Medicaid Provider Spending

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

SC PHYSICIANS LLC

NPI: 1811295454 · ST PETERSBURG, FL 33705 · Multi-Specialty Clinic/Center · NPI assigned 03/07/2011

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

Authorized official GORKEN, LYNDA controls 20+ related entities in our dataset. Read more

$21K
Total Medicaid Paid
5,615
Total Claims
4,055
Beneficiaries
14
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialGORKEN, LYNDA (VP, PFS)
NPI Enumeration Date03/07/2011

Related Entities

Other providers sharing the same authorized official: GORKEN, LYNDA

ProviderCityStateTotal Paid
ST. JOSEPH'S HOSPITAL, INC. TAMPA FL $70.65M
BAYCARE MEDICAL GROUP, INC. CLEARWATER FL $14.89M
SOUTH FLORIDA BAPTIST HOSPITAL INC PLANT CITY FL $12.83M
BAYCARE BEHAVIORAL HEALTH INC. NEW PORT RICHEY FL $11.30M
NORTHSIDE BEHAVIORAL HEALTH CENTER, INC. TAMPA FL $7.03M
BAYCARE BEHAVIORAL HEALTH ASSOCIATES LLC LUTZ FL $6.75M
ST. JOSEPH'S HOSPITAL, INC. TAMPA FL $4.70M
BAYCARE BEHAVIORAL HEALTH INC. BROOKSVILLE FL $3.24M
BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC TAMPA FL $1.90M
BAYCARE BEHAVIORAL HEALTH INC. BROOKSVILLE FL $1.78M
BAYCARE BEHAVIORAL HEALTH INC. NEW PORT RICHEY FL $1.68M
BAYCARE BEHAVIORAL HEALTH INC. NEW PORT RICHEY FL $949K
BAYCARE BEHAVIORAL HEALTH INC. NEW PORT RICHEY FL $942K
BAYCARE URGENT CARE, LLC LARGO FL $921K
BAYCARE BEHAVIORAL HEALTH INC. DADE CITY FL $834K
BAYCARE BEHAVIORAL HEALTH INC. SPRING HILL FL $743K
BAYCARE BEHAVIORAL HEALTH INC. NEW PORT RICHEY FL $651K
BAYCARE BEHAVIORAL HEALTH INC DADE CITY FL $153K
BAYCARE BEHAVIORAL HEALTH NEW PORT RICHEY FL $146K
BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC. CLEARWATER FL $142K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,615 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 737 333 $6K
99223 Prolong inpt eval add15 m 108 89 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,643 1,380 $2K
99233 Prolong inpt eval add15 m 144 66 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 470 367 $2K
99215 Prolong outpt/office vis 125 75 $2K
90935 Hemodialysis procedure with single evaluation by a physician 141 65 $1K
90937 64 30 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 55 49 $630.37
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 190 149 $123.05
11721 15 12 $26.14
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 537 447 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 14 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,372 981 $0.00