Providers

ALDO C. DONDERO, M.D.

NPI 1437159811, individual, New Port Richey, FL, Pediatrics

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 2 months, but with up to 559 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 50 of 100, rank 9547, $125K 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.

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 line38.634.823.231.2308199213 99214$80K
Feb 2019More hours than a day holds, even counting one unit per claim line25.621.914.620.4346199213 99214 99215$46K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameALDO C. DONDERO, M.D.
TypeIndividual
StatusActive
NPI issuedJuly 28, 2005, last updated May 19, 2026
Practice location9948 GROVE DR, New Port Richey, FL 34654-3403, 727-844-3551
Specialties
Pediatrics (208000000X, primary, license ME82264 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$737K31%$80$60 (top 5% from $133)71st percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$687K29%$59$44 (top 5% from $110)70th percentile
99393Medicaid service code$200K8%$85$78 (top 5% from $121)63rd percentile
99392Medicaid service code$194K8%$90$78 (top 5% from $124)68th percentile
99391Medicaid service code$174K7%$89$76 (top 5% from $126)68th percentile
99394Medicaid service code$151K6%$91$83 (top 5% from $128)64th percentile
90460Administration of first vaccine or toxoid component with counseling (18 years or younger)$102K4%$18$26 (top 5% from $54)30th percentile
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)$39K2%$7.31$12 (top 5% from $18)24th percentile

In this area

14 providers in Pasco County, FL carry an indicator in the public record, with $13.9M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by part of a provider network on 4.

tierproviderat stakewhy
3PINNACLE HOME CARE, LLC
Trinity, FL, ranked 5627
$0
  • Part of provider network D1-00113, ranked 113 nationally.
3ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Dade City, FL, ranked 5862
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3EASTLAKE REHAB & CARE CENTER LLC
Trinity, FL, ranked 5987
$0
  • Part of provider network D1-00080, ranked 80 nationally.
3EXCELLENCE IN HOME HEALTH SERVICES LLC
Land O Lakes, FL, ranked 6225
$0
  • Part of provider network D1-00111, ranked 111 nationally.
4SHERRI RICOTTONE
Land O Lakes, FL, ranked 7982
$340K
  • Hours beyond a day in 8 months, but with up to 42 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4REDA AWAD
Hudson, FL, ranked 8552
$3.0M
  • Hours beyond a day in 5 months, but with up to 1229 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4PETER RADICE
New Port Richey, FL, ranked 9658
$41K
  • Hours beyond a day in 2 months, but with up to 452 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5BRIANNA ROSE
Hudson, FL, ranked 10672
$8.3M
All 14 in FL

Recent enforcement in FL

All releases

Department 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.

Ask this case

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