Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Brandon › NPI 1669427258
Hospital

Galencare, INC.

Galencare, INC. was paid $34.68M by Medicaid between Jan 2018 and Dec 2024, across 233 billing codes. Its largest line is 99283, emergency room visit (moderate) — 40% of everything it billed.

33Billing provider infoGALENCARE, INC.
BRANDON, FL 33511
33aNPI1669427258assigned 05/23/2006
28Total paid$34.68M
24GClaims1,166,333
24DCodes billed233
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Florida

Rank by total paid#5 of 163
Median peer was paid$4.77M
This provider vs. median7.3×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
201864,971$747K
2019198,820$2.92M
2020168,730$2.73M
2021217,988$6.22M
2022253,689$9.49M
2023168,481$7.77M
2024incomplete93,654$4.80M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 40% 143,541 132,449 $13.80M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 70,667 61,398 $4.51M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9.4% 33,724 31,953 $3.25M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.5% 7,959 7,148 $1.57M
80053 Comprehensive metabolic panel 4.0% 61,060 51,074 $1.39M
99281 Emergency department visit for the evaluation and management, self-limited or minor 3.0% 10,271 9,593 $1.05M
70450 Computed tomography, head or brain; without contrast material 2.7% 8,660 7,373 $929K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.3% 10,754 9,075 $783K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.7% 4,343 3,832 $575K
71275 Computed tomographic angiography, chest, with contrast material 1.4% 2,491 2,179 $472K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.1% 16,461 15,589 $396K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 5,492 5,041 $308K
221 more codes
87070 <1% 22,441 $245K
87400 <1% 38,658 $217K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,845 $191K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 4,424 $174K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,202 $174K
76830 Ultrasound, transvaginal <1% 2,429 $162K
58670 <1% 189 $155K
72125 Computed tomography, cervical spine; without contrast material <1% 3,109 $147K
G0378 Hospital observation service, per hour <1% 12,223 $134K
76819 Fetal biophysical profile; without non-stress testing <1% 3,716 $129K
96361 Intravenous infusion, hydration; each additional hour <1% 1,873 $122K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,705 $122K
59025 Fetal non-stress test <1% 1,056 $119K
76801 <1% 2,572 $118K
81025 <1% 24,015 $118K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,287 $118K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 19,574 $102K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,547 $100K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,563 $98K
93975 <1% 5,627 $98K
81001 <1% 28,121 $96K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,109 $89K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,540 $84K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,330 $83K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16,098 $77K
J3490 Unclassified drugs <1% 1,654 $76K
12011 <1% 1,106 $70K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,614 $70K
80048 Basic metabolic panel (calcium, ionized) <1% 5,973 $70K
71045 Radiologic examination, chest; single view <1% 18,227 $69K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 2,236 $68K
71046 Radiologic examination, chest; 2 views <1% 7,842 $67K
12001 <1% 1,174 $66K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,223 $63K
86850 <1% 3,139 $61K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,437 $60K
93971 <1% 1,355 $52K
85027 <1% 69,006 $51K
10060 <1% 926 $49K
74018 <1% 2,949 $49K
87210 <1% 5,471 $49K
72131 <1% 963 $48K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 804 $43K
81003 <1% 9,252 $43K
73130 <1% 2,492 $42K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 970 $41K
93970 <1% 641 $38K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 34,597 $37K
84702 <1% 6,320 $35K
87430 <1% 26,495 $33K
84112 <1% 749 $33K
87420 <1% 7,435 $33K
A9270 Non-covered item or service <1% 15,278 $32K
73630 <1% 3,222 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 22,404 $30K
73610 <1% 2,843 $30K
84484 <1% 18,602 $29K
J7030 Infusion, normal saline solution , 1000 cc <1% 21,699 $28K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 16,815 $27K
73140 <1% 976 $27K
73564 <1% 2,833 $27K
73030 <1% 1,983 $26K
70491 <1% 110 $26K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 248 $25K
73110 <1% 1,730 $24K
70486 <1% 526 $21K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 150 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 600 $20K
87040 <1% 5,275 $19K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 10,520 $19K
12002 <1% 431 $18K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 361 $18K
76770 <1% 135 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12,816 $17K
96376 <1% 4,571 $17K
72110 <1% 552 $17K
73090 <1% 926 $17K
99213 Doctor's office visit, returning patient (routine) <1% 191 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,193 $15K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,860 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,087 $13K
J2704 Injection, propofol, 10 mg <1% 1,274 $13K
86900 <1% 5,360 $12K
