Medicaid Provider Spending

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

ST LUCIE MEDICAL SPECIALISTS LLC

NPI: 1548447535 · PORT ST LUCIE, FL 34952 · Internal Medicine Physician · NPI assigned 01/22/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$1.26M
Total Medicaid Paid
136,088
Total Claims
108,250
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VP)
NPI Enumeration Date01/22/2008

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
COLUMBIA PRIMARY CARE LLC WEST PALM BEACH FL $663K
INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC NASHVILLE TN $281K
LAWNWOOD HEALTHCARE SPECIALISTS LLC VERO BEACH FL $248K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
HERMITAGE PRIMARY CARE LLC HERMITAGE TN $25K
TRISTAR JOINT REPLACEMENT INSTITUTE, LLC NASHVILLE TN $16K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,933 $9K
2019 12,083 $140K
2020 21,662 $194K
2021 26,982 $307K
2022 29,225 $230K
2023 27,365 $282K
2024 16,838 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,763 21,957 $657K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,579 13,618 $247K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,600 1,411 $105K
3074F 10,507 8,625 $55K
1159F 10,663 8,640 $34K
3075F 1,609 1,412 $29K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,143 422 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 291 256 $17K
94060 463 388 $17K
95913 78 67 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,123 3,035 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 169 149 $8K
94729 463 388 $6K
81003 552 459 $4K
94727 425 349 $4K
99232 Subsequent hospital care, per day, moderate complexity 217 85 $4K
93000 642 516 $3K
95813 15 14 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 21,440 16,060 $2K
20550 63 63 $2K
99222 Initial hospital care, per day, moderate complexity 57 43 $2K
99215 Prolong outpt/office vis 43 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 37 $1K
3078F 11,170 8,576 $1K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $1K
97597 67 37 $1K
99442 141 91 $311.90
20553 25 25 $290.88
95885 14 12 $266.70
82962 316 258 $179.30
1170F 2,773 2,181 $90.31
J1885 Injection, ketorolac tromethamine, per 15 mg 63 62 $61.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 50 50 $52.24
95251 119 95 $49.65
1160F 10,672 8,648 $49.23
1126F 7,473 5,929 $32.11
J1030 Injection, methylprednisolone acetate, 40 mg 14 13 $31.68
82947 97 72 $25.56
83036 Hemoglobin; glycosylated (A1C) 30 26 $23.10
1125F 2,888 2,372 $20.61
51798 15 12 $17.03
3077F 161 117 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 12 $0.00
3288F 45 43 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 30 24 $0.00
3008F 784 619 $0.00
3079F 1,097 871 $0.00
36415 Collection of venous blood by venipuncture 17 15 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 14 12 $0.00
1111F 25 23 $0.00
3080F 16 13 $0.00