Florida's 29,972 Medicaid providers billed $34.03B between 2018 and 2024. The most-billed code is T1019, accounting for $1.91B in payments. Miami is the largest Medicaid billing hub in the state. 17 providers in FL appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $1.91B |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $1.52B |
| S5130 | Homemaker service, nos; per 15 minutes | $1.45B |
MIAMI ($5.08B) ORLANDO ($2.37B) TAMPA ($2.06B) JACKSONVILLE ($1.64B) HIALEAH ($1.30B) HOLLYWOOD ($695.64M) DORAL ($686.46M) MIRAMAR ($668.92M) WEST PALM BEACH ($611.25M) CLEARWATER ($553.82M) SUNRISE ($523.77M) ST PETERSBURG ($509.24M) FORT MYERS ($477.77M) KISSIMMEE ($474.72M) MIAMI LAKES ($440.52M) FORT LAUDERDALE ($435.86M) GAINESVILLE ($427.94M) PENSACOLA ($420.19M) LAKELAND ($399.38M) BOYNTON BEACH ($364.00M) BOCA RATON ($332.73M) PEMBROKE PINES ($329.41M) BRANDON ($325.09M) SARASOTA ($317.82M) HOMESTEAD ($314.98M) STUART ($309.70M) TALLAHASSEE ($307.80M) OCALA ($295.97M) CORAL GABLES ($286.87M) MELBOURNE ($262.81M) MAITLAND ($258.97M) WINTER PARK ($258.05M) DAYTONA BEACH ($229.56M) PANAMA CITY ($227.38M) PLANTATION ($220.66M) CAPE CORAL ($197.51M) POMPANO BEACH ($193.18M) LARGO ($190.98M) WINTER HAVEN ($176.58M) MIAMI GARDENS ($170.86M) BRADENTON ($170.27M) CORAL SPRINGS ($165.58M) NAPLES ($151.19M) PINELLAS PARK ($143.48M) LAKE WORTH ($140.78M) CUTLER BAY ($132.45M) PALM SPRINGS ($131.46M) FORT PIERCE ($129.09M) LAUDERDALE LAKES ($125.86M) FT LAUDERDALE ($124.60M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | ALL CARE HOME NURSING SERVICES, LLC | $39.64M | single-code billing |
| 2 | BOCASA GOURMET, LLC. | $23.75M | single-code billing |
| 3 | COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC | $20.37M | single-code billing |
| 4 | MRJ MEDICAL INC | $18.47M | single-code billing |
| 5 | PARK HOMECARE MANAGEMENT,INC | $16.41M | single-code billing |
| 6 | BIG BEAR ACADEMY | $15.81M | single-code billing |
| 7 | LIFESTAR CASE MANAGEMENT SERVICES, INC | $15.26M | single-code billing |
| 8 | MIAMI PERSONAL BEHAVIORAL LLC | $13.24M | single-code billing |
| 9 | DLY CASE MANAGEMENT SERVICES, LLC. | $13.11M | single-code billing |
| 10 | GTG CARE | $12.33M | single-code billing |
| 11 | HOUSE OF PEACE, LLC | $12.14M | single-code billing |
| 12 | TENDER CARE MEDICAL SERVICES, INC. | $12.08M | single-code billing |
| 13 | EMBRACING CONCEPTS | $11.23M | single-code billing |
| 14 | PRIMA FOOD CORP | $10.94M | single-code billing |
| 15 | TANIA'S CATERING, INC. | $10.06M | single-code billing |
| 16 | MIAMI NUTITION CATERING INC | $10.02M | single-code billing |
| 17 | CUBANBUFFET | $9.92M | single-code billing |
| 18 | LOTUS PEDIATRIC DAY CARE CENTER INC | $9.59M | single-code billing |
| 19 | MOLINA HEALTHCARE OF FLORIDA, INC. | $9.46M | single-code billing |
| 20 | SCHELMETY CARE PROVIDER, CORP | $9.44M | single-code billing |
| 21 | C.M. COMMUNITY SERVICES, INC | $9.15M | single-code billing |
| 22 | ELLIS-MOORE COROPORATION | $8.99M | single-code billing |
| 23 | MAXIM HEALTHCARE SERVICES, INC. | $8.71M | single-code billing |
| 24 | KIDS R KOOL, INC | $8.42M | single-code billing |
| 25 | CREATIVE EXTENDED CARE INC | $8.01M | single-code billing |