Medicaid Provider Spending

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

ADVENTHEALTH PRIMARY CARE NETWORK INC

NPI: 1093493637 · ALTAMONTE SPRINGS, FL 32714 · Internal Medicine Physician · NPI assigned 07/05/2023

$540K
Total Medicaid Paid
29,238
Total Claims
25,446
Beneficiaries
22
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETTIJOHN, KELLY (SVP-CFO)
NPI Enumeration Date07/05/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 29,238 $540K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,419 14,598 $488K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,500 1,325 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 112 110 $12K
99308 Subsequent nursing facility care, per day, straightforward 288 220 $2K
99215 Prolong outpt/office vis 83 72 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 402 329 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $795.44
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 316 297 $115.39
3074F 145 119 $50.00
3725F 2,371 2,042 $0.00
3288F 208 186 $0.00
1090F 50 43 $0.00
3078F 14 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14 12 $0.00
1036F 4,433 3,683 $0.00
1126F 1,879 1,558 $0.00
1125F 685 562 $0.00
2010F 53 44 $0.00
1101F 189 170 $0.00
3079F 29 24 $0.00
1220F 15 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20 16 $0.00