SHC MEDICAL PARTNERS OF FLORIDA, LLC

NPI: 1861677064 · PENSACOLA, FL 32503 · Nurse Practitioner · NPI assigned 01/07/2008

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PEMBERTON, MARGARET controls 20+ related entities in our dataset. Read more

$425K

Total Medicaid Paid

62,877

Total Claims

30,463

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	PEMBERTON, MARGARET (VICE PRESIDENT)
Parent Organization	SHC MEDICAL PARTNERS, LLC
NPI Enumeration Date	01/07/2008

Other providers sharing the same authorized official: PEMBERTON, MARGARET

Provider	City	State	Total Paid
CREATIVE NETWORKS, L.L.C.	PHOENIX	AZ	$159.68M
SOUTHERN HOME CARE SERVICES, INC.	BETHEL	AK	$68.79M
RES-CARE WASHINGTON, INC	COEUR D ALENE	ID	$31.64M
SOUTHERN HOME CARE SERVICES, INC.	OPELOUSAS	LA	$10.67M
SOUTHERN HOME CARE SERVICES, INC.	AIKEN	SC	$6.65M
SOUTHERN HOME CARE SERVICES, INC.	MISSOULA	MT	$5.30M
RES-CARE OKLAHOMA, INC.	OKLAHOMA CITY	OK	$5.18M
ADORATION HOSPICE, LLC	MADISON	TN	$2.74M
SOUTHERN HOME CARE SERVICES, INC.	GREENWOOD	SC	$1.52M
SOUTHERN HOME CARE SERVICES, INC	JENNINGS	LA	$1.18M
RES-CARE PREMIER, INC.	MILAN	MI	$1.17M
SOUTHERN HOME CARE SERVICES, INC.	CLEARWATER	FL	$421K
ICP ARKANSAS ACO BILLING LLC	MAUMELLE	AR	$345K
RES-CARE WASHINGTON, INC.	NAMPA	ID	$274K
ADORATION HOME HEALTH CARE VIRGINIA LLC	WISE	VA	$257K
RES-CARE WASHINGTON, INC.	BOISE	ID	$220K
PROGRESSIVE REHABILITATION ASSOCIATES LLC	PORTLAND	OR	$105K
RWW OUTPATIENT REHAB SERVICES, LLC	GOODYEAR	AZ	$70K
HOME HEALTH CARE SERVICES II, INC.	CLEVELAND	MS	$53K
RWW OUTPATIENT REHAB SERVICES, LLC	HENDERSONVILLE	TN	$25K

Code	Description	Claims	Beneficiaries	Total Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	25,059	11,879	$214K
99308	Subsequent nursing facility care, per day, straightforward	28,091	12,090	$192K
99307		3,317	2,049	$11K
99484		3,031	2,272	$2K
99358	Prolong nursin fac eval 15m	194	133	$904.20
99310	Prolong nursin fac eval 15m	66	58	$809.67
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	989	614	$801.58
99318		35	27	$728.83
99490	Ccm add 20min	99	76	$711.23
99497		1,457	999	$672.65
99315		45	24	$114.21
G0407	Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	32	24	$37.35
G0425	Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	32	25	$34.60
G8754	Most recent diastolic blood pressure < 90 mmhg	153	65	$0.00
1126F		38	20	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	28	15	$0.00
G0408	Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	22	12	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	63	24	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	126	57	$0.00