Clinic
Memorial Hospital Flagler INC.
Memorial Hospital Flagler INC. was paid $2.11M by Medicaid between Apr 2018 and Nov 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL FLAGLER INC.
PALM COAST, FL 32164
PALM COAST, FL 32164
33aNPI1558530600assigned 02/22/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.11M
24GClaims58,740
24DCodes billed40
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Florida
Rank by total paid#12 of 91
Median peer was paid$230K
This provider vs. median9.2×
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
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 | 27 | $184.00 | |
| 2019 | 6,870 | $289K | |
| 2020 | 11,949 | $320K | |
| 2021 | 16,440 | $443K | |
| 2022 | 10,055 | $470K | |
| 2023 | 8,577 | $377K | |
| 2024incomplete | 4,822 | $210K |
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 | 35% | 10,949 | 10,040 | $747K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 8,298 | 7,652 | $395K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,614 | 2,548 | $288K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 1,844 | 1,793 | $212K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 1,321 | 1,303 | $130K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 738 | 717 | $75K |
| 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 | 2.5% | 485 | 472 | $53K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 10,025 | 7,918 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 4,469 | 4,342 | $37K |
| 99401 | 1.6% | 4,957 | 4,091 | $33K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 875 | 741 | $23K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 533 | 484 | $20K |
28 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 332 | $15K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,204 | $12K |
| 99381 | <1% | 99 | $10K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 293 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 520 | $7K |
| 99383 | <1% | 14 | $2K | |
| 90461 | <1% | 544 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $909.32 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 97 | $862.78 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 17 | $511.32 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | $229.32 |
| 93000 | <1% | 76 | $194.71 | |
| 90670 | <1% | 515 | $144.04 | |
| 90647 | <1% | 226 | $128.02 | |
| 90723 | <1% | 218 | $94.00 | |
| 99406 | <1% | 13 | $33.71 | |
| 85018 | <1% | 12 | $8.48 | |
| 3725F | 0% | 876 | $0.00 | |
| 3078F | 0% | 2,466 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90633 | 0% | 36 | $0.00 | |
| 3074F | 0% | 2,487 | $0.00 | |
| 93016 | 0% | 17 | $0.00 | |
| 1036F | 0% | 452 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 93018 | 0% | 17 | $0.00 | |
| 1126F | 0% | 13 | $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 officialRATHBUN, MARK (CFO)
Parent organizationMEMORIAL HOSPITAL FLAGER, INC.
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital Flagler INC | Palm Coast, FL | $13.86M |
| Adventhealth Palm Coast Parkway INC | Palm Coast, FL | $401K |
| Southeast Volusia Healthcare Corporation | New Smyrna Beach, FL | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.