Medicaid Provider Spending

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

INDIAN RIVER HEALTH SERVICES INC

NPI: 1588298285 · VERO BEACH, FL 32960 · Hospice and Palliative Medicine (Internal Medicine) Physician · NPI assigned 03/03/2020

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

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$1.62M
Total Medicaid Paid
56,207
Total Claims
38,545
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date03/03/2020

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,979 $38K
2019 9,595 $348K
2020 5,004 $144K
2021 11,245 $379K
2022 10,388 $236K
2023 11,286 $309K
2024 6,710 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1000 Prenatal care, at-risk assessment 21,758 15,682 $833K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,745 1,396 $126K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,979 2,831 $111K
99223 Prolong inpt eval add15 m 2,008 1,617 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,614 3,764 $81K
99232 Subsequent hospital care, per day, moderate complexity 5,142 2,021 $78K
59025 Fetal non-stress test 3,993 2,653 $71K
99255 395 318 $30K
99233 Prolong inpt eval add15 m 1,207 483 $28K
99221 709 630 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 584 479 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 988 802 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 896 540 $14K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 442 309 $12K
99215 Prolong outpt/office vis 285 223 $8K
99222 Initial hospital care, per day, moderate complexity 266 207 $8K
59410 15 13 $8K
76819 Fetal biophysical profile; without non-stress testing 847 335 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 307 238 $7K
76801 466 322 $7K
59430 224 183 $5K
99254 114 83 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 692 217 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 191 145 $4K
76813 241 167 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 175 132 $4K
99217 230 172 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 839 419 $3K
99220 121 104 $2K
99308 Subsequent nursing facility care, per day, straightforward 345 138 $2K
99239 Hospital discharge day management, more than 30 minutes 89 78 $2K
81025 839 698 $2K
59514 13 12 $1K
0002A 41 31 $600.00
99219 59 43 $582.84
70450 Computed tomography, head or brain; without contrast material 76 60 $458.09
94664 45 40 $453.69
71045 Radiologic examination, chest; single view 467 338 $446.43
88307 13 12 $299.94
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 185 144 $264.45
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 22 12 $237.85
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 21 16 $237.02
99231 Subsequent hospital care, per day, straightforward or low complexity 17 13 $197.12
74176 Computed tomography, abdomen and pelvis; without contrast material 17 13 $180.05
93356 52 38 $158.92
81003 203 184 $79.47
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 19 13 $4.21
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 24 24 $0.00
3078F 56 38 $0.00
0503F 131 115 $0.00