Is THE HOSPICE OF THE FLORIDA SUNCOAST, INC. flagged for Medicaid fraud?

THE HOSPICE OF THE FLORIDA SUNCOAST, INC. (NPI: 1124028204) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does THE HOSPICE OF THE FLORIDA SUNCOAST, INC. bill Medicaid?

THE HOSPICE OF THE FLORIDA SUNCOAST, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Hospice Care, Community Based provider. Located in PALM HARBOR, FL.

What is NPI 1124028204?

NPI 1124028204 is the National Provider Identifier for THE HOSPICE OF THE FLORIDA SUNCOAST, INC.. They are a Hospice Care, Community Based provider based in PALM HARBOR, FL. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

THE HOSPICE OF THE FLORIDA SUNCOAST, INC.

Hospice Care, Community Based·PALM HARBOR, FL·NPI: 1124028204Share

Compared to Hospice Care, Community Based Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.5M is at the 25th percentile among 8 Hospice Care, Community Based providers.

Active Billing Period:2018-02→2024-09(72 months)

Total Paid

$34.5M

$34,502,418

Total Claims

75K

Beneficiaries

8,427

9.0 claims/patient

Avg Cost/Claim

$457

Monthly Spending Trend

Yearly Spending

2018

$2K

+197083%

2019

$4.1M

-17%

2020

$3.5M

+178%

2021

$9.6M

+32%

2022

$12.7M

-70%

2023

$3.8M

-78%

2024

$833K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (Q5003 (Injection, infliximab-dyyb, biosimilar, 10 mg)) accounts for 86% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

Q5003Injection, infliximab-dyyb, biosimilar, 10 mgSee all providers →

$29.7M

48K claims

$612.97

$177.99

3.4×

Normal range

Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$29.7M

48K claims · 86.1%

Your Cost: $612.97/claim|Median: $177.99

3.4× median

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

$4.0M

25K claims

$160.08

$23.43

6.8×

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$4.0M

25K claims · 11.7%

Your Cost: $160.08/claim|Median: $23.43

6.8× median

Q5006 See all providers →

$550K

760 claims

$723.24

$544.82

1.3×

Normal range

Q5006Normal range

$550K

760 claims · 1.6%

Your Cost: $723.24/claim|Median: $544.82

1.3× median

Q5005 See all providers →

$94K

124 claims

$761.60

$432.46

1.8×

Normal range

Q5005Normal range

$94K

124 claims · 0.3%

Your Cost: $761.60/claim|Median: $432.46

1.8× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$76K

67 claims

$1,129.17

$51.67

21.9×

Top 1%

G0299Top 1%

Skilled nursing services, home health, per visit, RN

$76K

67 claims · 0.2%

Your Cost: $1,129.17/claim|Median: $51.67

21.9× median

99510 See all providers →

$22K

454 claims

$47.78

$44.79

1.1×

Normal range

99510Normal range

$22K

454 claims · 0.1%

Your Cost: $47.78/claim|Median: $44.79

1.1× median

S9123Nursing care, in the home, by RN, per 15 minutesSee all providers →

$10K

311 claims

$30.81

$124.86

0.2×

Normal range

S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$10K

311 claims · 0.0%

Your Cost: $30.81/claim|Median: $124.86

0.2× median

99232Subsequent hospital care, per day, moderate complexitySee all providers →

$422

65 claims

$6.50

$23.99

0.3×

Normal range

99232Normal range

Subsequent hospital care, per day, moderate complexity

$422

65 claims · 0.0%

Your Cost: $6.50/claim|Median: $23.99

0.3× median

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