Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Larkin Community Hospital INC

Larkin Community Hospital INC was paid $2.30M by Medicaid between Jan 2018 and Nov 2024, across 127 billing codes. Its largest line is G0410, Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes — 27% of everything it billed.

33Billing provider infoLARKIN COMMUNITY HOSPITAL INC
MIAMI, FL 33143
33aNPI1952311243assigned 08/09/2006
33bProvider typeCase Management Agency
28Total paid$2.30M
24GClaims121,494
24DCodes billed127
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#116 of 357
Median peer was paid$839K
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.

Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201824,144$605K
201927,523$653K
202024,982$269K
202123,210$292K
202216,081$334K
20233,943$118K
2024incomplete1,611$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 27% 12,503 799 $615K
90853 Group psychotherapy (other than of a multiple-family group) 18% 4,303 168 $408K
G0378 Hospital observation service, per hour 11% 3,339 2,090 $251K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 9.1% 9,786 5,108 $209K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.5% 2,985 2,074 $171K
80053 Comprehensive metabolic panel 3.6% 9,508 3,723 $82K
70450 Computed tomography, head or brain; without contrast material 3.2% 1,681 1,086 $74K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.8% 686 486 $63K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.4% 1,659 1,154 $56K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.1% 1,167 768 $48K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.7% 5,235 2,774 $39K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.2% 363 271 $28K
115 more codes
80048 Basic metabolic panel (calcium, ionized) 1.1% 2,274 $26K
96361 Intravenous infusion, hydration; each additional hour 1.1% 719 $24K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 374 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 12,466 $17K
82947 <1% 4,470 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 765 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 182 $9K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 473 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,333 $7K
86769 <1% 402 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,696 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 880 $5K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 3,614 $5K
97161 <1% 444 $5K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 252 $4K
84443 Thyroid stimulating hormone (TSH) <1% 2,679 $4K
36415 Collection of venous blood by venipuncture <1% 3,797 $4K
83735 <1% 379 $4K
84100 <1% 384 $4K
71045 Radiologic examination, chest; single view <1% 2,284 $4K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 216 $4K
85730 <1% 1,251 $4K
85610 <1% 1,319 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 780 $4K
81001 <1% 2,172 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 570 $3K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 508 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 787 $3K
81003 <1% 2,384 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 76 $2K
82550 <1% 3,496 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 21 $2K
99284 Emergency room visit (serious) <1% 364 $2K
84484 <1% 373 $1K
97165 <1% 118 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 550 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 33 $1K
83550 <1% 19 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 205 $932.28
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 508 $924.21
85652 <1% 830 $771.71
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) <1% 37 $739.70
76770 <1% 287 $618.74
84703 <1% 612 $610.23
74018 <1% 386 $568.85
96367 <1% 92 $485.75
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 186 $485.64
87088 <1% 862 $464.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 93 $388.43
76641 <1% 178 $387.49
71046 Radiologic examination, chest; 2 views <1% 815 $376.91
80164 <1% 399 $332.02
71250 <1% 287 $323.59
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 55 $319.63
83690 <1% 69 $286.75
82150 <1% 68 $286.75
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 324 $284.46
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 144 $204.14
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 155 $201.54
0011A <1% 40 $200.00
0012A <1% 19 $200.00
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 224 $189.18
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 54 $155.08
72100 <1% 208 $149.30
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 59 $148.77
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 112 $148.77
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals <1% 59 $148.77
83605 <1% 57 $148.36
87075 <1% 91 $126.87
J3010 Injection, fentanyl citrate, 0.1 mg <1% 154 $118.04
87040 <1% 82 $104.74
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 46 $90.15
82607 <1% 131 $65.11
J2060 Injection, lorazepam, 2 mg <1% 543 $60.66
72040 <1% 55 $52.94
82140 <1% 85 $51.50
82746 <1% 76 $51.50
73030 <1% 80 $44.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 89 $40.63
87186 <1% 131 $40.55
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 66 $32.39
80320 <1% 365 $28.94
G1007 Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program <1% 16 $24.81
73565 <1% 23 $22.00
76830 Ultrasound, transvaginal <1% 18 $22.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 25 $17.91
83880 <1% 45 $15.40
76536 <1% 28 $14.91
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 57 $7.59
J1956 Injection, levofloxacin, 250 mg <1% 345 $5.04
87205 <1% 86 $1.26
80076 0% 18 $0.00
93970 0% 80 $0.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 0% 22 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 44 $0.00
93880 0% 25 $0.00
77080 0% 405 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 36 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 94 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 57 $0.00
83540 0% 23 $0.00
93925 0% 23 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 69 $0.00
J3490 Unclassified drugs 0% 61 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 122 $0.00
90686 0% 17 $0.00
73521 0% 23 $0.00
85379 0% 27 $0.00
82728 0% 23 $0.00
94760 0% 23 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 25 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 28 $0.00
88342 0% 19 $0.00
82553 0% 31 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 19 $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 officialMICHEL, JACK (CEO)
Same official

Other billing entities under MICHEL, JACK

Full network →
ProviderLocationPaid
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Project Access Foundation INCHialeah, FL$221K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.