ALLISON DASTA BUTLER, M.D.
NPI 1093913212, individual, Orange Park, FL, Family Medicine
- 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.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 46.1 | 21.1 | 14.0 | 20.7 | 9956 | 1 | 99211 | $142K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALLISON DASTA BUTLER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 10, 2007, last updated May 12, 2009 |
| Practice location | 1075 OAKLEAF PLANTATION PKWY, SUITE #108, Orange Park, FL 32065-3624, 904-282-4565 |
| Specialties | Family Medicine (207Q00000X, primary, license ME 97725 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 | |
|---|---|---|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $431K | 51% | $23 | $32 (top 5% from $49) | 27th percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $223K | 26% | $11 | $16 (top 5% from $128) | 32nd percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $198K | 23% | $20 | $44 (top 5% from $70) | 15th percentile | |
| 99072 | Medicaid service code | $307 | 0% | $0.03 | $0.00 (top 5% from $11) | 60th percentile |
| 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 | 243 | 134 | $20K | $218 | $125 | 1.8x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 82 | 82 | $10K | $221 | $125 | 1.8x | 2.3x (90th percentile 4.1x) |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | 17 | $5K | $404 | $292 | 1.4x | 1.1x (90th percentile 2.6x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 45 | 39 | $3K | $155 | $88 | 1.7x | 2.2x (90th percentile 3.8x) |
| G0008 | Administration of influenza virus vaccine | 38 | 38 | $1K | $29 | $28 | 1.0x | 1.2x (90th percentile 2.3x) |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 38 | 38 | $832 | $32 | $22 | 1.5x | 1.4x (90th percentile 2.7x) |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 16 | 12 | $617 | $90 | $52 | 1.7x | 2.3x (90th percentile 3.8x) |
| G0009 | Administration of pneumococcal vaccine | 19 | 19 | $544 | $30 | $29 | 1.1x | 1.2x (90th percentile 2.3x) |
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 $2.4M 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 | EUGENE MCCOSKEY Orange Park, FL, ranked 9741 | $10K |
|
| 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.
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.