Providers

HAZEM F AL-ANDARY, M.D.

NPI 1275847071, individual, St Petersburg, FL, Internal Medicine

4
Evidence tier
structure or single-organization volume
  • 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.
score 51 of 100, rank 8726, $2.0M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Apr 2019More hours than a day holds, even counting one unit per claim line24.232.621.829.7422199214 99223 99231 99232 99238 99239$26K
Jun 2019More hours than a day holds, even counting one unit per claim line31.733.822.533.8479199214 99223 99231 99232 99233 99238 99239$27K
Jul 2019More hours than a day holds, even counting one unit per claim line33.634.122.730.6521199214 99223 99231 99232 99238 99239$30K
Aug 2019More hours than a day holds, even counting one unit per claim line32.429.019.327.2477199214 99223 99231 99232 99238 99239$25K
Sep 2019More hours than a day holds, even counting one unit per claim line38.237.424.935.6559199214 99222 99223 99231 99232 99238 99239$31K
Oct 2019More hours than a day holds, even counting one unit per claim line32.935.423.631.8552199214 99222 99223 99231 99232 99238 99239$32K
Nov 2019More hours than a day holds, even counting one unit per claim line26.326.317.625.1486199214 99223 99231 99232 99238 99239$22K
May 2020More hours than a day holds, even counting one unit per claim line25.736.124.035.5483199214 99223 99231 99232 99238 99239$31K
Jun 2020More hours than a day holds, even counting one unit per claim line28.934.823.231.6489199214 99222 99223 99231 99232 99238 99239$31K
Jul 2020More hours than a day holds, even counting one unit per claim line27.131.721.128.5413199213 99214 99223 99231 99232 99238 99239$28K
Aug 2020More hours than a day holds, even counting one unit per claim line26.832.321.531.8450199214 99223 99231 99232 99238 99239$29K
Sep 2020More hours than a day holds, even counting one unit per claim line26.630.820.528.0382199214 99223 99231 99232 99238 99239$26K
Oct 2020More hours than a day holds, even counting one unit per claim line24.726.817.925.2386199214 99223 99231 99232 99238$24K
Dec 2020More hours than a day holds, even counting one unit per claim line25.326.217.423.5377199214 99223 99231 99232 99238 99239$23K
Feb 2021More hours than a day holds, even counting one unit per claim line26.726.017.424.3355199214 99223 99231 99232 99238 99239$25K
Mar 2021More hours than a day holds, even counting one unit per claim line27.426.017.323.3440199214 99222 99223 99231 99232 99238 99239$28K
Apr 2021More hours than a day holds, even counting one unit per claim line31.127.718.425.1412199214 99223 99231 99232 99238$29K
May 2021More hours than a day holds, even counting one unit per claim line27.125.917.325.5396199214 99222 99223 99231 99232 99238$28K
Jun 2021More hours than a day holds, even counting one unit per claim line30.725.617.123.3426199214 99223 99231 99232 99238 99239$27K
Aug 2021More hours than a day holds, even counting one unit per claim line26.830.820.528.9409199214 99223 99231 99232 99233 99238 99239$33K
Sep 2021More hours than a day holds, even counting one unit per claim line26.230.720.427.9382199214 99223 99231 99232 99238 99239$33K
Nov 2021More hours than a day holds at a conservative unit price22.637.424.934.0360199214 99223 99231 99232 99233 99238 99239$40K
Dec 2021More hours than a day holds at a conservative unit price23.341.127.436.9316199214 99223 99231 99232 99239$44K
Jan 2022More hours than a day holds at a conservative unit price22.949.733.148.9359199214 99223 99231 99232 99238 99239$50K
Feb 2022More hours than a day holds at a conservative unit price21.842.728.539.8347199214 99223 99231 99232 99238 99239$40K
Mar 2022More hours than a day holds, even counting one unit per claim line41.733.622.430.2357199214 99223 99231 99232 99233 99238 99239$35K
Apr 2022More hours than a day holds, even counting one unit per claim line35.734.122.732.4337199214 99223 99232 99238 99239$33K
May 2022More hours than a day holds, even counting one unit per claim line35.144.229.441.5367199214 99222 99223 99232 99238 99239$46K
Jun 2022More hours than a day holds, even counting one unit per claim line47.247.731.843.4459199214 99222 99223 99232 99233 99238 99239$48K
Jul 2022More hours than a day holds, even counting one unit per claim line50.444.629.743.9442199214 99222 99223 99232 99238 99239$46K
Aug 2022More hours than a day holds, even counting one unit per claim line35.237.424.933.6384199214 99222 99223 99232 99233 99238 99239$39K
Sep 2022More hours than a day holds, even counting one unit per claim line25.432.421.629.5316199214 99222 99223 99232 99233 99238 99239$34K
Oct 2022More hours than a day holds, even counting one unit per claim line31.434.923.334.3393199214 99222 99223 99232 99233 99238 99239$36K
Nov 2022More hours than a day holds, even counting one unit per claim line27.431.020.728.2320199214 99222 99223 99232 99233 99238 99239$30K
Dec 2022More hours than a day holds, even counting one unit per claim line32.934.623.132.5411199214 99222 99223 99232 99233 99238 99239$35K
Jan 2023More hours than a day holds, even counting one unit per claim line35.227.718.526.0454199214 99222 99223 99232 99233 99238 99239$31K
Feb 2023More hours than a day holds, even counting one unit per claim line35.222.915.221.3432199214 99222 99223 99232 99233 99238 99239$23K
Mar 2023More hours than a day holds, even counting one unit per claim line39.425.216.822.6470199214 99222 99223 99232 99233 99238 99239$28K
Apr 2023More hours than a day holds, even counting one unit per claim line33.425.617.025.6404199214 99222 99223 99232 99233 99238 99239$27K
May 2023More hours than a day holds, even counting one unit per claim line30.329.019.426.1471199214 99222 99223 99232 99233 99238 99239$32K
Jun 2023More hours than a day holds, even counting one unit per claim line27.627.218.224.8418199214 99222 99223 99232 99233 99238 99239$29K
Jul 2023More hours than a day holds, even counting one unit per claim line33.928.519.028.0433199214 99222 99223 99232 99233 99238 99239$32K
Aug 2023More hours than a day holds, even counting one unit per claim line34.335.323.531.7466199214 99222 99223 99232 99233 99238 99239$40K
Sep 2023More hours than a day holds, even counting one unit per claim line30.429.819.928.4403199214 99222 99223 99232 99233 99238 99239$33K
Oct 2023More hours than a day holds, even counting one unit per claim line26.730.320.228.5437199214 99222 99223 99232 99233 99238 99239$34K
Nov 2023More hours than a day holds, even counting one unit per claim line27.128.919.326.3390199214 99222 99223 99232 99233 99238 99239$31K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameHAZEM F AL-ANDARY, M.D.
TypeIndividual
StatusActive
NPI issuedAugust 4, 2010, last updated December 13, 2016
Practice location1839 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$1.1M46%$98$67 (top 5% from $174)76th percentile
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$477K19%$83$81 (top 5% from $170)52nd percentile
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$109K4%$44$37 (top 5% from $103)61st percentile
99285Emergency department visit with high level of medical decision making$105K4%$112$100 (top 5% from $264)61st percentile
99217Medicaid service code$97K4%$37$39 (top 5% from $79)45th percentile
G0378Medicaid service code$93K4%$78$161 (top 5% from $1K)24th percentile
99238Hospital discharge day management, 30 minutes or less$92K4%$23$48 (top 5% from $80)12th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$77K3%$33$60 (top 5% from $133)18th percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6,853927$419K$147$771.9x2.6x (90th percentile 4.3x)
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes969743$129K$401$1692.4x3.0x (90th percentile 5.6x)
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes774256$71K$208$1161.8x2.6x (90th percentile 4.7x)
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more326104$30K$265$1242.1x2.3x (90th percentile 3.8x)
99238Hospital discharge day management, 30 minutes or less471420$29K$143$791.8x2.6x (90th percentile 4.7x)
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes69664$27K$82$491.7x2.4x (90th percentile 4.0x)
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes246227$25K$276$1282.2x2.7x (90th percentile 4.4x)
99239Hospital discharge day management, more than 30 minutes262234$23K$213$1111.9x2.8x (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.

