NICHOLAS DANIEL LUKERT, MD
NPI 1700377835, individual, Lake Placid, FL, Pediatrics
- Hours beyond a day in 1 month, but with up to 671 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 27.7 | 4.0 | 2.6 | 3.6 | 499 | 1 | 99213 99214 | $10K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NICHOLAS DANIEL LUKERT, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 24, 2018, last updated March 15, 2024 |
| Practice location | 77 US HIGHWAY 27 N, Lake Placid, FL 33852-9571, 863-699-5437 |
| Mailing address | 900 S PINE ISLAND RD STE 800, Plantation, FL 33324-3923 |
| Specialties | Pediatrics (208000000X, primary, license ME148735 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $242K | 30% | $72 | $60 (top 5% from $133) | 63rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $225K | 28% | $47 | $44 (top 5% from $110) | 54th percentile | |
| 99392 | Medicaid service code | $61K | 8% | $68 | $78 (top 5% from $124) | 37th percentile | |
| 99391 | Medicaid service code | $60K | 7% | $69 | $76 (top 5% from $126) | 39th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $55K | 7% | $26 | $26 (top 5% from $54) | 49th percentile | |
| 99393 | Medicaid service code | $41K | 5% | $66 | $78 (top 5% from $121) | 36th percentile | |
| 99394 | Medicaid service code | $29K | 4% | $65 | $83 (top 5% from $128) | 35th percentile | |
| 90461 | Medicaid service code | $16K | 2% | $12 | $4.53 (top 5% from $42) | 69th percentile |
In this area
2 providers in Highlands County, FL carry an indicator in the public record, with $3.0M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE, INC. Sebring, FL, ranked 3925 | $0 |
|
| 5 | RAISA CAMILO Sebring, FL, ranked 10739 | $3.0M |
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.