Providers

ROBERT ANDREI FLOREA, M.D.

NPI 1376723684, individual, Columbus, OH, Family Medicine

1
Evidence tier
adjudicated in a public enforcement record
  • Adjudicated (convicted, sentenced) per a state attorney general release dated October 31, 2024.
  • No Medicaid payments in the last 12 observed months.
  • Hours beyond a day in 20 months, but with up to 1171 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 93923 ($294 per patient-month) sit in the top 5% of every provider billing that code.
  • A second detector adds a weaker signal.
score 94 of 100, rank 288, $0 at stake

Public list actions

Medicare revocation effective June 24, 2025, barred from re-enrolling until June 24, 2035
424.535(a)(3) felonies, Practitioner - General Practice, VA
Medicare revocation effective June 24, 2025, barred from re-enrolling until June 24, 2035
424.535(a)(3) felonies, Practitioner - Family Practice, OH
OIG exclusion December 18, 2025 under section 1128a1
Physician (MD, DO), Family Practice, Caldwell, OH

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
Jan 2019More hours than a day holds, even counting one unit per claim line25.527.518.324.7963199204 99213 99214 99401$90K
Jun 2021More hours than a day holds, even counting one unit per claim line28.226.117.423.8852190832 90833 90836 96136 99204 99213 99214 99401$71K
Jul 2021More hours than a day holds, even counting one unit per claim line34.431.821.229.9973190832 90833 90836 96136 99204 99213 99214 99401$90K
Aug 2021More hours than a day holds, even counting one unit per claim line36.035.023.432.91051190791 90832 90833 90836 96136 99204 99213 99214 99401$97K
Sep 2021More hours than a day holds, even counting one unit per claim line27.125.216.822.9832190791 90832 90833 90836 96136 99213 99214 99401$71K
Oct 2021More hours than a day holds, even counting one unit per claim line29.426.217.525.8728190791 90832 90833 90836 96136 99213 99214 99401$76K
Nov 2021More hours than a day holds, even counting one unit per claim line39.636.024.032.8862190791 90832 90833 90836 96136 99213 99214 99401$101K
Dec 2021More hours than a day holds, even counting one unit per claim line36.533.622.430.2907190791 90832 90833 90834 90836 96136 99213 99214$98K
Jan 2022More hours than a day holds, even counting one unit per claim line43.641.427.640.8964190832 90833 90834 90836 96136 99213 99214$117K
Feb 2022More hours than a day holds, even counting one unit per claim line51.448.532.345.21031190832 90833 90834 90836 96136 99213 99214 99401$121K
Mar 2022More hours than a day holds, even counting one unit per claim line62.558.739.252.81103190791 90832 90833 90834 90836 96136 99213 99214$165K
Apr 2022More hours than a day holds, even counting one unit per claim line59.756.737.854.01080190832 90833 90834 90836 96136 99204 99213 99214$149K
May 2022More hours than a day holds, even counting one unit per claim line64.661.641.157.91171190832 90833 90834 90836 96136 99213 99214$172K
Jun 2022More hours than a day holds, even counting one unit per claim line33.030.520.427.8827190832 90833 96136 99204 99213 99214$85K
Jul 2022More hours than a day holds, even counting one unit per claim line28.825.216.824.8554190832 90833 96136 99213 99214$75K
Aug 2022More hours than a day holds, even counting one unit per claim line43.939.926.635.8963190791 90832 90833 96136 99204 99213 99214$117K
Sep 2022More hours than a day holds, even counting one unit per claim line47.143.128.739.1839190791 90832 90833 96136 99213 99214$122K
Oct 2022More hours than a day holds, even counting one unit per claim line42.239.726.539.1932190791 90832 90833 96136 99213 99214$114K
Nov 2022More hours than a day holds, even counting one unit per claim line47.544.129.440.1918190791 90832 90833 90834 90847 96136 99213 99214$124K
Dec 2022More hours than a day holds, even counting one unit per claim line39.635.823.933.7776190791 90832 90833 90847 96136 99213 99214$105K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameROBERT ANDREI FLOREA, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedNovember 5, 2007, last updated May 12, 2016
Practice location65 HIGHVIEW BLVD, Columbus, OH 43207-6056, 614-850-7450
Specialties
Family Medicine (207Q00000X, primary, license 35.094501 OH)

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
90832Psychotherapy, 30 minutes$1.4M18%$294$59 (top 5% from $239)97th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$1.2M16%$85$60 (top 5% from $133)75th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$820K11%$81$44 (top 5% from $110)89th percentile
93923Complete ultrasound study of arm and leg arteries$778K10%$169$46 (top 5% from $134)98th percentile
L1851Medicaid service code$562K7%$582too few months to rank
E0730Medicaid service code$366K5%$456$66 (top 5% from $236)99th percentile
95924Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt$286K4%$69$69 (top 5% from $140)50th percentile
80307Testing for presence of drug, by chemistry analyzers$279K4%$51$45 (top 5% from $110)58th percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more10313$8K$215$1141.9x2.3x (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

151 providers in Franklin County, OH carry an indicator in the public record, with $200.4M at stake between them. The most common is part of a provider network, on 119 of them, followed by more hours than a day holds on 17. 7 are tier 1: documented action, then payment.

tierproviderat stakewhy
1TOWN STREET MEDICAL, LLC
Columbus, OH, ranked 285
$10K
  • Listed on the Medicare revocation list since November 20, 2024.
  • Medicaid still paid claims in 1 later month, $10,250 in total.
1ANTONIO DELROSARIO
Reynoldsburg, OH, ranked 330
$4K
  • Listed on the Medicare revocation list since November 19, 2020.
  • Medicaid still paid claims in 3 later months, $4,312 in total.
1ANTONIO J. DEL ROSARIO, M.D. INC.
Columbus, OH, ranked 343
$3K
  • Listed on the Medicare revocation list since November 19, 2020.
  • Medicaid still paid claims in 3 later months, $3,241 in total.
1SALLY NJUME-TATSING
Reynoldsburg, OH, ranked 505
$0
  • Adjudicated (convicted, sentenced) per a Department of Justice release dated September 16, 2024.
  • No Medicaid payments in the last 12 observed months.
1BUCKEYE HEALTH AND RESEARCH
Columbus, OH, ranked 546
$0
  • Adjudicated (convicted, sentenced) per a state attorney general release dated October 31, 2024.
  • No Medicaid payments in the last 12 observed months.
1LABELLE HOMEHEALTH CARE SERVICES LLC
Reynoldsburg, OH, ranked 593
$0
  • Adjudicated (convicted, sentenced) per a Department of Justice release dated September 16, 2024.
  • No Medicaid payments in the last 12 observed months.
1BUCKEYE HEALTH AND RESEARCH LLC
Columbus, OH, ranked 636
$0
  • Adjudicated (sentenced, convicted) per a state attorney general release dated October 31, 2024.
  • No Medicaid payments in the last 12 observed months.
3HORIZON HEALTHCARE CENTER LLC
Columbus, OH, ranked 773
$2.8M
  • Part of provider network D1-00066, ranked 66 nationally.
  • Medicaid dollars per patient on code PT624 ($2627 per patient-month) sit in the top 5% of every provider billing that code.
All 151 in OH

Recent enforcement in OH

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.

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

Answers come only from the evidence tables, and every sentence cites the record it used.