Managed care
Aetna Better Health of Florida INC - Reg 11
Aetna Better Health of Florida INC - Reg 11 was paid $18K by Medicaid between Aug 2021 and May 2022, across 39 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 26% of everything it billed.
33Billing provider infoAETNA BETTER HEALTH OF FLORIDA INC - REG 11
PLANTATION, FL 33324
PLANTATION, FL 33324
33aNPI1033863527assigned 02/04/2022
33bProvider typeHealth Maintenance Organization
28Total paid$18K
24GClaims1,990
24DCodes billed39
24AFirst – last monthAug 2021 – May 2022
Compared with peers
Next to other Health Maintenance Organization providers in Florida
Rank by total paid#11 of 19
Median peer was paid$36K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 124 | $0.00 | |
| 2022 | 1,866 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 26% | 279 | 178 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 109 | 108 | $3K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 18% | 27 | 27 | $3K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 15% | 47 | 45 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | 9.8% | 20 | 16 | $2K |
| 76801 | 7.0% | 12 | 12 | $1K | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.3% | 13 | 13 | $780.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 16 | 15 | $255.36 |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | 25 | $12.00 |
| 92567 | <1% | 16 | 16 | $10.18 | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 0% | 123 | 108 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 49 | 48 | $0.00 |
27 more codes
| 76641 | 0% | 54 | $0.00 | |
| 81001 | 0% | 42 | $0.00 | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 0% | 12 | $0.00 |
| A0427 | Emergency ambulance ride, advanced life support | 0% | 42 | $0.00 |
| 99285 | Emergency room visit (most serious) | 0% | 163 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 23 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 35 | $0.00 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 0% | 13 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 15 | $0.00 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 12 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 31 | $0.00 |
| 76536 | 0% | 20 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 12 | $0.00 |
| 80050 | General health panel | 0% | 18 | $0.00 |
| A0429 | Emergency ambulance ride, basic life support | 0% | 42 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 60 | $0.00 |
| 80061 | Lipid panel | 0% | 41 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 0% | 41 | $0.00 |
| 99284 | Emergency room visit (serious) | 0% | 174 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 14 | $0.00 |
| V2025 | Deluxe frame | 0% | 12 | $0.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 16 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 15 | $0.00 |
| V2020 | Frames, purchases | 0% | 13 | $0.00 |
| A0425 | Ground mileage, per statute mile | 0% | 28 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 60 | $0.00 |
| T1017 | Case management, billed per 15 minutes | 0% | 246 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCULBRETH, LAURA (DIRECTOR INFORMATICS)
Parent organizationAETNA BETTER HEALTH OF FLORIDA INC
| Provider | Location | Paid |
|---|---|---|
| Aetna Better Health of Florida INC - Reg 7 | Orlando, FL | $36K |
| Aetna Better Health of Florida INC | Tampa, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.