ERIN L GARRIGAN, M.D.
NPI 1154769875, individual, St Petersburg, FL, Pediatrics
- Hours beyond a day in 2 months, but with up to 754 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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 29.0 | 6.8 | 4.6 | 6.1 | 423 | 1 | 99212 99213 99214 | $17K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 30.6 | 9.9 | 6.6 | 9.3 | 509 | 1 | 99213 99214 | $24K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ERIN L GARRIGAN, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 5, 2013, last updated July 27, 2022 |
| Practice location | 4105 49TH ST N, St Petersburg, FL 33709-5711, 727-528-6900 |
| Mailing address | 2115 CENTRAL AVE, ST Petersburg, FL 33713-8815 |
| Specialties | Pediatrics (208000000X, primary, license ME138864 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $935K | 28% | $107 | $60 (top 5% from $133) | 89th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $919K | 27% | $75 | $44 (top 5% from $110) | 86th percentile | |
| 99392 | Medicaid service code | $268K | 8% | $102 | $78 (top 5% from $124) | 84th percentile | |
| 99391 | Medicaid service code | $246K | 7% | $92 | $76 (top 5% from $126) | 74th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $228K | 7% | $39 | $26 (top 5% from $54) | 75th percentile | |
| 99393 | Medicaid service code | $210K | 6% | $90 | $78 (top 5% from $121) | 69th percentile | |
| 99394 | Medicaid service code | $128K | 4% | $101 | $83 (top 5% from $128) | 75th percentile | |
| 90461 | Medicaid service code | $103K | 3% | $29 | $4.53 (top 5% from $42) | 86th percentile |
In this area
52 providers in Pinellas County, FL carry an indicator in the public record, with $23.5M at stake between them. The most common is more hours than a day holds, on 32 of them, followed by part of a provider network on 20.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | THE HOSPICE OF THE FLORIDA SUNCOAST, INC. Palm Harbor, FL, ranked 1071 | $833K |
|
| 3 | PROHEALTH HOME HEALTH SERVICES, INC ST Petersburg, FL, ranked 2625 | $0 |
|
| 3 | CENTERWELL HEALTH SERVICES (CERTIFIED), INC. Clearwater, FL, ranked 2848 | $0 |
|
| 3 | HARBOURWOOD FL OPCO LLC Clearwater, FL, ranked 3475 | $0 |
|
| 3 | ALBORADA HOME HEALTH OF TAMPA, INC ST Petersburg, FL, ranked 3779 | $0 |
|
| 3 | WESTCHESTER GARDENS LIMITED PARTNERSHIP Clearwater, FL, ranked 4549 | $0 |
|
| 3 | EMPATH HOME HEALTH LLC Palm Harbor, FL, ranked 4619 | $0 |
|
| 3 | DANNY'S HOME HEALTH CARE OF FLORIDA INC. Largo, FL, ranked 4753 | $0 |
|
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.