Medicaid Provider Spending

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

PREMIUM MEDICAL CENTER CORP

NPI: 1053971937 · VIRGINIA GARDENS, FL 33166 · Community/Behavioral Health Agency · NPI assigned 06/13/2019

$21K
Total Medicaid Paid
208
Total Claims
12
Beneficiaries
1
Codes Billed
2021-06
First Month
2021-06
Last Month

Provider Details

Authorized OfficialGONZALEZ OLIVA, DEIVYS (AUTHORIZED OFFICIAL)
NPI Enumeration Date06/13/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 208 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 208 12 $21K