Professional Health Care of Pinellas LLC

Professional Health Care of Pinellas LLC was paid $11.79M by Medicaid between Jan 2018 and Nov 2024, across 124 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 25% of everything it billed.

33Billing provider infoPROFESSIONAL HEALTH CARE OF PINELLAS LLC
ST PETERSBURG, FL 33713

33aNPI1881647253assigned 05/18/2006

33bProvider typePsychiatry Physician

28Total paid$11.79M

24GClaims1,461,390

24DCodes billed124

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Psychiatry Physician providers in Florida

Rank by total paid#2 of 267

Median peer was paid$28K

This provider vs. median427×

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	41,187	$128K
2019	166,762	$1.58M
2020	190,380	$1.52M
2021	217,973	$2.15M
2022	311,499	$3.21M
2023	324,013	$2.03M
2024incomplete	209,576	$1.17M

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	25%	146,169	36,425	$2.96M
99223	Prolong inpt eval add15 m	17%	32,889	24,707	$1.95M
99309	Subsequent nursing facility care, per day, low to moderate complexity	15%	143,951	76,422	$1.72M
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	11%	43,869	29,732	$1.28M
99308	Subsequent nursing facility care, per day, straightforward	8.0%	105,903	55,764	$941K
99220		4.0%	7,320	5,275	$477K
99239	Hospital discharge day management, more than 30 minutes	3.4%	13,985	10,327	$399K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.3%	10,522	5,031	$391K
99306	Prolong nursin fac eval 15m	2.0%	7,641	5,376	$239K
99336		1.7%	15,280	7,460	$205K
99238	Hospital discharge day management, 30 minutes or less	1.0%	7,300	5,680	$121K
99217		<1%	4,280	3,328	$115K

112 more codes

99349		<1%	7,506	$113K
99335		<1%	14,842	$111K
99222	Initial hospital care, per day, moderate complexity	<1%	2,945	$106K
99348		<1%	9,794	$102K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	12,644	$93K
99307		<1%	12,860	$79K
99213	Doctor's office visit, returning patient (routine)	<1%	3,885	$62K
99310	Prolong nursin fac eval 15m	<1%	1,628	$60K
99305		<1%	1,612	$48K
99225		<1%	1,596	$33K
99253		<1%	512	$26K
99337		<1%	1,627	$24K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	541	$18K
99406		<1%	17,362	$16K
99401		<1%	4,903	$15K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	6,698	$14K
90792	Psychiatric diagnostic evaluation with medical services	<1%	661	$14K
99350	Prolong home eval add 15m	<1%	1,028	$12K
36415	Collection of venous blood by venipuncture	<1%	7,487	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	511	$4K
82947		<1%	4,701	$4K
99252		<1%	81	$4K
99219		<1%	41	$2K
99203	Doctor's office visit, new patient (routine)	<1%	78	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	51	$2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	1,444	$2K
99347		<1%	543	$2K
99490	Ccm add 20min	<1%	905	$2K
99491	Ccm add 20min	<1%	1,881	$2K
93923		<1%	23	$1K
95921		<1%	28	$1K
82962		<1%	1,802	$890.28
99496		<1%	877	$886.09
99497		<1%	537	$852.08
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	$798.94
99318		<1%	103	$748.16
99358	Prolong nursin fac eval 15m	<1%	255	$674.86
99344		<1%	52	$632.61
1034F		<1%	16,263	$615.24
98941	Chiropractic manipulative treatment; spinal, 3-4 regions	<1%	295	$587.10
1160F		<1%	78,860	$585.03
99326		<1%	82	$546.27
1159F		<1%	78,465	$503.41
3074F		<1%	56,960	$411.81
99439		<1%	345	$365.27
1036F		<1%	183,353	$339.52
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	731	$330.89
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	21	$260.01
H0049	Alcohol and/or drug screening	<1%	12,912	$239.37
3008F		<1%	56,749	$225.65
99334		<1%	266	$214.68
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	78	$213.00
99397		<1%	63	$201.00
3078F		<1%	62,854	$164.12
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	22	$147.09
99442		<1%	16	$139.65
96160		<1%	3,073	$113.63
90674		<1%	70	$112.52
99441		<1%	156	$70.84
99342		<1%	21	$56.20
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	15	$46.74
3044F		<1%	3,638	$40.03
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	10,518	$38.69
83036	Hemoglobin; glycosylated (A1C)	<1%	55	$30.68
3075F		<1%	5,666	$25.27
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	147	$24.44
G0444	Annual depression screening, 5 to 15 minutes	<1%	355	$18.07
1111F		<1%	9,177	$14.20
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	17	$8.13
1125F		<1%	45,174	$1.26
1126F		<1%	76,766	$1.17
1170F		<1%	33,995	$0.26
3077F		<1%	1,722	$0.16
1123F		<1%	173	$0.12
3079F		<1%	5,407	$0.03
3048F		<1%	1,966	$0.03
3288F		<1%	9,598	$0.01
2000F		0%	20,174	$0.00
1000F		0%	2,336	$0.00
3049F		0%	312	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	5,398	$0.00
99000		0%	520	$0.00
G8734	Elder maltreatment screen documented as negative, follow-up is not required	0%	39	$0.00
1157F		0%	14	$0.00
3080F		0%	145	$0.00
2010F		0%	641	$0.00
99484		0%	151	$0.00
3052F		0%	119	$0.00
96161		0%	98	$0.00
96127		0%	205	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	17	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	198	$0.00
G8432	Depression screening not documented, reason not given	0%	125	$0.00
99327		0%	14	$0.00
99407		0%	16	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	55	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	315	$0.00
3720F		0%	4,817	$0.00
3725F		0%	4,963	$0.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	500	$0.00
3050F		0%	98	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	247	$0.00
2028F		0%	17	$0.00
1158F		0%	33	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	124	$0.00
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	0%	27	$0.00
3051F		0%	238	$0.00
99080		0%	17	$0.00
99499		0%	36	$0.00
1100F		0%	28	$0.00
G8482	Influenza immunization administered or previously received	0%	101	$0.00
1175F		0%	42	$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 officialPOULIN, CLAUDIA (CREDENTIALING SPECIALIST)