Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › RUSKIN › SUNCOAST COMMUNITY HEALTH CENTERS INC

SUNCOAST COMMUNITY HEALTH CENTERS INC

NPI: 1285644799 · RUSKIN, FL 33570 · Federally Qualified Health Center (FQHC) · NPI assigned 08/08/2006

$7.34M
Total Medicaid Paid
363,240
Total Claims
317,464
Beneficiaries
133
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPELTZ, SUSAN (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: PELTZ, SUSAN

ProviderCityStateTotal Paid
SUNCOAST COMMUNITY HEALTH CENTERS INC RUSKIN FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,116 $89K
2019 29,254 $672K
2020 31,762 $640K
2021 38,992 $960K
2022 82,770 $1.78M
2023 74,339 $1.65M
2024 103,007 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,140 79,587 $2.72M
H1000 Prenatal care, at-risk assessment 21,413 16,604 $1.40M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,404 6,929 $512K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,059 5,743 $464K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,452 4,741 $336K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,711 3,223 $210K
D1120 Prophylaxis - child 4,951 4,879 $163K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,729 3,452 $162K
D1110 Prophylaxis - adult 4,093 4,036 $161K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,620 4,989 $129K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,936 1,427 $129K
D0330 Panoramic radiographic image 1,765 1,713 $102K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25,295 22,269 $77K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,919 1,406 $66K
90472 Immunization administration, each additional vaccine (list separately) 12,029 10,798 $60K
90832 Psychotherapy, 30 minutes with patient 1,290 1,095 $57K
D0140 Limited oral evaluation - problem focused 3,934 3,855 $54K
D1351 Sealant - per tooth 2,537 754 $41K
D0230 Intraoral - periapical each additional radiographic image 3,514 3,183 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 584 567 $36K
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 3,317 2,398 $30K
D0240 580 575 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 829 722 $26K
99381 227 211 $24K
90834 Psychotherapy, 45 minutes with patient 320 262 $24K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 762 642 $24K
D1206 Topical application of fluoride varnish 9,885 9,728 $21K
D0150 Comprehensive oral evaluation - new or established patient 1,422 1,353 $20K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 300 277 $20K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,445 671 $18K
D0210 Intraoral - complete series of radiographic images 387 385 $16K
90460 Immunization administration through 18 years of age via any route, first or only component 1,836 1,821 $15K
D0274 Bitewings - four radiographic images 2,332 2,294 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,602 3,337 $14K
81003 20,057 15,681 $12K
D0120 Periodic oral evaluation - established patient 3,895 3,875 $11K
90686 7,988 7,163 $9K
59430 264 228 $9K
D0350 2,154 2,042 $9K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 261 84 $6K
D2930 Prefabricated stainless steel crown - primary tooth 56 42 $6K
D7140 Extraction, erupted tooth or exposed root 103 76 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 867 714 $5K
0002A 158 156 $4K
D0191 1,202 1,180 $4K
87430 1,530 978 $4K
D1354 1,195 293 $4K
D1330 10,177 10,001 $3K
D9996 1,170 1,128 $3K
0001A 180 171 $3K
D0220 Intraoral - periapical first radiographic image 4,489 4,363 $2K
0072A 83 61 $2K
90670 2,282 2,120 $2K
0071A 76 54 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 279 249 $2K
3074F 2,915 2,541 $2K
90791 Psychiatric diagnostic evaluation 15 15 $2K
V2020 Frames, purchases 383 325 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 50 31 $1K
82962 1,093 971 $1K
99384 17 17 $1K
0031A 59 55 $1K
85018 1,694 1,195 $1K
90697 207 199 $953.92
90651 1,122 975 $805.57
99188 312 301 $800.11
90620 336 328 $736.62
J0561 Injection, penicillin g benzathine, 100,000 units 99 95 $715.48
D0272 Bitewings - two radiographic images 2,138 2,093 $628.32
D0145 Oral evaluation for a patient under three years of age 45 43 $605.28
92015 Determination of refractive state 2,026 1,579 $328.57
92551 2,860 2,808 $220.68
90715 82 80 $195.56
90698 329 315 $148.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 13 13 $147.00
0011A 13 13 $141.64
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 399 388 $135.99
90633 728 699 $110.00
3075F 115 111 $100.00
92340 Fitting of spectacles, except for aphakia; monofocal 369 319 $90.00
90685 189 169 $90.00
90461 351 334 $57.60
90680 230 212 $45.00
90674 327 300 $45.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $37.58
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 172 133 $35.00
90744 199 183 $30.00
90696 25 25 $25.00
86780 16 15 $21.52
D0270 378 372 $17.88
90621 37 36 $15.00
90700 39 39 $15.00
D0603 423 418 $10.00
90734 636 566 $5.00
90647 753 727 $5.00
99173 2,873 2,816 $0.00
1160F 10,530 9,457 $0.00
91300 318 268 $0.00
1159F 10,543 9,462 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 26 25 $0.00
3078F 2,389 2,094 $0.00
D1999 46 44 $0.00
90710 358 333 $0.00
90681 69 68 $0.00
99401 64 64 $0.00
3077F 71 64 $0.00
81025 42 40 $0.00
D1310 2,580 2,486 $0.00
96127 113 112 $0.00
1000F 4,260 3,814 $0.00
1126F 1,289 1,143 $0.00
2020F 704 654 $0.00
1036F 3,798 3,402 $0.00
90723 446 439 $0.00
3079F 705 646 $0.00
3008F 792 711 $0.00
1220F 934 853 $0.00
90656 990 985 $0.00
90677 843 835 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 232 219 $0.00
91301 50 46 $0.00
91307 228 137 $0.00
D0601 75 73 $0.00
96161 79 68 $0.00
D0602 145 145 $0.00
87428 35 35 $0.00
1125F 168 146 $0.00
92250 49 47 $0.00
90619 43 42 $0.00
90688 18 15 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 13 13 $0.00
3080F 13 12 $0.00
1034F 18 16 $0.00