Medicaid Provider Spending

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

LAWNWOOD HEALTHCARE SPECIALISTS LLC

NPI: 1649437765 · VERO BEACH, FL 32960 · Neurological Surgery Physician · NPI assigned 05/16/2008

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

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$248K
Total Medicaid Paid
9,950
Total Claims
4,935
Beneficiaries
14
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VP)
NPI Enumeration Date05/16/2008

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
ST LUCIE MEDICAL SPECIALISTS LLC PORT ST LUCIE FL $1.26M
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
COLUMBIA PRIMARY CARE LLC WEST PALM BEACH FL $663K
INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC NASHVILLE TN $281K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
HERMITAGE PRIMARY CARE LLC HERMITAGE TN $25K
TRISTAR JOINT REPLACEMENT INSTITUTE, LLC NASHVILLE TN $16K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 241 $4K
2019 1,147 $41K
2020 1,097 $37K
2021 1,998 $46K
2022 2,355 $40K
2023 2,531 $68K
2024 581 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 7,310 3,052 $162K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 466 425 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 440 376 $15K
99233 Prolong inpt eval add15 m 437 167 $14K
99223 Prolong inpt eval add15 m 188 127 $12K
99239 Hospital discharge day management, more than 30 minutes 44 44 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 128 118 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77 60 $2K
99222 Initial hospital care, per day, moderate complexity 68 49 $2K
99238 Hospital discharge day management, 30 minutes or less 31 24 $680.26
99231 Subsequent hospital care, per day, straightforward or low complexity 24 12 $450.76
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 103 77 $0.00
1123F 621 392 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 13 12 $0.00