Providers
All 10 in FL
FEDERICO A FRIAS, M.D
NPI 1407872849, individual, Bradenton, FL, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 733 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 99401 ($150 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7701, $1.9M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2020 | More hours than a day holds at a conservative unit price | 4.6 | 44.9 | 30.0 | 40.8 | 378 | 1 | 99213 99214 99401 | $50K |
| Sep 2020 | More hours than a day holds at a conservative unit price | 5.8 | 41.4 | 27.6 | 37.6 | 514 | 1 | 99211 99212 99213 99214 99401 | $61K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 29.5 | 13.7 | 9.1 | 12.3 | 583 | 1 | 99211 99212 99213 99214 | $35K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | FEDERICO A FRIAS, M.D (also FEDERICO FRIAS) |
| Type | Individual |
| Status | Active |
| NPI issued | July 15, 2006, last updated April 25, 2014 |
| Practice location | 5255 OFFICE PARK BLVD, SUITE 110, Bradenton, FL 34203-3443, 941-755-7000 |
| Specialties | Pediatrics (208000000X, primary, license ME87970 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.0M | 27% | $85 | $44 (top 5% from $110) | 90th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $987K | 25% | $120 | $60 (top 5% from $133) | 93rd percentile | |
| 99393 | Medicaid service code | $262K | 7% | $98 | $78 (top 5% from $121) | 80th percentile | |
| 99392 | Medicaid service code | $256K | 7% | $112 | $78 (top 5% from $124) | 92nd percentile | |
| 99401 | Preventive counseling individual 15 min | $215K | 6% | $150 | $16 (top 5% from $46) | 100th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $213K | 5% | $51 | $44 (top 5% from $70) | 75th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $196K | 5% | $27 | $26 (top 5% from $54) | 52nd percentile | |
| 99394 | Medicaid service code | $146K | 4% | $76 | $83 (top 5% from $128) | 43rd percentile |
In this area
10 providers in Manatee County, FL carry an indicator in the public record, with $4.8M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | LEGACY HOLDINGS AND VENTURES LLC Bradenton, FL, ranked 2824 | $0 |
|
| 3 | FAMILY HOME HEALTH SERVICES LLC Bradenton, FL, ranked 4470 | $0 |
|
| 3 | PROVIDIA HOME CARE LLC. Bradenton, FL, ranked 5273 | $0 |
|
| 3 | AFFINITY CARE OF MANATEE COUNTY LLC Bradenton, FL, ranked 5350 | $0 |
|
| 3 | HOME CARE OF TAMPA BAY, LLC Palmetto, FL, ranked 6022 | $0 |
|
| 4 | STEVEN RIPPY Bradenton, FL, ranked 7782 | $1.3M |
|
| 4 | RAUL CORREA Bradenton, FL, ranked 9195 | $532K |
|
| 4 | LEIGH TESAR Bradenton, FL, ranked 9459 | $210K |
|
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.