Is VITAS HEALTHCARE CORPORATION OF FLORIDA flagged for Medicaid fraud?

VITAS HEALTHCARE CORPORATION OF FLORIDA (NPI: 1528113792) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does VITAS HEALTHCARE CORPORATION OF FLORIDA bill Medicaid?

VITAS HEALTHCARE CORPORATION OF FLORIDA 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 MIAMI LAKES, FL.

What is NPI 1528113792?

NPI 1528113792 is the National Provider Identifier for VITAS HEALTHCARE CORPORATION OF FLORIDA. They are a Hospice Care, Community Based provider based in MIAMI LAKES, FL. This NPI is registered with the CMS NPI Registry.

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VITAS HEALTHCARE CORPORATION OF FLORIDA

Hospice Care, Community Based·MIAMI LAKES, FL·NPI: 1528113792Share

Compared to Hospice Care, Community Based Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.9M is at the 25th percentile among 8 Hospice Care, Community Based providers.

Active Billing Period:2018-12→2024-01(61 months)

Billing appears to have stoppedLast active: 2024-01

Total Paid

$36.9M

$36,879,932

Total Claims

45K

Beneficiaries

7,865

5.7 claims/patient

Avg Cost/Claim

$823

Monthly Spending Trend

Yearly Spending

2018

$619K

+1262%

2019

$8.4M

-6%

2020

$7.9M

+7%

2021

$8.5M

-5%

2022

$8.1M

-60%

2023

$3.2M

-98%

2024

$80K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 47% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2046Habilitation, residential, waiver; per monthSee all providers →

$17.3M

8,249 claims

$2,094.35

$1,795.74

1.2×

Normal range

T2046Normal range

Habilitation, residential, waiver; per month

$17.3M

8,249 claims · 46.8%

Your Cost: $2,094.35/claim|Median: $1,795.74

1.2× median

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

$14.8M

27K claims

$553.47

$177.99

3.1×

Normal range

Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$14.8M

27K claims · 40.2%

Your Cost: $553.47/claim|Median: $177.99

3.1× median

T2042Financial management, self-directed, waiver, per monthSee all providers →

$2.9M

4,680 claims

$618.83

$188.03

3.3×

Normal range

T2042Normal range

Financial management, self-directed, waiver, per month

$2.9M

4,680 claims · 7.9%

Your Cost: $618.83/claim|Median: $188.03

3.3× median

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

$1.3M

2,728 claims

$486.50

$23.43

20.8×

Top 25%

Q5001Top 25%

Injection, filgrastim-sndz, biosimilar, 1 mcg

$1.3M

2,728 claims · 3.6%

Your Cost: $486.50/claim|Median: $23.43

20.8× median

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

$280K

892 claims

$314.18

$23.99

13.1×

Top 1%

99232Top 1%

Subsequent hospital care, per day, moderate complexity

$280K

892 claims · 0.8%

Your Cost: $314.18/claim|Median: $23.99

13.1× median

99223Initial hospital care, per day, high complexitySee all providers →

$99K

238 claims

$417.67

$67.32

6.2×

Top 1%

99223Top 1%

Initial hospital care, per day, high complexity

$99K

238 claims · 0.3%

Your Cost: $417.67/claim|Median: $67.32

6.2× median

99350 See all providers →

$91K

219 claims

$416.00

$35.62

11.7×

Top 1%

99350Top 1%

$91K

219 claims · 0.2%

Your Cost: $416.00/claim|Median: $35.62

11.7× median

99349 See all providers →

$55K

875 claims

$63.03

$24.29

2.6×

Top 25%

99349Top 25%

$55K

875 claims · 0.1%

Your Cost: $63.03/claim|Median: $24.29

2.6× median

99348 See all providers →

$13K

85 claims

$153.29

$17.17

8.9×

Top 5%

99348Top 5%

$13K

85 claims · 0.0%

Your Cost: $153.29/claim|Median: $17.17

8.9× median

99345 See all providers →

$138

15 claims

$9.23

$56.78

0.2×

Normal range

99345Normal range

$138

15 claims · 0.0%

Your Cost: $9.23/claim|Median: $56.78

0.2× median

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

29 claims

$0.00

$51.67

—

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.67

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