Providers
All 12 in FL
HUMAYUN SHAREEF, MD DO
NPI 1790843464, individual, Ft Pierce, FL, Family Medicine
2
Evidence tier
impossible volume with concurrency
- Billed more hands-on hours than a day holds in 11 months, peaking at 33.4 hours per day across 3 billing organizations.
score 81 of 100, rank 738, $406K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds at a conservative unit price | 13.5 | 41.1 | 27.4 | 37.0 | 414 | 3 | 99214 99215 99223 99232 99233 99238 99307 99308 99309 | $19K |
| Nov 2019 | More hours than a day holds at a conservative unit price | 17.9 | 46.6 | 31.0 | 44.3 | 423 | 2 | 99214 99215 99222 99223 99232 99233 99238 99306 99307 99308 99309 99310 | $18K |
| Jan 2021 | More hours than a day holds at a conservative unit price | 7.4 | 39.6 | 26.4 | 38.9 | 218 | 2 | 99214 99223 99232 99307 99309 99310 99406 | $18K |
| Feb 2021 | More hours than a day holds at a conservative unit price | 7.4 | 44.2 | 29.5 | 41.2 | 193 | 2 | 99214 99222 99223 99232 99307 99308 99309 99310 | $19K |
| Mar 2021 | More hours than a day holds at a conservative unit price | 7.0 | 43.8 | 29.2 | 39.4 | 198 | 2 | 99214 99215 99223 99307 99308 99309 99310 | $19K |
| Jul 2021 | More hours than a day holds at a conservative unit price | 8.6 | 40.6 | 27.1 | 38.1 | 211 | 2 | 99214 99222 99223 99232 99233 99307 99309 99310 99406 | $19K |
| Sep 2021 | More hours than a day holds at a conservative unit price | 10.1 | 37.1 | 24.7 | 33.7 | 179 | 1 | 99223 99233 99307 99309 99310 | $17K |
| Nov 2021 | More hours than a day holds at a conservative unit price | 12.4 | 40.7 | 27.1 | 37.0 | 189 | 1 | 99223 99233 99307 99309 99310 | $19K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 12.0 | 48.4 | 32.3 | 43.5 | 219 | 2 | 99215 99223 99233 99307 99308 99309 99310 | $22K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 8.6 | 50.1 | 33.4 | 49.3 | 159 | 2 | 99223 99307 99309 99310 | $19K |
| Feb 2022 | More hours than a day holds at a conservative unit price | 11.1 | 40.6 | 27.0 | 37.9 | 183 | 2 | 99223 99233 99307 99308 99309 99310 | $14K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HUMAYUN SHAREEF, MD DO |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 5, 2006, last updated November 5, 2010 |
| Practice location | 2100 NEBRASKA AVENUE, SUITE 111, Ft Pierce, FL 34950-4831, 772-465-6979 |
| Specialties | Family Medicine (207Q00000X, primary, license 058720 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $146K | 30% | $53 | $21 (top 5% from $84) | 88th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $110K | 23% | $59 | $30 (top 5% from $134) | 78th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $79K | 16% | $70 | $81 (top 5% from $170) | 24th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $39K | 8% | $22 | $7.86 (top 5% from $34) | 89th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $18K | 4% | $14 | $14 (top 5% from $58) | 51st percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $17K | 4% | $28 | $67 (top 5% from $174) | 8th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $16K | 3% | $28 | $96 (top 5% from $249) | 3rd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $13K | 3% | $12 | $60 (top 5% from $133) | 9th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,045 | 152 | $86K | $194 | $108 | 1.8x | 2.0x (90th percentile 3.3x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 486 | 140 | $58K | $264 | $155 | 1.7x | 2.0x (90th percentile 3.4x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,110 | 149 | $53K | $120 | $63 | 1.9x | 1.8x (90th percentile 2.9x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 557 | 243 | $48K | $195 | $129 | 1.5x | 2.3x (90th percentile 3.8x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 493 | 95 | $47K | $164 | $120 | 1.4x | 2.6x (90th percentile 4.7x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 592 | 141 | $34K | $160 | $75 | 2.1x | 2.0x (90th percentile 3.4x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 216 | 138 | $28K | $275 | $181 | 1.5x | 2.4x (90th percentile 4.1x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 165 | 165 | $21K | $250 | $129 | 1.9x | 2.3x (90th percentile 4.1x) |
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
12 providers in St. Lucie County, FL carry an indicator in the public record, with $2.1M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by part of a provider network on 4.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PINNACLE HOME CARE OF THE PALM BEACHES, LLC. Port ST Lucie, FL, ranked 1975 | $0 |
|
| 3 | HOSPICE OF THE TREASURE COAST INC Fort Pierce, FL, ranked 2187 | $0 |
|
| 3 | LIGHTHOUSE HOME HEALTH AGENCY, LLC Port ST Lucie, FL, ranked 3350 | $0 |
|
| 3 | ACCESS HOME HEALTH OF FLORIDA, LLC Port Saint Lucie, FL, ranked 7189 | $0 |
|
| 4 | KELLY HARRIS Port Saint Lucie, FL, ranked 7880 | $775K |
|
| 4 | RAUL RODRIGUEZ-TORRES Fort Pierce, FL, ranked 9274 | $408K |
|
| 4 | ARTURO GAMEZ Port Saint Lucie, FL, ranked 9356 | $303K |
|
| 4 | ERNESTO BARRAL Port Saint Lucie, FL, ranked 9707 | $20K |
|
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.