Physician
Punta Gorda Hma Physician Management LLC
Punta Gorda Hma Physician Management LLC was paid $74K by Medicaid between Sep 2018 and Aug 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
33Billing provider infoPUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC
PUNTA GORDA, FL 33950
PUNTA GORDA, FL 33950
33aNPI1841369329assigned 11/07/2006
33bProvider typeGastroenterology Physician
28Total paid$74K
24GClaims10,524
24DCodes billed9
24AFirst – last monthSep 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#53 of 166
Median peer was paid$27K
This provider vs. median2.7×
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 MUSIC, KRISTINA controls 20+ 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 | 984 | $944.90 | |
| 2019 | 3,006 | $8K | |
| 2020 | 2,430 | $8K | |
| 2021 | 1,894 | $11K | |
| 2022 | 920 | $34K | |
| 2023 | 1,175 | $13K | |
| 2024incomplete | 115 | $77.26 |
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 | 57% | 7,872 | 1,503 | $42K |
| 99223 | Prolong inpt eval add15 m | 12% | 378 | 217 | $9K |
| 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 | 10% | 186 | 151 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.6% | 496 | 316 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 222 | 186 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.3% | 370 | 221 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.1% | 884 | 205 | $842.92 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $611.85 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 103 | 83 | $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 officialMUSIC, KRISTINA (DIR, PROVIDER ENROLLMENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
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|---|---|---|
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.