Providers
All 14 in FL
PETER ARTHUR RADICE, M.D.
NPI 1356339170, individual, New Port Richey, FL, Internal Medicine, Hospice and Palliative Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 452 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 50 of 100, rank 9658, $41K 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 2024 | More hours than a day holds, even counting one unit per claim line | 26.3 | 45.7 | 30.5 | 41.1 | 452 | 1 | 99349 99350 G0318 | $17K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 26.6 | 32.1 | 21.4 | 29.6 | 442 | 1 | 99349 99350 G0318 | $11K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PETER ARTHUR RADICE, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 6, 2005, last updated May 8, 2025 |
| Practice location | 6804 CECELIA DR, New Port Richey, FL 34653-4935, 855-232-0644 |
| Specialties | Internal Medicine, Hospice and Palliative Medicine (207RH0002X, license 35.135935 OH) Internal Medicine, Hospice and Palliative Medicine (207RH0002X, primary, license ME38243 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 | |
|---|---|---|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $79K | 75% | $19 | $37 (top 5% from $218) | 33rd percentile | |
| 99337 | Domiciliary/rest home visit established level 4 (retired 2023) | $11K | 10% | $16 | $45 (top 5% from $136) | 19th percentile | |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | $5K | 5% | $4.30 | $4.34 (top 5% from $34) | 49th percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $4K | 4% | $10 | $30 (top 5% from $115) | 22nd percentile | |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $3K | 2% | $4.41 | $6.11 (top 5% from $38) | 39th percentile | |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | $2K | 1% | $5.96 | $5.60 (top 5% from $40) | 51st percentile | |
| 99336 | Domiciliary/rest home visit established level 3 (retired 2023) | $1K | 1% | $18 | $28 (top 5% from $90) | too few months to rank | |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | $928 | 1% | $33 | $132 (top 5% from $483) | too few months to rank |
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 |
|---|---|---|---|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 4,903 | 1,223 | $601K | $455 | $181 | 2.5x | 1.9x (90th percentile 3.3x) |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 3,413 | 846 | $78K | $77 | $31 | 2.5x | 2.1x (90th percentile 4.1x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 531 | 531 | $67K | $318 | $126 | 2.5x | 2.3x (90th percentile 4.1x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,058 | 639 | $51K | $153 | $60 | 2.5x | 1.8x (90th percentile 2.9x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 816 | 362 | $30K | $116 | $46 | 2.5x | 1.9x (90th percentile 3.1x) |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 197 | 197 | $23K | $495 | $198 | 2.5x | 1.9x (90th percentile 3.1x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 204 | 169 | $18K | $313 | $124 | 2.5x | 2.0x (90th percentile 3.4x) |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 438 | 341 | $18K | $129 | $52 | 2.5x | 2.3x (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
14 providers in Pasco County, FL carry an indicator in the public record, with $13.9M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by part of a provider network on 4.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PINNACLE HOME CARE, LLC Trinity, FL, ranked 5627 | $0 |
|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Dade City, FL, ranked 5862 | $0 |
|
| 3 | EASTLAKE REHAB & CARE CENTER LLC Trinity, FL, ranked 5987 | $0 |
|
| 3 | EXCELLENCE IN HOME HEALTH SERVICES LLC Land O Lakes, FL, ranked 6225 | $0 |
|
| 4 | SHERRI RICOTTONE Land O Lakes, FL, ranked 7982 | $340K |
|
| 4 | REDA AWAD Hudson, FL, ranked 8552 | $3.0M |
|
| 4 | ALDO DONDERO New Port Richey, FL, ranked 9547 | $125K |
|
| 5 | BRIANNA ROSE Hudson, FL, ranked 10672 | $8.3M |
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.