Providers
EUGENE H MCCOSKEY, D.O.
NPI 1053330787, individual, Orange Park, FL, Internal Medicine, Pulmonary Disease
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
score 49 of 100, rank 9741, $10K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 29.1 | 8.9 | 5.9 | 8.5 | 283 | 1 | 99232 99233 99307 99308 99309 99310 99356 | $10K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | EUGENE H MCCOSKEY, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | July 19, 2006, last updated July 25, 2024 |
| Practice location | 1555 KINGSLEY AVE STE 404, Orange Park, FL 32073-9207, 904-441-1111 |
| Mailing address | PO BOX 380009, Jacksonville, FL 32205-0509 |
| Specialties | Internal Medicine, Critical Care Medicine (207RC0200X, license OS8208 FL) Internal Medicine, Pulmonary Disease (207RP1001X, primary, license OS8208 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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $274K | 56% | $171 | $96 (top 5% from $249) | 84th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $110K | 22% | $17 | $21 (top 5% from $84) | 41st percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $65K | 13% | $11 | $14 (top 5% from $58) | 41st percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $14K | 3% | $67 | $81 (top 5% from $170) | 35th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $14K | 3% | $38 | $67 (top 5% from $174) | 16th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $7K | 1% | $20 | $37 (top 5% from $100) | 22nd percentile | |
| 71045 | X-ray of chest, 1 view | $2K | 1% | $1.81 | $5.95 (top 5% from $56) | 6th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $2K | 0% | $5.80 | $30 (top 5% from $134) | 8th 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 |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 3,891 | 459 | $356K | $127 | $115 | 1.1x | 2.6x (90th percentile 4.7x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 3,515 | 418 | $285K | $106 | $103 | 1.0x | 2.0x (90th percentile 3.3x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 4,409 | 337 | $249K | $76 | $72 | 1.1x | 2.0x (90th percentile 3.4x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,770 | 322 | $109K | $92 | $77 | 1.2x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 316 | 296 | $42K | $238 | $169 | 1.4x | 3.0x (90th percentile 5.6x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 387 | 228 | $38K | $136 | $125 | 1.1x | 2.3x (90th percentile 3.8x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 256 | 244 | $35K | $179 | $172 | 1.0x | 1.9x (90th percentile 3.1x) |
| 99291 | Critical care, first 30-74 minutes | 147 | 81 | $25K | $619 | $209 | 3.0x | 4.7x (90th percentile 10.0x) |
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
4 providers in Clay County, FL carry an indicator in the public record, with $2.5M at stake between them. The most common is more hours than a day holds, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | MARIA MORA Green Cove Springs, FL, ranked 8781 | $1.8M |
|
| 4 | ALLISON BUTLER Orange Park, FL, ranked 9525 | $142K |
|
| 5 | SARAH PATRICK Fleming Island, FL, ranked 10605 | $572K |
|
| 5 | BRENDA GARCIA Fleming Island, FL, ranked 11775 | $44K |
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.