Medicaid Provider Spending

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

NAUTILUS HEALTH CARE GROUP LLC

NPI: 1912013558 · MELBOURNE, FL 32935 · Obstetrics & Gynecology Physician · NPI assigned 08/23/2006

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

Authorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more

$649K
Total Medicaid Paid
112,987
Total Claims
35,510
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, FRANK (CEO)
NPI Enumeration Date08/23/2006

Related Entities

Other providers sharing the same authorized official: WILLIAMS, FRANK

ProviderCityStateTotal Paid
WINDSOR PUBLIC SCHOOL WINDSOR CT $1.36M
FOCUS POINTE COUNSELING SOLUTIONS, INC. OKLAHOMA CITY OK $1.33M
BUTLER COUNTY CLERK EL DORADO KS $863K
HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA, PLLC LAWTON OK $812K
HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC TROY OH $779K
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC JOPLIN MO $775K
HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC SALEM OR $653K
HEALOGICS SPECIALTY PHYSICIANS OF TENNESSEE, PLLC CLARKSVILLE TN $517K
HEALOGICS SPECIALTY PHYSICIANS OF MISSISSIPPI, LLC NATCHEZ MS $433K
HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA, LLC FREDERICKSBURG VA $397K
HEALOGICS SPECIALTY PHYSICIANS OF MASSACHUSETTS, PLLC HOLYOKE MA $356K
HEALOGICS SPECIALTY PHYSICIANS OF MARYLAND, LLC LEONARDTOWN MD $347K
HEALOGICS SPECIALTY PHYSICIANS OF ARKANSAS, PLLC FAYETTEVILLE AR $332K
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC MYRTLE BEACH SC $279K
HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC ALLEN TX $266K
HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC LAKE CHARLES LA $224K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC PARKER CO $208K
PONS PHYSICIAN SERVICES, PLLC CORTLAND NY $173K
HEALOGICS SPECIALTY PHYSICIANS OF WEST VIRGINIA, PLLC LOGAN WV $145K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC LAKEWOOD CO $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,763 $3K
2019 17,127 $89K
2020 14,909 $99K
2021 24,705 $162K
2022 24,534 $92K
2023 15,584 $120K
2024 8,365 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 30,489 9,789 $256K
99309 Subsequent nursing facility care, per day, low to moderate complexity 46,075 11,964 $148K
11043 7,833 1,932 $98K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,812 1,507 $52K
99308 Subsequent nursing facility care, per day, straightforward 14,044 4,987 $35K
99305 1,874 1,147 $17K
97597 3,069 1,076 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,178 609 $8K
99304 1,653 960 $7K
99307 2,065 1,218 $4K
99310 Prolong nursin fac eval 15m 320 92 $3K
99232 Subsequent hospital care, per day, moderate complexity 188 63 $1K
99221 62 41 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 149 54 $587.47
99306 Prolong nursin fac eval 15m 33 16 $302.98
99222 Initial hospital care, per day, moderate complexity 27 17 $221.86
97598 33 13 $109.09
11045 47 12 $0.00
17250 36 13 $0.00