84703 <1% 13,481 $12K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,352 $12K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,477 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,859 $12K
83880 <1% 4,831 $11K
85610 <1% 9,143 $10K
73070 <1% 651 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 293 $8K
96375 Therapeutic injection; each additional sequential IV push <1% 12,693 $8K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,938 $8K
85730 <1% 7,135 $8K
71101 <1% 166 $8K
C1729 Catheter, drainage <1% 224 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 7,111 $7K
73590 <1% 965 $7K
83735 <1% 11,913 $7K
83605 <1% 4,237 $7K
81002 <1% 8,677 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 76 $6K
76820 <1% 1,428 $5K
95816 <1% 134 $5K
J1644 Injection, heparin sodium, per 1000 units <1% 1,036 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,356 $5K
86901 <1% 5,352 $5K
76857 <1% 380 $5K
S0028 Injection, famotidine, 20 mg <1% 3,285 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 27 $4K
93017 <1% 220 $4K
J1815 Injection, insulin, per 5 units <1% 2,183 $4K
97163 <1% 422 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,454 $4K
85379 <1% 3,789 $3K
72128 <1% 57 $3K
84443 Thyroid stimulating hormone (TSH) <1% 3,462 $3K
87186 <1% 3,291 $3K
84145 <1% 888 $3K
70551 Magnetic resonance imaging, brain; without contrast material <1% 114 $2K
73080 <1% 134 $2K
83690 <1% 15,008 $2K
C1769 Guide wire <1% 111 $2K
80061 Lipid panel <1% 1,660 $2K
29125 <1% 677 $2K
70487 <1% 12 $2K
36430 <1% 27 $2K
73502 <1% 271 $2K
88307 <1% 31 $2K
80069 <1% 653 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 1,237 $2K
J7050 Infusion, normal saline solution, 250 cc <1% 2,772 $2K
86140 <1% 2,398 $2K
86738 <1% 745 $2K
00840 <1% 66 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 217 $1K
76870 <1% 146 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 32 $1K
88304 <1% 143 $1K
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 220 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,475 $1K
J2060 Injection, lorazepam, 2 mg <1% 1,194 $1K
76818 <1% 15 $1K
J8540 Dexamethasone, oral, 0.25 mg <1% 418 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 508 $1K
87205 <1% 1,552 $962.02
29515 <1% 115 $911.07
73060 <1% 165 $884.66
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,979 $874.16
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,323 $857.40
82270 <1% 59 $853.07
Q0244 Injection, casirivimab and imdevimab, 1200 mg <1% 14 $850.61
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 27 $844.37
12013 <1% 12 $836.08
96368 <1% 13 $834.79
82570 <1% 528 $745.54
82731 <1% 12 $742.73
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,720 $731.92
73660 <1% 79 $672.83
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,748 $660.21
82550 <1% 1,635 $595.69
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,329 $556.50
82247 <1% 30 $494.81
99152 <1% 17 $489.36
73503 <1% 28 $483.60
84439 <1% 996 $470.32
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 15 $465.48
85652 <1% 778 $448.62
73100 <1% 16 $410.00
86308 <1% 154 $403.48
84156 <1% 603 $393.78
84100 <1% 659 $380.30
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 202 $360.92
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu <1% 41 $327.52
90714 <1% 885 $316.62
85045 <1% 293 $296.35
86592 <1% 68 $293.53
71250 <1% 13 $287.52
85384 <1% 105 $278.65
72100 <1% 27 $237.25
73552 <1% 133 $212.52
J2550 Injection, promethazine hcl, up to 50 mg <1% 125 $210.42
J2785 Injection, regadenoson, 0.1 mg <1% 127 $168.10
J3475 Injection, magnesium sulfate, per 500 mg <1% 205 $160.04
74019 <1% 102 $143.30
93880 <1% 22 $137.51
97116 <1% 25 $130.19
82803 <1% 120 $128.29
G1003 Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program <1% 456 $120.14
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 37 $116.20
J0690 Injection, cefazolin sodium, 500 mg <1% 158 $75.88
90715 <1% 540 $73.52
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 138 $45.53
70360 <1% 27 $35.85
76821 <1% 15 $31.07
80076 <1% 58 $16.66
82248 <1% 84 $11.76
83615 <1% 197 $1.47
J0780 Injection, prochlorperazine, up to 10 mg 0% 417 $0.00
C1758 Catheter, ureteral 0% 83 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 0% 116 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 274 $0.00
00851 0% 202 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 208 $0.00
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 177 $0.00
84550 0% 96 $0.00
S5000 Prescription drug, generic 0% 48 $0.00
85014 0% 14 $0.00
76827 0% 25 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 43 $0.00
J0456 Injection, azithromycin, 500 mg 0% 126 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 658 $0.00
88342 0% 207 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 58 $0.00
73560 0% 13 $0.00
82150 0% 59 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 25 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 26 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 37 $0.00
76825 0% 25 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 20 $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 officialKING, MATTHEW (CFO)
Same official

Other billing entities under KING, MATTHEW

Full network →
ProviderLocationPaid
Anova Medical Associates, PLCGallatin, TN$862K
Sodus Town Ambulance CorpsNorth Rose, NY$233K
Town Line Eye Care, LLCRocky Hill, CT$80K
Fannin County Hospital AuthorityBedford, TX$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.