Medicaid Provider Spending

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

FLORIDA ATLANTIC UNIVERSITY

NPI: 1164591954 · BOCA RATON, FL 33431 · Clinical Psychologist · NPI assigned 11/07/2006

$3K
Total Medicaid Paid
192
Total Claims
182
Beneficiaries
3
Codes Billed
2019-02
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPONTIROLI-KELLY, LOUISA (AUTHORIZED OFFICIAL)
Parent OrganizationFLORIDA ATLANTIC UNIVERSITY
NPI Enumeration Date11/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 120 $3K
2022 72 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 122 116 $3K
36415 Collection of venous blood by venipuncture 31 30 $140.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 39 36 $0.00