Physician
Memorial Family Practice Associates, LLC
Memorial Family Practice Associates, LLC was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 33% of everything it billed.
33Billing provider infoMEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
33aNPI1598869844assigned 09/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.48M
24GClaims48,565
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#42 of 996
Median peer was paid$13K
This provider vs. median111×
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 FAILE, ROBERT controls 12+ 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 | 114 | $377.66 | |
| 2019 | 5,923 | $242K | |
| 2020 | 7,291 | $228K | |
| 2021 | 6,343 | $241K | |
| 2022 | 9,767 | $244K | |
| 2023 | 12,718 | $357K | |
| 2024incomplete | 6,409 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 33% | 12,181 | 8,632 | $486K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 13,415 | 3,959 | $331K |
| 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 | 9.7% | 5,473 | 4,421 | $144K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.5% | 3,304 | 1,024 | $125K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.8% | 1,428 | 1,042 | $71K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 907 | 618 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 2,215 | 1,888 | $46K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.6% | 2,347 | 649 | $38K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 628 | 498 | $28K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 609 | 486 | $25K |
| 59410 | 1.5% | 98 | 39 | $23K | |
| 59430 | 1.3% | 281 | 247 | $19K |
43 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 436 | $19K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 440 | $19K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 148 | $12K |
| 99385 | <1% | 103 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 126 | $5K |
| 31231 | <1% | 65 | $4K | |
| 76801 | <1% | 45 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 72 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 44 | $3K |
| 81025 | <1% | 970 | $2K | |
| 31579 | <1% | 29 | $2K | |
| 99255 | <1% | 38 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 69 | $1K |
| 99235 | <1% | 28 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 27 | $980.67 |
| 87210 | <1% | 56 | $977.04 | |
| 85018 | <1% | 770 | $964.56 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 151 | $350.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $244.53 |
| 31575 | <1% | 16 | $175.88 | |
| 81003 | <1% | 169 | $103.26 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $92.40 |
| 95816 | <1% | 23 | $36.97 | |
| 1170F | 0% | 195 | $0.00 | |
| 96127 | 0% | 68 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 105 | $0.00 |
| 1036F | 0% | 109 | $0.00 | |
| 3074F | 0% | 14 | $0.00 | |
| 3008F | 0% | 39 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 60 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| 1126F | 0% | 15 | $0.00 | |
| 1101F | 0% | 38 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 522 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 88 | $0.00 |
| 1160F | 0% | 56 | $0.00 | |
| 1159F | 0% | 55 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 44 | $0.00 |
| 1090F | 0% | 199 | $0.00 | |
| 1124F | 0% | 114 | $0.00 | |
| 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% | 13 | $0.00 |
| 3078F | 0% | 40 | $0.00 | |
| 3288F | 0% | 15 | $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 officialFAILE, ROBERT (VICE PRESIDENT)
Parent organizationMEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
| Provider | Location | Paid |
|---|---|---|
| Coastal Carolina Multispecialty Associates, LLC | Summerville, SC | $4.07M |
| Coastal Inpatient Physicians, LLC | Charleston, SC | $852K |
| Integrated Regional Laboratories Pathology Services, LLC | Orange Park, FL | $175K |
| Tri-County Surgical Specialists LLC | Charleston, SC | $171K |
| Waterway Primary Care,llc | Little River, SC | $152K |
| Integrated Regional Laboratories Pathology Services, LLC | Jacksonville, FL | $143K |
| Integrated Regional Laboratories Pathology Services, LLC | Jacksonville, FL | $39K |
| Augusta Primary Care Services LLC | Augusta, GA | $35K |
| Integrated Regional Laboratories Pathology Services, LLC | Jacksonville, FL | $19K |
| Integrated Regional Laboratories Pathology Services, LLC | Jacksonville, FL | $10K |
| Savannah Multispecialty Associates, LLC | Savannah, GA | $8K |
| Integrated Regional Laboratories Pathology Services, LLC | Jacksonville, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.