Nautilus Health Care Group LLC
Nautilus Health Care Group LLC was paid $649K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 39% of everything it billed.
MELBOURNE, FL 32935
Next to other Obstetrics & Gynecology Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 8,365 | $85K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 39% | 30,489 | 9,789 | $256K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 23% | 46,075 | 11,964 | $148K |
| 11043 | 15% | 7,833 | 1,932 | $98K | |
| 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 | 8.1% | 3,812 | 1,507 | $52K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 5.4% | 14,044 | 4,987 | $35K |
| 99305 | 2.7% | 1,874 | 1,147 | $17K | |
| 97597 | 2.4% | 3,069 | 1,076 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,178 | 609 | $8K |
| 99304 | 1.1% | 1,653 | 960 | $7K | |
| 99307 | <1% | 2,065 | 1,218 | $4K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 320 | 92 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 188 | 63 | $1K |
7 more codes
| 99221 | <1% | 62 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 149 | $587.47 |
| 99306 | Prolong nursin fac eval 15m | <1% | 33 | $302.98 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 27 | $221.86 |
| 97598 | <1% | 33 | $109.09 | |
| 11045 | 0% | 47 | $0.00 | |
| 17250 | 0% | 36 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.