Providers
MATTHEW S. TARGOFF, D.O.
NPI 1184666513, individual, Naples, FL, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 7 months, but with up to 2006 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 9042, $846K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 32.5 | 37.4 | 25.0 | 29.6 | 1522 | 1 | 90833 90836 90838 99204 99205 99213 99214 99215 H2019 | $98K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 36.1 | 35.4 | 23.6 | 26.0 | 1541 | 1 | 90833 90836 90837 90838 99204 99213 99214 99215 H2019 | $83K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 41.3 | 35.3 | 23.5 | 24.6 | 2006 | 1 | 90833 90836 90837 99204 99213 99214 99215 H2019 | $90K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 31.3 | 30.2 | 20.2 | 23.6 | 1814 | 1 | 90833 90836 99204 99213 99214 99215 H2019 | $74K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 33.3 | 29.9 | 19.9 | 21.3 | 1738 | 1 | 90833 90836 90837 99204 99213 99214 99215 H2019 | $75K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 39.1 | 16.4 | 10.9 | 9.7 | 1605 | 1 | 90833 90836 99204 99214 99215 H2019 | $40K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 31.1 | 15.7 | 10.5 | 10.7 | 1416 | 1 | 90833 90836 99204 99214 99215 H2019 | $40K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MATTHEW S. TARGOFF, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | June 11, 2006, last updated August 4, 2016 |
| Practice location | 9015 STRADA STELL CT, STE 201, Naples, FL 34109-4373, 239-597-0196 |
| Mailing address | 6360 TECHSTER BLVD, STE 1, Fort Myers, FL 33966-4805 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license OS13697 FL) Psychiatry & Neurology, Psychiatry (2084P0800X, license 120571-1 NY) |
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 | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $1.3M | 26% | $70 | $182 (top 5% from $488) | 15th percentile | |
| H2000 | Medicaid service code | $944K | 20% | $203 | $173 (top 5% from $548) | 68th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $659K | 14% | $56 | $60 (top 5% from $133) | 44th percentile | |
| H0032 | Medicaid service code | $650K | 14% | $65 | $98 (top 5% from $675) | 26th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $574K | 12% | $27 | $226 (top 5% from $1K) | 2nd percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $441K | 9% | $36 | $49 (top 5% from $109) | 31st percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $102K | 2% | $86 | $88 (top 5% from $210) | 48th percentile | |
| H0031 | Medicaid service code | $41K | 1% | $133 | $100 (top 5% from $540) | 63rd 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 |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,892 | 694 | $172K | $281 | $125 | 2.2x | 2.3x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 1,664 | 655 | $90K | $170 | $71 | 2.4x | 2.1x (90th percentile 3.5x) |
| 90837 | Psychotherapy, 1 hour | 608 | 125 | $69K | $329 | $150 | 2.2x | 1.6x (90th percentile 2.9x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 174 | 73 | $23K | $379 | $178 | 2.1x | 2.4x (90th percentile 4.1x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 146 | 146 | $17K | $414 | $167 | 2.5x | 2.4x (90th percentile 3.9x) |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 201 | 179 | $13K | $216 | $90 | 2.4x | 2.0x (90th percentile 3.2x) |
| 90791 | Psychiatric diagnostic evaluation | 90 | 90 | $10K | $340 | $167 | 2.0x | 1.9x (90th percentile 3.6x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 77 | 45 | $4K | $191 | $86 | 2.2x | 2.2x (90th percentile 3.8x) |
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
6 providers in Collier County, FL carry an indicator in the public record, with $4.7M at stake between them. The most common is named in an enforcement record, on 2 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MY SLEEP APNEA, LLC Naples, FL, ranked 347 | $3K |
|
| 3 | TERRACINA III, LLC Naples, FL, ranked 4054 | $0 |
|
| 3 | KEVIN ROSENBACH Naples, FL, ranked 4079 | $0 |
|
| 3 | KEVIN P ROSENBACH, MD PA Naples, FL, ranked 4735 | $0 |
|
| 4 | OFELIA MARIN Naples, FL, ranked 7874 | $807K |
|
| 5 | LOURDES BADIA Naples, FL, ranked 9819 | $3.8M |
|
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.