Providers
All 26 in FL
RENE URIEL PULIDO, MD
NPI 1033357553, individual, Jacksonville, FL, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 1018 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 80324 ($86 per patient-month) sit in the top 5% of every provider billing that code.
- Medicare submitted charges on code 80307 are 3.3 times the typical charge-to-allowed ratio for that code.
score 57 of 100, rank 7314, $1.6M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 25.4 | 32.6 | 21.7 | 29.3 | 1018 | 1 | 99204 99213 99214 | $73K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 27.3 | 34.1 | 22.7 | 30.6 | 859 | 1 | 99204 99213 99214 | $84K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RENE URIEL PULIDO, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 22, 2009, last updated March 17, 2018 |
| Practice location | 2570 ATLANTIC BLVD, Jacksonville, FL 32207-3604, 904-647-8576 |
| Specialties | Clinic/Center (261Q00000X) Family Medicine (207Q00000X, primary, license ME103456 FL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.6M | 55% | $51 | $60 (top 5% from $133) | 38th percentile | |
| 80324 | Medicaid service code | $673K | 22% | $86 | $9.67 (top 5% from $24) | 100th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $133K | 4% | $15 | $45 (top 5% from $110) | 17th percentile | |
| 80365 | Medicaid service code | $112K | 4% | $52 | $9.14 (top 5% from $23) | 99th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $88K | 3% | $30 | $44 (top 5% from $110) | 28th percentile | |
| 80346 | Medicaid service code | $45K | 1% | $5.73 | $13 (top 5% from $30) | 23rd percentile | |
| 80348 | Medicaid service code | $44K | 1% | $5.64 | $10 (top 5% from $29) | 27th percentile | |
| 80354 | Medicaid service code | $44K | 1% | $5.58 | $9.86 (top 5% from $24) | 30th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,830 | 220 | $164K | $240 | $124 | 1.9x | 2.3x (90th percentile 3.8x) |
| 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 | 358 | 142 | $55K | $480 | $153 | 3.1x | 3.1x (90th percentile 6.1x) |
| 80307 | Testing for presence of drug, by chemistry analyzers | 359 | 143 | $22K | $640 | $61 | 10.5x | 3.2x (90th percentile 7.6x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 319 | 56 | $15K | $76 | $61 | 1.2x | 1.8x (90th percentile 2.9x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | 44 | $5K | $313 | $164 | 1.9x | 2.4x (90th percentile 3.9x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 35 | 35 | $4K | $246 | $125 | 2.0x | 2.3x (90th percentile 4.1x) |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 103 | 103 | $3K | $73 | $37 | 2.0x | 3.8x (90th percentile 8.2x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 308 | 144 | $3K | $12 | $9 | 1.4x | 2.0x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
26 providers in Duval County, FL carry an indicator in the public record, with $30.7M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SWL SERVICES LLC Jacksonville, FL, ranked 594 | $0 |
|
| 3 | CR & RA INVESTMENTS LLC Jacksonville, FL, ranked 765 | $5.9M |
|
| 3 | WELL-DONE HOME CARE, INC Jacksonville, FL, ranked 3081 | $0 |
|
| 3 | INFINITY HOME HEALTH CARE OF FLORIDA INC. Jacksonville, FL, ranked 3487 | $0 |
|
| 3 | TERRACE OF JACKSONVILLE LLC Jacksonville, FL, ranked 3796 | $0 |
|
| 3 | A RIVER'S JOURNEY, LLC Jacksonville, FL, ranked 4058 | $0 |
|
| 4 | HOLLY REDLINGER Jacksonville, FL, ranked 8321 | $8.0M |
|
| 4 | ORLANDO RENDON Jacksonville, FL, ranked 8465 | $3.9M |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.