Providers
All 15 in FL
SANJAY MEHRA, M.D.
NPI 1720010127, individual, Kissimmee, FL, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 10 months, but with up to 1260 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 90460 ($83 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7630, $2.4M at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2021 | More hours than a day holds at a conservative unit price | 15.5 | 39.4 | 26.3 | 35.8 | 1169 | 2 | 99203 99213 99214 G0447 | $109K |
| Feb 2022 | More hours than a day holds at a conservative unit price | 12.8 | 39.6 | 26.4 | 36.9 | 1034 | 2 | 99203 99213 99214 G0444 G0447 | $74K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 12.4 | 42.0 | 28.0 | 37.8 | 1225 | 2 | 99203 99213 G0444 G0447 | $71K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 13.0 | 39.9 | 26.6 | 39.3 | 1158 | 2 | 99203 99213 99214 G0444 G0447 | $86K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 12.8 | 39.3 | 26.2 | 35.7 | 1083 | 2 | 99203 99213 99214 G0444 G0447 | $82K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 12.3 | 40.3 | 26.9 | 37.9 | 1157 | 2 | 99203 99213 G0444 G0447 | $80K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 13.2 | 39.8 | 26.5 | 37.4 | 1217 | 2 | 99203 99213 99214 G0444 G0447 | $78K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 13.6 | 37.7 | 25.1 | 33.9 | 1218 | 2 | 99203 99213 99214 G0444 G0447 | $82K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 14.5 | 39.0 | 26.0 | 39.0 | 1260 | 2 | 99203 99213 G0444 G0447 | $88K |
| May 2023 | More hours than a day holds at a conservative unit price | 12.4 | 37.6 | 25.1 | 33.8 | 1173 | 2 | 99213 G0444 G0447 | $74K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SANJAY MEHRA, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 7, 2006, last updated April 15, 2025 |
| Practice location | 1144 CYPRESS GLEN CIR, Kissimmee, FL 34741-7559, 407-483-5900 |
| Specialties | Pediatrics (208000000X, license ME92812 FL) Pediatrics (208000000X, primary, license ME 92812 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.4M | 31% | $90 | $44 (top 5% from $110) | 92nd percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $1.3M | 17% | $83 | $26 (top 5% from $54) | 100th percentile | |
| 99393 | Medicaid service code | $805K | 10% | $104 | $78 (top 5% from $121) | 87th percentile | |
| 99392 | Medicaid service code | $803K | 10% | $103 | $78 (top 5% from $124) | 86th percentile | |
| 99391 | Medicaid service code | $594K | 8% | $101 | $76 (top 5% from $126) | 85th percentile | |
| 99394 | Medicaid service code | $543K | 7% | $111 | $83 (top 5% from $128) | 86th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $406K | 5% | $61 | $44 (top 5% from $70) | 91st percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $179K | 2% | $30 | $22 (top 5% from $33) | 89th percentile |
In this area
15 providers in Osceola County, FL carry an indicator in the public record, with $16.0M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AQUAMED SUPPLY LLC Kissimmee, FL, ranked 1676 | $587 |
|
| 3 | HOUSECALL HOME HEALTH, L.L.C. Celebration, FL, ranked 2012 | $0 |
|
| 3 | CROWN HOME CARE INC Kissimmee, FL, ranked 2710 | $0 |
|
| 3 | KISSIMMEE OPCO LLC Kissimmee, FL, ranked 2918 | $0 |
|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Kissimmee, FL, ranked 3057 | $0 |
|
| 3 | ST CLOUD OPCO LLC Saint Cloud, FL, ranked 6879 | $0 |
|
| 4 | AZIZ IMTIAZ Kissimmee, FL, ranked 7629 | $2.4M |
|
| 4 | INDIRA AYALA Kissimmee, FL, ranked 8315 | $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.
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.