tierproviderat stakewhy
3THE HOSPICE OF THE FLORIDA SUNCOAST, INC.
Palm Harbor, FL, ranked 1071
$833K
  • Part of provider network D1-00136, ranked 136 nationally.
3PROHEALTH HOME HEALTH SERVICES, INC
ST Petersburg, FL, ranked 2625
$0
  • Part of provider network D1-00127, ranked 127 nationally.
3CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Clearwater, FL, ranked 2848
$0
  • Part of provider network D1-00107, ranked 107 nationally.
3HARBOURWOOD FL OPCO LLC
Clearwater, FL, ranked 3475
$0
  • Part of provider network D1-00087, ranked 87 nationally.
3ALBORADA HOME HEALTH OF TAMPA, INC
ST Petersburg, FL, ranked 3779
$0
  • Part of provider network D1-00068, ranked 68 nationally.
3WESTCHESTER GARDENS LIMITED PARTNERSHIP
Clearwater, FL, ranked 4549
$0
  • Part of provider network D1-00097, ranked 97 nationally.
3EMPATH HOME HEALTH LLC
Palm Harbor, FL, ranked 4619
$0
  • Part of provider network D1-00136, ranked 136 nationally.
3DANNY'S HOME HEALTH CARE OF FLORIDA INC.
Largo, FL, ranked 4753
$0
  • Part of provider network D1-00045, ranked 45 nationally.
All 52 in FL

Recent enforcement in FL

All releases

Department 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.

Ask this case

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