Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEA RIDGE FAMILY CARE CENTER INC

NPI: 1013587955 · PENSACOLA, FL 32503 · Family Medicine Physician · NPI assigned 07/01/2021

$5K
Total Medicaid Paid
524
Total Claims
497
Beneficiaries
11
Codes Billed
2021-05
First Month
2021-07
Last Month

Provider Details

Authorized OfficialGARG, PURUSHOTTAM (OWNER)
NPI Enumeration Date07/01/2021

Related Entities

Other providers sharing the same authorized official: GARG, PURUSHOTTAM

ProviderCityStateTotal Paid
PEA RIDGE FAMILY CARE CENTER INC PACE FL $409K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 524 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82 80 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41 39 $2K
99215 Prolong outpt/office vis 14 14 $918.06
3078F 49 46 $0.00
3077F 15 15 $0.00
0521F 43 41 $0.00
3075F 13 12 $0.00
1125F 41 39 $0.00
3074F 71 65 $0.00
3079F 44 42 $0.00
3008F 111 104 $0.00