Providers
All 14 in FL
GERMANO FALCAO, MD
NPI 1508021742, individual, Oviedo, FL, Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
5
Evidence tier
informational
- Medicaid dollars per patient on code 99204 ($644 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10080, $1.2M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GERMANO FALCAO, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 28, 2008, last updated November 21, 2019 |
| Practice location | 2984 ALAFAYA TRL STE 2020, Oviedo, FL 32765-7628, 407-278-2401 |
| Mailing address | 2984 ALAFAYA TRL, SUITE 2020, Oviedo, FL 32765-7628 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license ME125808 FL) Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (2084N0402X, primary, license ME125808 FL) Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (2084B0040X, license ME125808 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 | |
|---|---|---|---|---|---|---|---|
| 95813 | Measurement of brain wave activity (eeg), 61-119 minutes | $685K | 16% | $644 | $132 (top 5% from $472) | 97th percentile | |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $658K | 16% | $74 | $6.11 (top 5% from $38) | 98th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $641K | 15% | $275 | $95 (top 5% from $171) | 100th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $573K | 13% | $127 | $60 (top 5% from $133) | 94th percentile | |
| 96132 | Evaluation of neuropsychological test, first hour | $271K | 6% | $199 | $92 (top 5% from $247) | 92nd percentile | |
| 96133 | Evaluation of neuropsychological test, each additional hour | $202K | 5% | $158 | $238 (top 5% from $751) | 32nd percentile | |
| 96116 | Exam of neurobehavioral status, first hour | $195K | 5% | $144 | $59 (top 5% from $351) | 83rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $190K | 4% | $81 | $44 (top 5% from $110) | 89th percentile |
In this area
14 providers in Seminole County, FL carry an indicator in the public record, with $40.3M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Altamonte Springs, FL, ranked 1942 | $0 |
|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Altamonte Springs, FL, ranked 2271 | $0 |
|
| 3 | HOME HEALTH AREA 7, LLC Altamonte Springs, FL, ranked 6577 | $0 |
|
| 4 | VENESSA THOMAS Altamonte Springs, FL, ranked 7318 | $1.3M |
|
| 4 | TIMOTHY HENDRIX Sanford, FL, ranked 7346 | $25.6M |
|
| 4 | SCOTT VANLUE Altamonte Springs, FL, ranked 7406 | $7.1M |
|
| 4 | PAMELA ROWE Longwood, FL, ranked 7571 | $2.9M |
|
| 5 | FRANCO VALLEJO GARCIA Lake Mary, FL, ranked 10132 | $897K |
|
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.