ROBINDER BHANGOO, M.D.
NPI 1073533543, individual, Sarasota, FL, Psychiatry & Neurology, Child & Adolescent Psychiatry
- Hours beyond a day in 2 months, but with up to 126 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 28.1 | 6.9 | 4.6 | 6.3 | 110 | 1 | 90791 99231 99238 | $12K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 34.0 | 7.4 | 5.0 | 6.7 | 126 | 1 | 90791 99231 99238 | $13K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBINDER BHANGOO, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 20, 2006, last updated August 6, 2020 |
| Practice location | 1650 S OSPREY AVE, Sarasota, FL 34239-2928, 941-917-7182 |
| Mailing address | PO BOX 863407, Orlando, FL 32886-3407 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license ME124586 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $90K | 24% | $143 | $81 (top 5% from $170) | 90th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $73K | 20% | $75 | $67 (top 5% from $174) | 58th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $61K | 17% | $110 | $96 (top 5% from $249) | 59th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $42K | 11% | $96 | $37 (top 5% from $103) | 94th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $38K | 10% | $84 | $49 (top 5% from $101) | 88th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $36K | 10% | $130 | $105 (top 5% from $228) | 73rd percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $29K | 8% | $73 | $48 (top 5% from $80) | 91st percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 155 | 66 | $9K | $148 | $77 | 1.9x | 2.6x (90th percentile 4.3x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 58 | 56 | $6K | $283 | $129 | 2.2x | 2.7x (90th percentile 4.4x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 67 | 37 | $6K | $213 | $115 | 1.8x | 2.6x (90th percentile 4.7x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | 26 | $3K | $415 | $169 | 2.5x | 3.0x (90th percentile 5.6x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 23 | 21 | $2K | $218 | $111 | 2.0x | 2.8x (90th percentile 5.6x) |
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
8 providers in Sarasota County, FL carry an indicator in the public record, with $5.0M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TIDEWELL HOSPICE, INC. Sarasota, FL, ranked 926 | $4.5M |
|
| 3 | CONTINUUM CARE OF SARASOTA LLC Sarasota, FL, ranked 1360 | $97K |
|
| 3 | ALLPRO HOME HEALTH, LLC Osprey, FL, ranked 4622 | $0 |
|
| 3 | MHC AREA 8, LLC Venice, FL, ranked 5055 | $0 |
|
| 3 | NEW LEVEL 3 Sarasota, FL, ranked 6607 | $0 |
|
| 4 | MARINA NESTERENKO Sarasota, FL, ranked 7996 | $300K |
|
| 5 | TARIQ HALIM Lakewood Ranch, FL, ranked 10484 | $69K |
|
| 5 | STEPHEN DUCKER North Venice, FL, ranked 11921 | $13K |
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.