Providers
All 18 in FL
PHIMAGHAM SRIRAMULU PREMKANTH, M.D.
NPI 1427078948, individual, Bartow, FL, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 8 months, but with up to 1273 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8488, $3.6M 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 2022 | More hours than a day holds at a conservative unit price | 17.5 | 47.6 | 31.8 | 46.9 | 1149 | 2 | 97802 99213 99214 | $119K |
| May 2022 | More hours than a day holds at a conservative unit price | 13.9 | 39.2 | 26.1 | 36.8 | 1029 | 2 | 97802 99213 99214 | $99K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 16.1 | 41.7 | 27.8 | 37.5 | 1273 | 2 | 97802 99213 99214 | $105K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 12.3 | 36.0 | 24.0 | 35.4 | 886 | 2 | 97802 99213 99214 | $91K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 13.7 | 38.4 | 25.6 | 34.9 | 972 | 2 | 97802 99213 99214 | $95K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 13.9 | 38.5 | 25.6 | 36.1 | 1014 | 2 | 97802 99203 99213 99214 | $100K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 14.8 | 42.6 | 28.4 | 39.8 | 961 | 2 | 97802 99213 99214 | $99K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 15.4 | 39.2 | 26.1 | 35.2 | 1132 | 2 | 97802 99213 99214 | $102K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PHIMAGHAM SRIRAMULU PREMKANTH, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 20, 2006, last updated February 24, 2026 |
| Practice location | 1265 E MAIN ST, Bartow, FL 33830-5006, 863-534-3737 |
| Specialties | Pediatrics (208000000X, primary, license ME89352 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 | $2.4M | 38% | $83 | $44 (top 5% from $110) | 89th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.2M | 19% | $90 | $60 (top 5% from $133) | 79th percentile | |
| 99392 | Medicaid service code | $495K | 8% | $104 | $78 (top 5% from $124) | 87th percentile | |
| 99393 | Medicaid service code | $460K | 7% | $94 | $78 (top 5% from $121) | 76th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $381K | 6% | $31 | $26 (top 5% from $54) | 61st percentile | |
| 99394 | Medicaid service code | $371K | 6% | $102 | $83 (top 5% from $128) | 76th percentile | |
| 99391 | Medicaid service code | $341K | 5% | $84 | $76 (top 5% from $126) | 62nd percentile | |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | $206K | 3% | $13 | $3.93 (top 5% from $105) | 65th percentile |
In this area
18 providers in Polk County, FL carry an indicator in the public record, with $29.4M at stake between them. The most common is more hours than a day holds, on 13 of them, followed by part of a provider network on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | GOOD SHEPHERD HOSPICE, INC. Lakeland, FL, ranked 1417 | $52K |
|
| 3 | EMPATH HOSPICE, LLC Lakeland, FL, ranked 2612 | $0 |
|
| 3 | PINNACLE HOME CARE OF HILLSBOROUGH, LLC. Winter Haven, FL, ranked 2896 | $0 |
|
| 3 | CENTERWELL HEALTH SERVICES (CERTIFIED), INC. Lakeland, FL, ranked 4023 | $0 |
|
| 3 | LAKELAND HOME CARE SERVICES, LLC Winter Haven, FL, ranked 6573 | $0 |
|
| 4 | RAJESWARI SONNI Lake Wales, FL, ranked 8346 | $6.8M |
|
| 4 | PARMJIT GILL Lakeland, FL, ranked 8480 | $3.7M |
|
| 4 | LISA UTSEY Haines City, FL, ranked 8521 | $3.3M |
|
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.