ROBERT ANDREI FLOREA, M.D.
NPI 1376723684, individual, Columbus, OH, Family Medicine
- 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.
Public list actions
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 2019 | More hours than a day holds, even counting one unit per claim line | 25.5 | 27.5 | 18.3 | 24.7 | 963 | 1 | 99204 99213 99214 99401 | $90K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 28.2 | 26.1 | 17.4 | 23.8 | 852 | 1 | 90832 90833 90836 96136 99204 99213 99214 99401 | $71K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 34.4 | 31.8 | 21.2 | 29.9 | 973 | 1 | 90832 90833 90836 96136 99204 99213 99214 99401 | $90K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 36.0 | 35.0 | 23.4 | 32.9 | 1051 | 1 | 90791 90832 90833 90836 96136 99204 99213 99214 99401 | $97K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 27.1 | 25.2 | 16.8 | 22.9 | 832 | 1 | 90791 90832 90833 90836 96136 99213 99214 99401 | $71K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 29.4 | 26.2 | 17.5 | 25.8 | 728 | 1 | 90791 90832 90833 90836 96136 99213 99214 99401 | $76K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 39.6 | 36.0 | 24.0 | 32.8 | 862 | 1 | 90791 90832 90833 90836 96136 99213 99214 99401 | $101K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 36.5 | 33.6 | 22.4 | 30.2 | 907 | 1 | 90791 90832 90833 90834 90836 96136 99213 99214 | $98K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 43.6 | 41.4 | 27.6 | 40.8 | 964 | 1 | 90832 90833 90834 90836 96136 99213 99214 | $117K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 51.4 | 48.5 | 32.3 | 45.2 | 1031 | 1 | 90832 90833 90834 90836 96136 99213 99214 99401 | $121K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 62.5 | 58.7 | 39.2 | 52.8 | 1103 | 1 | 90791 90832 90833 90834 90836 96136 99213 99214 | $165K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 59.7 | 56.7 | 37.8 | 54.0 | 1080 | 1 | 90832 90833 90834 90836 96136 99204 99213 99214 | $149K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 64.6 | 61.6 | 41.1 | 57.9 | 1171 | 1 | 90832 90833 90834 90836 96136 99213 99214 | $172K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 33.0 | 30.5 | 20.4 | 27.8 | 827 | 1 | 90832 90833 96136 99204 99213 99214 | $85K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 28.8 | 25.2 | 16.8 | 24.8 | 554 | 1 | 90832 90833 96136 99213 99214 | $75K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 43.9 | 39.9 | 26.6 | 35.8 | 963 | 1 | 90791 90832 90833 96136 99204 99213 99214 | $117K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 47.1 | 43.1 | 28.7 | 39.1 | 839 | 1 | 90791 90832 90833 96136 99213 99214 | $122K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 42.2 | 39.7 | 26.5 | 39.1 | 932 | 1 | 90791 90832 90833 96136 99213 99214 | $114K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 47.5 | 44.1 | 29.4 | 40.1 | 918 | 1 | 90791 90832 90833 90834 90847 96136 99213 99214 | $124K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 39.6 | 35.8 | 23.9 | 33.7 | 776 | 1 | 90791 90832 90833 90847 96136 99213 99214 | $105K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT ANDREI FLOREA, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 5, 2007, last updated May 12, 2016 |
| Practice location | 65 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | $1.4M | 18% | $294 | $59 (top 5% from $239) | 97th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.2M | 16% | $85 | $60 (top 5% from $133) | 75th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $820K | 11% | $81 | $44 (top 5% from $110) | 89th percentile | |
| 93923 | Complete ultrasound study of arm and leg arteries | $778K | 10% | $169 | $46 (top 5% from $134) | 98th percentile | |
| L1851 | Medicaid service code | $562K | 7% | $582 | too few months to rank | ||
| E0730 | Medicaid service code | $366K | 5% | $456 | $66 (top 5% from $236) | 99th percentile | |
| 95924 | Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt | $286K | 4% | $69 | $69 (top 5% from $140) | 50th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $279K | 4% | $51 | $45 (top 5% from $110) | 58th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 103 | 13 | $8K | $215 | $114 | 1.9x | 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
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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TOWN STREET MEDICAL, LLC Columbus, OH, ranked 285 | $10K |
|
| 1 | ANTONIO DELROSARIO Reynoldsburg, OH, ranked 330 | $4K |
|
| 1 | ANTONIO J. DEL ROSARIO, M.D. INC. Columbus, OH, ranked 343 | $3K |
|
| 1 | SALLY NJUME-TATSING Reynoldsburg, OH, ranked 505 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH Columbus, OH, ranked 546 | $0 |
|
| 1 | LABELLE HOMEHEALTH CARE SERVICES LLC Reynoldsburg, OH, ranked 593 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH LLC Columbus, OH, ranked 636 | $0 |
|
| 3 | HORIZON HEALTHCARE CENTER LLC Columbus, OH, ranked 773 | $2.8M |
|
Recent enforcement in OH
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.