GARY M WEISS, MD
NPI 1710967328, individual, Palm Bay, FL, Psychiatry & Neurology, Neurology
- Listed on the CO Medicaid exclusion list since September 26, 2016.
- Medicaid still paid claims in 38 later months, $3,047 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| CO Medicaid exclusion list state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap) | Exact NPI, name verified | Sep 26, 2016 | still open | 38 | Jan 2018 | Aug 2021 | $3K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GARY M WEISS, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 19, 2006, last updated January 25, 2010 |
| Practice location | 1051 PORT MALABAR BLVD NE, SUITE 6, Palm Bay, FL 32905-5153, 321-727-9063 |
| Specialties | Psychiatry & Neurology, Neurology (2084N0400X, primary, license ME39943 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 | $2K | 71% | $2.84 | $60 (top 5% from $133) | 4th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $532 | 17% | $2.09 | $44 (top 5% from $110) | 6th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $338 | 11% | $1.59 | $88 (top 5% from $210) | 4th percentile | |
| 70551 | Mri scan of brain without contrast | $0 | 0% | $0.00 | $63 (top 5% from $325) | too few months to rank |
In this area
11 providers in Brevard County, FL carry an indicator in the public record, with $4.0M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 5. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | STEVEN WILLIAMS Melbourne, FL, ranked 404 | $817 |
|
| 3 | QUALITY CARE HOME HEALTH, LLC Melbourne, FL, ranked 2548 | $0 |
|
| 3 | MI SNF OPCO LLC Merritt Island, FL, ranked 4401 | $0 |
|
| 3 | HOSPICE OF ST. FRANCIS, INC. Titusville, FL, ranked 4930 | $0 |
|
| 3 | CAPE CANAVERAL HOSPITAL, INC. Melbourne, FL, ranked 5822 | $0 |
|
| 3 | HOSPICE OF HEALTH FIRST INC. West Melbourne, FL, ranked 6388 | $0 |
|
| 5 | VENKAT PAVAN KANCHARLA Palm Bay, FL, ranked 10260 | $504K |
|
| 5 | MAGED FARID West Melbourne, FL, ranked 10724 | $3.4M |
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.