Is SEQUELCARE OF FLORIDA LLC flagged for Medicaid fraud?

SEQUELCARE OF FLORIDA LLC (NPI: 1851422372) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SEQUELCARE OF FLORIDA LLC bill Medicaid?

SEQUELCARE OF FLORIDA LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in PINELLAS PARK, FL.

What is NPI 1851422372?

NPI 1851422372 is the National Provider Identifier for SEQUELCARE OF FLORIDA LLC. They are a Community/Behavioral Health provider based in PINELLAS PARK, FL. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

SEQUELCARE OF FLORIDA LLC

Community/Behavioral Health·PINELLAS PARK, FL·NPI: 1851422372Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2023-06(61 months)

Billing appears to have stoppedLast active: 2023-06

Total Paid

$39.9M

$39,882,624

Total Claims

766K

Beneficiaries

263K

2.9 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018

$254K

+4208%

2019

$11.0M

+3%

2020

$11.3M

-12%

2021

$10.0M

-46%

2022

$5.4M

-63%

2023

$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 37% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2019Therapeutic behavioral services, per 15 minSee all providers →

$14.7M

248K claims

$59.19

$84.12

0.7×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$14.7M

248K claims · 36.9%

Your Cost: $59.19/claim|Median: $84.12

0.7× median

T1017Targeted case management, per 15 minSee all providers →

$12.2M

288K claims

$42.37

$69.56

0.6×

Normal range

T1017Normal range

Targeted case management, per 15 min

$12.2M

288K claims · 30.6%

Your Cost: $42.37/claim|Median: $69.56

0.6× median

S5145Foster care, therapeutic, child, per diemSee all providers →

$5.6M

58K claims

$96.42

$216.31

0.4×

Normal range

S5145Normal range

Foster care, therapeutic, child, per diem

$5.6M

58K claims · 14.1%

Your Cost: $96.42/claim|Median: $216.31

0.4× median

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$2.9M

86K claims

$33.53

$121.16

0.3×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$2.9M

86K claims · 7.2%

Your Cost: $33.53/claim|Median: $121.16

0.3× median

H0031Mental health assessment by non-physicianSee all providers →

$1.6M

39K claims

$41.01

$96.18

0.4×

Normal range

H0031Normal range

Mental health assessment by non-physician

$1.6M

39K claims · 4.1%

Your Cost: $41.01/claim|Median: $96.18

0.4× median

H0032Mental health service plan developmentSee all providers →

$1.6M

32K claims

$49.84

$80.64

0.6×

Normal range

H0032Normal range

Mental health service plan development

$1.6M

32K claims · 4.0%

Your Cost: $49.84/claim|Median: $80.64

0.6× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$1.1M

9,061 claims

$122.86

$114.71

1.1×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$1.1M

9,061 claims · 2.8%

Your Cost: $122.86/claim|Median: $114.71

1.1× median

H2010Comprehensive medication services, per 15 minSee all providers →

$121K

4,034 claims

$29.89

$62.69

0.5×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$121K

4,034 claims · 0.3%

Your Cost: $29.89/claim|Median: $62.69

0.5× median

90837Psychotherapy, 60 minutesSee all providers →

$4K

51 claims

$72.71

$85.66

0.8×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$4K

51 claims · 0.0%

Your Cost: $72.71/claim|Median: $85.66

0.8× median

H0046Mental health services, not otherwise specifiedSee all providers →

$2K

151 claims

$13.79

$85.02

0.2×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$2K

151 claims · 0.0%

Your Cost: $13.79/claim|Median: $85.02

0.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$105

23 claims

$4.57

$37.81

0.1×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$105

23 claims · 0.0%

Your Cost: $4.57/claim|Median: $37.81

0.1× median

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