HAZEM F AL-ANDARY, M.D.
NPI 1275847071, individual, St Petersburg, FL, Internal Medicine
- Hours beyond a day in 46 months, but with up to 559 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 24.2 | 32.6 | 21.8 | 29.7 | 422 | 1 | 99214 99223 99231 99232 99238 99239 | $26K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 31.7 | 33.8 | 22.5 | 33.8 | 479 | 1 | 99214 99223 99231 99232 99233 99238 99239 | $27K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 33.6 | 34.1 | 22.7 | 30.6 | 521 | 1 | 99214 99223 99231 99232 99238 99239 | $30K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 32.4 | 29.0 | 19.3 | 27.2 | 477 | 1 | 99214 99223 99231 99232 99238 99239 | $25K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 38.2 | 37.4 | 24.9 | 35.6 | 559 | 1 | 99214 99222 99223 99231 99232 99238 99239 | $31K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 32.9 | 35.4 | 23.6 | 31.8 | 552 | 1 | 99214 99222 99223 99231 99232 99238 99239 | $32K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 26.3 | 26.3 | 17.6 | 25.1 | 486 | 1 | 99214 99223 99231 99232 99238 99239 | $22K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 25.7 | 36.1 | 24.0 | 35.5 | 483 | 1 | 99214 99223 99231 99232 99238 99239 | $31K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 28.9 | 34.8 | 23.2 | 31.6 | 489 | 1 | 99214 99222 99223 99231 99232 99238 99239 | $31K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 27.1 | 31.7 | 21.1 | 28.5 | 413 | 1 | 99213 99214 99223 99231 99232 99238 99239 | $28K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 26.8 | 32.3 | 21.5 | 31.8 | 450 | 1 | 99214 99223 99231 99232 99238 99239 | $29K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 26.6 | 30.8 | 20.5 | 28.0 | 382 | 1 | 99214 99223 99231 99232 99238 99239 | $26K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 24.7 | 26.8 | 17.9 | 25.2 | 386 | 1 | 99214 99223 99231 99232 99238 | $24K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 25.3 | 26.2 | 17.4 | 23.5 | 377 | 1 | 99214 99223 99231 99232 99238 99239 | $23K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 26.7 | 26.0 | 17.4 | 24.3 | 355 | 1 | 99214 99223 99231 99232 99238 99239 | $25K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 27.4 | 26.0 | 17.3 | 23.3 | 440 | 1 | 99214 99222 99223 99231 99232 99238 99239 | $28K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 31.1 | 27.7 | 18.4 | 25.1 | 412 | 1 | 99214 99223 99231 99232 99238 | $29K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 27.1 | 25.9 | 17.3 | 25.5 | 396 | 1 | 99214 99222 99223 99231 99232 99238 | $28K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 30.7 | 25.6 | 17.1 | 23.3 | 426 | 1 | 99214 99223 99231 99232 99238 99239 | $27K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 26.8 | 30.8 | 20.5 | 28.9 | 409 | 1 | 99214 99223 99231 99232 99233 99238 99239 | $33K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 26.2 | 30.7 | 20.4 | 27.9 | 382 | 1 | 99214 99223 99231 99232 99238 99239 | $33K |
| Nov 2021 | More hours than a day holds at a conservative unit price | 22.6 | 37.4 | 24.9 | 34.0 | 360 | 1 | 99214 99223 99231 99232 99233 99238 99239 | $40K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 23.3 | 41.1 | 27.4 | 36.9 | 316 | 1 | 99214 99223 99231 99232 99239 | $44K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 22.9 | 49.7 | 33.1 | 48.9 | 359 | 1 | 99214 99223 99231 99232 99238 99239 | $50K |
| Feb 2022 | More hours than a day holds at a conservative unit price | 21.8 | 42.7 | 28.5 | 39.8 | 347 | 1 | 99214 99223 99231 99232 99238 99239 | $40K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 41.7 | 33.6 | 22.4 | 30.2 | 357 | 1 | 99214 99223 99231 99232 99233 99238 99239 | $35K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 35.7 | 34.1 | 22.7 | 32.4 | 337 | 1 | 99214 99223 99232 99238 99239 | $33K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 35.1 | 44.2 | 29.4 | 41.5 | 367 | 1 | 99214 99222 99223 99232 99238 99239 | $46K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 47.2 | 47.7 | 31.8 | 43.4 | 459 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $48K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 50.4 | 44.6 | 29.7 | 43.9 | 442 | 1 | 99214 99222 99223 99232 99238 99239 | $46K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 35.2 | 37.4 | 24.9 | 33.6 | 384 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $39K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.4 | 32.4 | 21.6 | 29.5 | 316 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $34K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 31.4 | 34.9 | 23.3 | 34.3 | 393 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $36K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 27.4 | 31.0 | 20.7 | 28.2 | 320 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $30K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 32.9 | 34.6 | 23.1 | 32.5 | 411 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $35K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 35.2 | 27.7 | 18.5 | 26.0 | 454 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $31K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 35.2 | 22.9 | 15.2 | 21.3 | 432 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $23K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 39.4 | 25.2 | 16.8 | 22.6 | 470 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $28K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 33.4 | 25.6 | 17.0 | 25.6 | 404 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $27K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 30.3 | 29.0 | 19.4 | 26.1 | 471 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $32K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 27.6 | 27.2 | 18.2 | 24.8 | 418 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $29K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 33.9 | 28.5 | 19.0 | 28.0 | 433 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $32K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 34.3 | 35.3 | 23.5 | 31.7 | 466 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $40K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 30.4 | 29.8 | 19.9 | 28.4 | 403 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $33K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 26.7 | 30.3 | 20.2 | 28.5 | 437 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $34K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 27.1 | 28.9 | 19.3 | 26.3 | 390 | 1 | 99214 99222 99223 99232 99233 99238 99239 | $31K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HAZEM F AL-ANDARY, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | August 4, 2010, last updated December 13, 2016 |
| Practice location | 1839 CENTRAL AVE, St Petersburg, FL 33713-8900, 727-322-1054 |
| Specialties | Internal Medicine (207R00000X, primary, license ME71483 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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.1M | 46% | $98 | $67 (top 5% from $174) | 76th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $477K | 19% | $83 | $81 (top 5% from $170) | 52nd percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $109K | 4% | $44 | $37 (top 5% from $103) | 61st percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $105K | 4% | $112 | $100 (top 5% from $264) | 61st percentile | |
| 99217 | Medicaid service code | $97K | 4% | $37 | $39 (top 5% from $79) | 45th percentile | |
| G0378 | Medicaid service code | $93K | 4% | $78 | $161 (top 5% from $1K) | 24th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $92K | 4% | $23 | $48 (top 5% from $80) | 12th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $77K | 3% | $33 | $60 (top 5% from $133) | 18th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 6,853 | 927 | $419K | $147 | $77 | 1.9x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 969 | 743 | $129K | $401 | $169 | 2.4x | 3.0x (90th percentile 5.6x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 774 | 256 | $71K | $208 | $116 | 1.8x | 2.6x (90th percentile 4.7x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 326 | 104 | $30K | $265 | $124 | 2.1x | 2.3x (90th percentile 3.8x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 471 | 420 | $29K | $143 | $79 | 1.8x | 2.6x (90th percentile 4.7x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 696 | 64 | $27K | $82 | $49 | 1.7x | 2.4x (90th percentile 4.0x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 246 | 227 | $25K | $276 | $128 | 2.2x | 2.7x (90th percentile 4.4x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 262 | 234 | $23K | $213 | $111 | 1.9x | 2.8x (90th percentile 5.6x) |
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
52 providers in Pinellas County, FL carry an indicator in the public record, with $22.8M 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.