Providers
All 10 in FL
RAUL A CORREA, M.D.
NPI 1417955840, individual, Bradenton, FL, Neuromusculoskeletal Medicine, Sports Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 26 months under one organization, which can be supervisory billing.
- Records needed.
score 51 of 100, rank 9195, $532K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2019 | More hours than a day holds at a conservative unit price | 16.3 | 48.6 | 32.4 | 44.2 | 112 | 1 | 99309 | $13K |
| May 2019 | More hours than a day holds at a conservative unit price | 16.5 | 46.8 | 31.2 | 42.1 | 138 | 1 | 99214 99309 | $13K |
| Jun 2019 | More hours than a day holds at a conservative unit price | 17.9 | 50.0 | 33.3 | 50.0 | 168 | 1 | 99214 99309 | $15K |
| Jul 2019 | More hours than a day holds at a conservative unit price | 18.2 | 55.3 | 36.9 | 49.7 | 173 | 1 | 99214 99309 | $16K |
| Aug 2019 | More hours than a day holds at a conservative unit price | 20.6 | 58.3 | 38.9 | 54.7 | 214 | 1 | 99214 99309 | $17K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 25.3 | 52.4 | 34.9 | 49.9 | 225 | 1 | 99214 99309 | $16K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 26.8 | 63.3 | 42.2 | 56.8 | 227 | 1 | 99214 99309 | $19K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 30.1 | 68.3 | 45.6 | 65.1 | 251 | 1 | 99214 99309 | $20K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 28.7 | 60.0 | 40.0 | 56.4 | 251 | 1 | 99214 99309 | $17K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 25.4 | 50.1 | 33.4 | 45.0 | 209 | 1 | 99214 99309 | $23K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 27.7 | 44.0 | 29.4 | 42.6 | 233 | 1 | 99214 99309 | $19K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 24.3 | 39.4 | 26.3 | 37.0 | 236 | 1 | 99214 99309 | $18K |
| Apr 2020 | More hours than a day holds at a conservative unit price | 20.6 | 36.4 | 24.3 | 33.1 | 205 | 1 | 99214 99309 | $16K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 27.0 | 50.3 | 33.5 | 49.5 | 202 | 1 | 99214 99309 | $23K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 30.6 | 57.6 | 38.4 | 52.4 | 213 | 1 | 99214 99309 | $25K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 26.6 | 53.8 | 35.9 | 48.4 | 178 | 1 | 99214 99309 | $24K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 27.9 | 55.3 | 36.9 | 54.4 | 186 | 1 | 99214 99309 | $25K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 26.3 | 48.5 | 32.3 | 44.1 | 175 | 1 | 99214 99309 | $22K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 27.4 | 46.8 | 31.2 | 44.0 | 186 | 1 | 99214 99309 | $22K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 26.1 | 42.4 | 28.3 | 40.4 | 186 | 1 | 99214 99309 | $19K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 26.9 | 44.7 | 29.8 | 40.2 | 205 | 1 | 99214 99306 99309 | $21K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 27.2 | 65.0 | 43.3 | 64.0 | 175 | 1 | 99214 99215 99309 | $27K |
| Feb 2021 | More hours than a day holds at a conservative unit price | 23.0 | 50.0 | 33.3 | 46.6 | 171 | 1 | 99214 99309 | $19K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 27.4 | 52.1 | 34.7 | 46.8 | 199 | 1 | 99214 99306 99309 | $22K |
| Apr 2021 | More hours than a day holds at a conservative unit price | 22.6 | 49.0 | 32.6 | 44.5 | 183 | 1 | 99214 99309 | $20K |
| Jun 2021 | More hours than a day holds at a conservative unit price | 19.3 | 38.6 | 25.7 | 35.1 | 125 | 1 | 99214 99309 | $16K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RAUL A CORREA, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 10, 2005, last updated July 13, 2026 |
| Practice location | 2505 MANATEE AVE W, Bradenton, FL 34205-4935, 941-748-1171 |
| Mailing address | 4004 BAYSIDE DR, Bradenton, FL 34210-4113 |
| Specialties | Neuromusculoskeletal Medicine, Sports Medicine (204C00000X, primary, license ME0026868 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $511K | 91% | $77 | $21 (top 5% from $84) | 94th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $46K | 8% | $22 | $60 (top 5% from $133) | 11th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $1K | 0% | $64 | $88 (top 5% from $210) | too few months to rank | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $658 | 0% | $6.58 | $37 (top 5% from $100) | 5th percentile | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | $625 | 0% | $2.58 | $13 (top 5% from $40) | 24th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $0 | 0% | $0.00 | $44 (top 5% from $110) | too few months to rank | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $0 | 0% | $0.00 | $14 (top 5% from $58) | 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 |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,817 | 97 | $170K | $200 | $124 | 1.6x | 2.3x (90th percentile 3.8x) |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 197 | 29 | $16K | $125 | $102 | 1.2x | 1.6x (90th percentile 2.9x) |
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
10 providers in Manatee County, FL carry an indicator in the public record, with $6.1M 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 | FEDERICO FRIAS Bradenton, FL, ranked 7701 | $1.9M |
|
| 4 | STEVEN RIPPY Bradenton, FL, ranked 7782 | $1.3M |
|
| 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.