Physician Providers Group PA
Physician Providers Group PA was paid $51K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 40% of everything it billed.
33Billing provider infoPHYSICIAN PROVIDERS GROUP PA
INVERNESS, FL 34452
INVERNESS, FL 34452
33aNPI1720073216assigned 09/12/2005
33bProvider typeSpecialist
28Total paid$51K
24GClaims17,590
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#252 of 553
Median peer was paid$31K
This provider vs. median1.6×
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
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 | 394 | $0.00 | |
| 2019 | 1,883 | $5K | |
| 2020 | 1,352 | $4K | |
| 2021 | 3,100 | $10K | |
| 2022 | 3,160 | $8K | |
| 2023 | 3,557 | $14K | |
| 2024incomplete | 4,144 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 40% | 2,561 | 1,607 | $20K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 21% | 1,153 | 266 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 15% | 1,348 | 867 | $8K |
| 99307 | 7.6% | 1,069 | 680 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.4% | 410 | 268 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 1,367 | 1,253 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 44 | 26 | $1K |
| 99306 | Prolong nursin fac eval 15m | 1.5% | 80 | 57 | $787.60 |
| 99221 | 1.4% | 12 | 12 | $711.34 | |
| 99441 | <1% | 603 | 533 | $509.35 | |
| 99348 | <1% | 73 | 54 | $498.48 | |
| 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% | 106 | 93 | $392.49 |
17 more codes
| 99304 | <1% | 16 | $378.96 | |
| 99305 | <1% | 19 | $261.76 | |
| 99442 | <1% | 287 | $245.21 | |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | <1% | 173 | $232.83 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 200 | $200.36 |
| 99336 | <1% | 16 | $92.91 | |
| 80305 | <1% | 681 | $53.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $50.29 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,405 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,134 | $0.00 |
| G9740 | Hospice services given to patient any time during the measurement period | 0% | 1,432 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 33 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 27 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 1,771 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 445 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 19 | $0.00 |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 14 | $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 officialULSETH, ROBERT (MD/OWNER)