SW Florida Medical Group LLC

SW Florida Medical Group LLC was paid $4.74M by Medicaid between Feb 2021 and Dec 2024, across 5 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 92% of everything it billed.

33Billing provider infoSW FLORIDA MEDICAL GROUP LLC
CAPE CORAL, FL 33904

33aNPI1558969139assigned 10/15/2020

33bProvider typeCase Management Agency

28Total paid$4.74M

24GClaims39,404

24DCodes billed5

24AFirst – last monthFeb 2021 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#62 of 357

Median peer was paid$839K

This provider vs. median5.7×

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
2021	2,755	$341K
2022	5,695	$725K
2023	14,590	$1.77M
2024incomplete	16,364	$1.90M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	92%	33,236	2,664	$4.35M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	6.8%	4,502	2,119	$320K
H0032	Mental health service plan development by non-physician	<1%	473	466	$38K
H0031	Mental health assessment, by non-physician	<1%	1,110	698	$31K
H2010	Comprehensive medication services, per 15 minutes	<1%	83	82	$1K

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 officialTOLEDO, TOMAS (PRESIDENT)