SHERRI RICOTTONE, ARNP
NPI 1699026948, individual, Land O Lakes, FL, Nurse Practitioner, Family
- 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.
- Medicaid dollars per patient on code 99348 ($312 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds at a conservative unit price | 0.8 | 37.0 | 24.6 | 33.6 | 32 | 1 | 99348 99350 | $12K |
| May 2023 | More hours than a day holds at a conservative unit price | 1.5 | 38.6 | 25.8 | 34.7 | 40 | 1 | 99348 99350 | $10K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 1.1 | 41.2 | 27.4 | 37.4 | 38 | 1 | 99348 99350 | $11K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 1.1 | 46.0 | 30.7 | 45.3 | 39 | 1 | 99348 99350 | $13K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 1.1 | 53.5 | 35.6 | 50.9 | 40 | 1 | 99348 99350 | $15K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 0.9 | 36.2 | 24.1 | 34.0 | 30 | 1 | 99348 99350 | $10K |
| Nov 2023 | More hours than a day holds at a conservative unit price | 1.1 | 51.2 | 34.1 | 46.6 | 38 | 1 | 99348 99350 | $14K |
| Dec 2023 | More hours than a day holds at a conservative unit price | 1.1 | 45.0 | 30.0 | 44.3 | 37 | 1 | 99348 99350 | $12K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHERRI RICOTTONE, ARNP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 26, 2012, last updated June 4, 2018 |
| Practice location | 22829 STATE ROAD 54, Land O Lakes, FL 34639, 813-915-5459 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license ARNP3115222 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $261K | 72% | $289 | $37 (top 5% from $218) | 97th percentile | |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | $83K | 23% | $312 | $17 (top 5% from $105) | 99th percentile | |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | $10K | 3% | $364 | $79 (top 5% from $359) | too few months to rank | |
| 99339 | Medicaid service code | $7K | 2% | $568 | too few months to rank | ||
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $948 | 0% | $28 | $44 (top 5% from $110) | too few months to rank | |
| 3074F | Medicaid service code | $375 | 0% | $0.47 | $0.00 (top 5% from $1.18) | 92nd percentile | |
| 1159F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.12) | 0th percentile | |
| 1125F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.19) | 0th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 26 | 26 | $4K | $428 | $140 | 3.1x | 2.0x (90th percentile 3.3x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | 38 | $3K | $270 | $78 | 3.5x | 2.2x (90th percentile 3.8x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 37 | 37 | $2K | $337 | $95 | 3.5x | 2.4x (90th percentile 3.9x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 | 16 | $2K | $500 | $145 | 3.5x | 2.4x (90th percentile 3.9x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | 13 | $2K | $382 | $110 | 3.5x | 2.3x (90th percentile 3.8x) |
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
14 providers in Pasco County, FL carry an indicator in the public record, with $13.6M 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.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PINNACLE HOME CARE, LLC Trinity, FL, ranked 5627 | $0 |
|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Dade City, FL, ranked 5862 | $0 |
|
| 3 | EASTLAKE REHAB & CARE CENTER LLC Trinity, FL, ranked 5987 | $0 |
|
| 3 | EXCELLENCE IN HOME HEALTH SERVICES LLC Land O Lakes, FL, ranked 6225 | $0 |
|
| 4 | REDA AWAD Hudson, FL, ranked 8552 | $3.0M |
|
| 4 | ALDO DONDERO New Port Richey, FL, ranked 9547 | $125K |
|
| 4 | PETER RADICE New Port Richey, FL, ranked 9658 | $41K |
|
| 5 | BRIANNA ROSE Hudson, FL, ranked 10672 | $8.3M |
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.