Physician
ST Lucie Medical Specialists LLC
ST Lucie Medical Specialists LLC was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoST LUCIE MEDICAL SPECIALISTS LLC
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
33aNPI1548447535assigned 01/22/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.26M
24GClaims136,088
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#31 of 1,247
Median peer was paid$9K
This provider vs. median143×
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 DUNCAN, GARY controls 14+ 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 | |
|---|---|---|---|
| 2018 | 1,933 | $9K | |
| 2019 | 12,083 | $140K | |
| 2020 | 21,662 | $194K | |
| 2021 | 26,982 | $307K | |
| 2022 | 29,225 | $230K | |
| 2023 | 27,365 | $282K | |
| 2024incomplete | 16,838 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 26,763 | 21,957 | $657K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 16,579 | 13,618 | $247K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.3% | 1,600 | 1,411 | $105K |
| 3074F | 4.4% | 10,507 | 8,625 | $55K | |
| 1159F | 2.7% | 10,663 | 8,640 | $34K | |
| 3075F | 2.3% | 1,609 | 1,412 | $29K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.2% | 1,143 | 422 | $28K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 291 | 256 | $17K |
| 94060 | 1.3% | 463 | 388 | $17K | |
| 95913 | 1.0% | 78 | 67 | $13K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,123 | 3,035 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 169 | 149 | $8K |
39 more codes
| 94729 | <1% | 463 | $6K | |
| 81003 | <1% | 552 | $4K | |
| 94727 | <1% | 425 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 217 | $4K |
| 93000 | <1% | 642 | $3K | |
| 95813 | <1% | 15 | $3K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 21,440 | $2K |
| 20550 | <1% | 63 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 57 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $1K |
| 3078F | <1% | 11,170 | $1K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 12 | $1K |
| 97597 | <1% | 67 | $1K | |
| 99442 | <1% | 141 | $311.90 | |
| 20553 | <1% | 25 | $290.88 | |
| 95885 | <1% | 14 | $266.70 | |
| 82962 | <1% | 316 | $179.30 | |
| 1170F | <1% | 2,773 | $90.31 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 63 | $61.19 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 50 | $52.24 |
| 95251 | <1% | 119 | $49.65 | |
| 1160F | <1% | 10,672 | $49.23 | |
| 1126F | <1% | 7,473 | $32.11 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $31.68 |
| 82947 | <1% | 97 | $25.56 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 30 | $23.10 |
| 1125F | <1% | 2,888 | $20.61 | |
| 51798 | <1% | 15 | $17.03 | |
| 3077F | 0% | 161 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 3288F | 0% | 45 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 30 | $0.00 |
| 3008F | 0% | 784 | $0.00 | |
| 3079F | 0% | 1,097 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 17 | $0.00 |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 14 | $0.00 |
| 1111F | 0% | 25 | $0.00 | |
| 3080F | 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 officialDUNCAN, GARY (VP)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.