Physician
Lawnwood Healthcare Specialists LLC
Lawnwood Healthcare Specialists LLC was paid $248K by Medicaid between Jul 2018 and Oct 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 65% of everything it billed.
33Billing provider infoLAWNWOOD HEALTHCARE SPECIALISTS LLC
VERO BEACH, FL 32960
VERO BEACH, FL 32960
33aNPI1649437765assigned 05/16/2008
33bProvider typeNeurological Surgery Physician
28Total paid$248K
24GClaims9,950
24DCodes billed14
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers
Next to other Neurological Surgery Physician providers in Florida
Rank by total paid#6 of 32
Median peer was paid$30K
This provider vs. median8.1×
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 DUNCAN, GARY controls 14+ 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 | 241 | $4K | |
| 2019 | 1,147 | $41K | |
| 2020 | 1,097 | $37K | |
| 2021 | 1,998 | $46K | |
| 2022 | 2,355 | $40K | |
| 2023 | 2,531 | $68K | |
| 2024incomplete | 581 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 65% | 7,310 | 3,052 | $162K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 466 | 425 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 440 | 376 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.6% | 437 | 167 | $14K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 188 | 127 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 44 | 44 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 128 | 118 | $3K |
| 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 | <1% | 77 | 60 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 68 | 49 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 31 | 24 | $680.26 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 24 | 12 | $450.76 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 103 | 77 | $0.00 |
2 more codes
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 officialDUNCAN, GARY (VP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.