Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PROMEDTC, LLC
NPI: 1104441617 · VALRICO, FL 33596 ·
Primary Care Clinic/Center
· NPI assigned 06/10/2020
$11K
Total Medicaid Paid
474
Total Claims
301
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-12
Last Month
Provider Details
Authorized Official
CHEPI-IPA, TYMUR
(MEDICAL DIRECTOR)
NPI Enumeration Date
06/10/2020
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
474
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99215
Prolong outpt/office vis
429
257
$11K
99350
Prolong home eval add 15m
23
22
$547.20
99345
Prolong home eval add 15m
22
22
$197.17