Providers
All 11 in FL
VENKAT PAVAN REDDY KANCHARLA, M.D
NPI 1205091758, individual, Palm Bay, FL, Internal Medicine, Medical Oncology
5
Evidence tier
informational
- Medicaid dollars per patient on code 85025 ($267 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10260, $504K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VENKAT PAVAN REDDY KANCHARLA, M.D |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 24, 2008, last updated January 7, 2019 |
| Practice location | 20 SAN FILIPPO DR SE, Palm Bay, FL 32909-2200, 321-725-8300 |
| Mailing address | PO BOX 534595, Atlanta, GA 30353-4595 |
| Specialties | Internal Medicine, Medical Oncology (207RX0202X, primary, license ME112590 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $504K | 42% | $254 | $44 (top 5% from $110) | 99th percentile | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $260K | 22% | $157 | $5.69 (top 5% from $25) | 100th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $219K | 18% | $267 | $60 (top 5% from $133) | 99th percentile | |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | $169K | 14% | $187 | $120 (top 5% from $408) | 72nd percentile | |
| 36415 | Insertion of needle into vein for collection of blood sample | $37K | 3% | $89 | $1.97 (top 5% from $12) | 99th percentile | |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | $5K | 0% | $24 | $48 (top 5% from $185) | 19th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $5K | 0% | $63 | $81 (top 5% from $170) | too few months to rank | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $3K | 0% | $34 | $67 (top 5% from $174) | 13th 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 |
|---|---|---|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 10,400 | 11 | $465K | $152 | $56 | 2.7x | 2.5x (90th percentile 3.3x) |
| J0897 | Injection, denosumab, 1 mg | 4,200 | 23 | $85K | $78 | $25 | 3.1x | 1.8x (90th percentile 3.1x) |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 24,120 | 20 | $56K | $21 | $3 | 7.2x | 5.0x (90th percentile 7.2x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 730 | 348 | $51K | $148 | $92 | 1.6x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 430 | 234 | $44K | $224 | $131 | 1.7x | 2.3x (90th percentile 3.8x) |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 416 | 66 | $42K | $686 | $127 | 5.4x | 3.6x (90th percentile 6.1x) |
| J1437 | Injection, ferric derisomaltose, 10 mg | 2,600 | 22 | $41K | $87 | $20 | 4.4x | 3.6x (90th percentile 4.5x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 319 | 166 | $21K | $157 | $81 | 1.9x | 2.6x (90th percentile 4.3x) |
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
11 providers in Brevard County, FL carry an indicator in the public record, with $3.5M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 4. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | GARY WEISS Palm Bay, FL, ranked 348 | $3K |
|
| 1 | STEVEN WILLIAMS Melbourne, FL, ranked 404 | $817 |
|
| 3 | QUALITY CARE HOME HEALTH, LLC Melbourne, FL, ranked 2548 | $0 |
|
| 3 | MI SNF OPCO LLC Merritt Island, FL, ranked 4401 | $0 |
|
| 3 | HOSPICE OF ST. FRANCIS, INC. Titusville, FL, ranked 4930 | $0 |
|
| 3 | CAPE CANAVERAL HOSPITAL, INC. Melbourne, FL, ranked 5822 | $0 |
|
| 3 | HOSPICE OF HEALTH FIRST INC. West Melbourne, FL, ranked 6388 | $0 |
|
| 5 | MAGED FARID West Melbourne, FL, ranked 10724 | $3.4M |
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.