Medicaid Provider Spending

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

SOUTH LAKE PRIMARY CARE P A

NPI: 1053613232 · CLERMONT, FL 34714 · Primary Care Clinic/Center · NPI assigned 11/22/2010

$326.74
Total Medicaid Paid
15
Total Claims
14
Beneficiaries
1
Codes Billed
2019-08
First Month
2019-08
Last Month

Provider Details

Authorized OfficialSUEIRO, RAMON (MD)
NPI Enumeration Date11/22/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $326.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $326.74