Providers

MARIA ELANA MORA, M.D.

NPI 1043238132, individual, Green Cove Springs, FL, Pediatrics

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 8 months, but with up to 977 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 51 of 100, rank 8781, $1.8M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2018More hours than a day holds at a conservative unit price4.443.228.838.8351199212 99213 99214$29K
Feb 2018More hours than a day holds at a conservative unit price4.643.629.140.7324199212 99213 99214$27K
Mar 2018More hours than a day holds at a conservative unit price3.937.425.035.2316199212 99213 99214$26K
Apr 2018More hours than a day holds at a conservative unit price4.240.627.138.7308199213 99214$26K
Aug 2018More hours than a day holds at a conservative unit price4.140.927.336.7324199213 99214$27K
Sep 2018More hours than a day holds at a conservative unit price4.344.929.944.9317199213 99214$27K
Oct 2018More hours than a day holds at a conservative unit price4.646.430.941.7343199212 99213 99214$30K
Nov 2018More hours than a day holds at a conservative unit price3.940.627.036.9292199213 99214$25K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMARIA ELANA MORA, M.D.
TypeIndividual
StatusActive
NPI issuedJuly 17, 2006, last updated May 20, 2026
Practice location91 BRANSCOMB RD STE 3, Green Cove Springs, FL 32043-7222, 904-861-1034
Specialties
Pediatrics (208000000X, primary, license ME0065318 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$1.7M31%$79$44 (top 5% from $110)88th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$638K12%$113$60 (top 5% from $133)91st percentile
90460Administration of first vaccine or toxoid component with counseling (18 years or younger)$555K10%$45$26 (top 5% from $54)85th percentile
99392Medicaid service code$494K9%$106$78 (top 5% from $124)89th percentile
99393Medicaid service code$433K8%$112$78 (top 5% from $121)93rd percentile
99391Medicaid service code$380K7%$104$76 (top 5% from $126)87th percentile
99394Medicaid service code$292K5%$111$83 (top 5% from $128)86th percentile
90461Medicaid service code$131K2%$30$4.53 (top 5% from $42)87th percentile

In this area

4 providers in Clay County, FL carry an indicator in the public record, with $768K at stake between them. The most common is more hours than a day holds, on 4 of them.

tierproviderat stakewhy
4ALLISON BUTLER
Orange Park, FL, ranked 9525
$142K
  • Hours beyond a day in 1 month, but with up to 9956 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4EUGENE MCCOSKEY
Orange Park, FL, ranked 9741
$10K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
5SARAH PATRICK
Fleming Island, FL, ranked 10605
$572K
  • 76% of Medicaid dollars are on codes with a history of abuse.
5BRENDA GARCIA
Fleming Island, FL, ranked 11775
$44K

Recent enforcement in FL

All releases

Department 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

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