Providers
All 115 in FL
SUN HEALTH DIAGNOSTICS LLC
NPI 1174277057, organization, Hallandale Beach, FL, Clinical Medical Laboratory
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since February 1, 2023.
- Medicaid still paid claims in 3 later months, $16,267 in total.
score 94 of 100, rank 257, $16K at stake
Public list actions
Medicare revocation effective February 1, 2023, barred from re-enrolling until August 26, 2033
424.535(a)(4) false or misleading information and 424.535(a)(8)(i) abuse of billing privileges and 424.535(a)(3) felonies, Part B Supplier - Independent Clinical Laboratory, FL
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(4) false or misleading information and 424.535(a)(8)(i) abuse of billing privileges and 424.535(a)(3) felonies | Exact NPI, name verified | Feb 1, 2023 | Aug 26, 2033 | 3 | Mar 2023 | May 2023 | $16K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SUN HEALTH DIAGNOSTICS LLC |
| Type | Organization |
| Status | Active |
| NPI issued | February 9, 2022, last updated February 9, 2023 |
| Practice location | 2500 E HALLANDALE BEACH BLVD, ARCADE A, Hallandale Beach, FL 33009-4855, 866-719-2757 |
| Authorized official | Tiffany Delvalle (Owner) |
| Specialties | Clinical Medical Laboratory (291U00000X, primary) |
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 | |
|---|---|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $17K | 100% | $13 | $0.00 (top 5% from $89) | too few months to rank |
In this area
115 providers in Broward County, FL carry an indicator in the public record, with $142.6M at stake between them. The most common is more hours than a day holds, on 68 of them, followed by part of a provider network on 37. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LEE FERGUSON Coral Springs, FL, ranked 39 | $49K |
|
| 1 | PROSPECT HEALTH SOLUTIONS INC Fort Lauderdale, FL, ranked 319 | $5K |
|
| 1 | KEITH ROBINSON Oakland Park, FL, ranked 397 | $937 |
|
| 1 | ARRIVA MEDICAL, LLC Coral Springs, FL, ranked 421 | $444 |
|
| 1 | ROYCE MEDICAL SUPPLY LLC Fort Lauderdale, FL, ranked 561 | $0 |
|
| 1 | STONE OAK DURABLE MEDICAL EQUIPMENT Coral Springs, FL, ranked 624 | $0 |
|
| 3 | AMERICAN HOME HEALTH PROVIDERS OF BROWARD, CORP. Miramar, FL, ranked 879 | $372K |
|
| 3 | ATLANTIC HOME CARE, LLC Coral Springs, FL, ranked 882 | $322K |
|
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.