Providers
All 13 in FL
SHIRLEY A ICE, MD
NPI 1972581288, individual, Belleview, FL, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month, but with up to 1553 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8573, $2.9M 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 2023 | More hours than a day holds, even counting one unit per claim line | 24.5 | 19.7 | 13.2 | 19.7 | 1314 | 3 | 99203 99211 99213 99214 | $52K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHIRLEY A ICE, MD |
| Type | Individual |
| Status | Active |
| NPI issued | January 6, 2006, last updated July 3, 2014 |
| Practice location | 10762 SE US HIGHWAY 441, Belleview, FL 34420-3805, 352-347-5225 |
| Specialties | Family Medicine (207Q00000X, primary, license ME71113 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 | $1.9M | 48% | $37 | $44 (top 5% from $110) | 39th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.0M | 26% | $48 | $60 (top 5% from $133) | 34th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $214K | 6% | $68 | $67 (top 5% from $121) | 51st percentile | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $81K | 2% | $4.94 | $5.69 (top 5% from $25) | 42nd percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $72K | 2% | $48 | $45 (top 5% from $138) | 54th percentile | |
| 80053 | Blood test, comprehensive group of blood chemicals | $60K | 2% | $4.61 | $8.38 (top 5% from $44) | 28th percentile | |
| 99394 | Medicaid service code | $54K | 1% | $72 | $83 (top 5% from $128) | 40th percentile | |
| 99395 | Medicaid service code | $49K | 1% | $73 | $73 (top 5% from $138) | 50th 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 |
|---|---|---|---|---|---|---|---|---|
| 82306 | Vitamin d-3 level | 616 | 415 | $18K | $65 | $29 | 2.2x | 2.9x (90th percentile 5.3x) |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 867 | 497 | $14K | $48 | $16 | 2.9x | 3.3x (90th percentile 5.5x) |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 958 | 537 | $13K | $39 | $13 | 3.0x | 3.5x (90th percentile 6.9x) |
| 80053 | Blood test, comprehensive group of blood chemicals | 1,053 | 577 | $11K | $31 | $10 | 3.0x | 3.7x (90th percentile 7.4x) |
| 82607 | Cyanocobalamin (vitamin b-12) level | 695 | 416 | $10K | $43 | $15 | 2.9x | 3.4x (90th percentile 5.5x) |
| 82746 | Folic acid level, serum | 691 | 416 | $10K | $42 | $14 | 2.9x | 3.2x (90th percentile 5.5x) |
| 83036 | Hemoglobin a1c level | 973 | 546 | $9K | $28 | $10 | 2.9x | 3.5x (90th percentile 6.9x) |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,176 | 616 | $9K | $23 | $8 | 3.0x | 3.8x (90th percentile 7.1x) |
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
13 providers in Marion County, FL carry an indicator in the public record, with $10.7M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 5. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MICHELLE FORSYTHE Ocala, FL, ranked 577 | $0 |
|
| 3 | CR & RA INVESTMENTS LLC Ocala, FL, ranked 1038 | $1.1M |
|
| 3 | HOSPICE OF MARION COUNTY INC Ocala, FL, ranked 2773 | $0 |
|
| 3 | PREFERRED HOME HEALTH PROVIDERS, INC. Ocala, FL, ranked 3314 | $0 |
|
| 3 | HEAL AT HOME HEALTHCARE LLC Ocala, FL, ranked 4475 | $0 |
|
| 3 | MHC AREA 3, LLC Ocala, FL, ranked 4661 | $0 |
|
| 4 | CHRIS OKONKWO Ocala, FL, ranked 8590 | $2.8M |
|
| 4 | SHAHAB EUNUS Ocala, FL, ranked 8634 | $2.5M |
|
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.