Indian River Health Services INC
Indian River Health Services INC was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 51% of everything it billed.
VERO BEACH, FL 32960
Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,710 | $170K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 51% | 21,758 | 15,682 | $833K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 7.8% | 1,745 | 1,396 | $126K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.8% | 3,979 | 2,831 | $111K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 2,008 | 1,617 | $84K |
| 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 | 5.0% | 4,614 | 3,764 | $81K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.8% | 5,142 | 2,021 | $78K |
| 59025 | Fetal non-stress test | 4.4% | 3,993 | 2,653 | $71K |
| 99255 | 1.8% | 395 | 318 | $30K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 1,207 | 483 | $28K |
| 99221 | 1.5% | 709 | 630 | $25K | |
| 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 | 1.4% | 584 | 479 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 988 | 802 | $18K |
38 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 896 | $14K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 442 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 285 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 266 | $8K |
| 59410 | <1% | 15 | $8K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 847 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 307 | $7K |
| 76801 | <1% | 466 | $7K | |
| 59430 | <1% | 224 | $5K | |
| 99254 | <1% | 114 | $5K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 692 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 191 | $4K |
| 76813 | <1% | 241 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 175 | $4K |
| 99217 | <1% | 230 | $3K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 839 | $3K |
| 99220 | <1% | 121 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 345 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 89 | $2K |
| 81025 | <1% | 839 | $2K | |
| 59514 | <1% | 13 | $1K | |
| 0002A | <1% | 41 | $600.00 | |
| 99219 | <1% | 59 | $582.84 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 76 | $458.09 |
| 94664 | <1% | 45 | $453.69 | |
| 71045 | Radiologic examination, chest; single view | <1% | 467 | $446.43 |
| 88307 | <1% | 13 | $299.94 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 185 | $264.45 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 22 | $237.85 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 21 | $237.02 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | $197.12 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 17 | $180.05 |
| 93356 | <1% | 52 | $158.92 | |
| 81003 | <1% | 203 | $79.47 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 19 | $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) | 0% | 24 | $0.00 |
| 3078F | 0% | 56 | $0.00 | |
| 0503F | 0% | 131 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.