official: JONES, MICHAEL

ProviderCityStateTotal Paid
WEST 49TH STREET MEDICAL PRACTICE, PC NEW YORK NY $6.96M
JONES CENTER FOR WOMENS HEALTH PLLC FAYETTEVILLE NC $4.40M
JONES HOME HEALTH CARE, INC. SAINT LOUIS MO $2.07M
TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION, INC. BEULAVILLE NC $350K
AXIS MEDICAL EQUIPMENT & SUPPLY, LLC FARMERS BRANCH TX $278K
M. THOMAS JONES GREENSBORO NC $168K
SWITZERLAND COUNTY SCHOOL CORPORATION VEVAY IN $168K
DENTAL ENTERPRISES KAYSVILLE UT $133K
ADVANCED PRIMARY CARE LLC MEMPHIS TN $107K
HIGHLANDS VOLUNTEER FIRE DEPARTMENT HIGHLANDS TX $53K
MICHAEL R. JONES, DDS, PA RUSSELL KS $32K
JONES DENTAL MANAGEMENT, LLC KAYSVILLE UT $24K
JONES WELLNESS & CARDIOVASCULAR NEW ORLEANS LA $22K
MICHAEL D. JONES, O.D., INC. LAS VEGAS NV $7K
EYE SURGERY CENTER, LLC BELLEVILLE IL $82.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,752 $1.45M
2019 37,066 $1.07M
2020 46,560 $1.21M
2021 48,769 $1.32M
2022 58,142 $1.48M
2023 65,526 $1.58M
2024 53,002 $1.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9002 Coordinated care fee, maintenance rate 351,817 209,012 $9.46M