Medicaid Provider Spending

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

SUN 'N LAKE MEDICAL GROUP,PA

NPI: 1144400540 · LAKE PLACID, FL 33852 · Rural Health Clinic/Center · NPI assigned 11/14/2007

$3K
Total Medicaid Paid
92
Total Claims
86
Beneficiary Records
5
Codes Billed
2019-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialCAMILO, RAISA (OWNER)
NPI Enumeration Date11/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 92 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39 36 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $974.31
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $631.76
90460 Immunization administration through 18 years of age via any route, first or only component 15 14 $120.00
97802 14 12 $57.50