Providers

PINNACLE HOME CARE OF SPRING HILL, LLC.

NPI 1467488999, organization, Spring Hill, FL, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00113, ranked 113 nationally.
score 60 of 100, rank 6302, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NamePINNACLE HOME CARE OF SPRING HILL, LLC. (also PINNACLE HOME CARE)
TypeOrganization
StatusActive
NPI issuedJune 25, 2006, last updated February 12, 2025
Practice location5286 APPLEGATE DR, Spring Hill, FL 34606-4507, 813-814-6000
Mailing address4023 TAMPA RD STE 2200, Oldsmar, FL 34677-3212
Authorized officialMAX LAFER (President)
Specialties
Home Health (251E00000X, primary, license 299991933 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
Q5002Medicaid service code$00%$0.00$0.00 (top 5% from $62)too few months to rank
G0299Direct skilled nursing by RN in home health or hospice each 15 min$00%$0.00$151 (top 5% from $742)too few months to rank
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$00%$0.00$133 (top 5% from $1K)too few months to rank

In this area

5 providers in Hernando County, FL carry an indicator in the public record, with $3.9M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3HERNANDO-PASCO HOSPICE, INC.
Brooksville, FL, ranked 4813
$0
  • Part of provider network D1-00126, ranked 126 nationally.
4CAROL SPAGNOLO-HYE
Spring Hill, FL, ranked 8739
$2.0M
  • Hours beyond a day in 5 months, but with up to 1143 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5MICHAEL GRIFFEN
Spring Hill, FL, ranked 9999
$1.8M
  • Medicaid dollars per patient on code 95165 ($1408 per patient-month) sit in the top 5% of every provider billing that code.
5MICHELE BOWMAN
Spring Hill, FL, ranked 10444
$124K
  • Medicaid dollars per patient on code 97530 ($398 per patient-month) sit in the top 5% of every provider billing that code.
5JONADAB UZOHO
Spring Hill, FL, ranked 11759
$47K

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.

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