Clinic
Suncoast Community Health Centers INC
Suncoast Community Health Centers INC was paid $7.34M by Medicaid between Jan 2018 and Dec 2024, across 133 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSUNCOAST COMMUNITY HEALTH CENTERS INC
RUSKIN, FL 33570
RUSKIN, FL 33570
33aNPI1285644799assigned 08/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.34M
24GClaims363,240
24DCodes billed133
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#5 of 293
Median peer was paid$114K
This provider vs. median65×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 103,007 | $1.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 93,140 | 79,587 | $2.72M |
| H1000 | Prenatal care, at-risk assessment | 19% | 21,413 | 16,604 | $1.40M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 7,404 | 6,929 | $512K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 6,059 | 5,743 | $464K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 5,452 | 4,741 | $336K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 3,711 | 3,223 | $210K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 4,951 | 4,879 | $163K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.2% | 3,729 | 3,452 | $162K |
| D1110 | Prophylaxis - adult | 2.2% | 4,093 | 4,036 | $161K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 5,620 | 4,989 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 1,936 | 1,427 | $129K |
| D0330 | Panoramic radiographic image | 1.4% | 1,765 | 1,713 | $102K |
121 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 25,295 | $77K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,919 | $66K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12,029 | $60K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,290 | $57K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,934 | $54K |
| D1351 | Sealant - per tooth | <1% | 2,537 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,514 | $39K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 584 | $36K |
| G0467 | Community health center visit, returning patient | <1% | 3,317 | $30K |
| D0240 | <1% | 580 | $26K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 829 | $26K |
| 99381 | <1% | 227 | $24K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 320 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 762 | $24K |
| D1206 | Topical application of fluoride varnish | <1% | 9,885 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,422 | $20K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 300 | $20K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,445 | $18K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 387 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,836 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 2,332 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,602 | $14K |
| 81003 | <1% | 20,057 | $12K | |
| D0120 | Dental checkup, returning patient | <1% | 3,895 | $11K |
| 90686 | <1% | 7,988 | $9K | |
| 59430 | <1% | 264 | $9K | |
| D0350 | <1% | 2,154 | $9K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 261 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 56 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 103 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 867 | $5K |
| 0002A | <1% | 158 | $4K | |
| D0191 | <1% | 1,202 | $4K | |
| 87430 | <1% | 1,530 | $4K | |
| D1354 | <1% | 1,195 | $4K | |
| D1330 | <1% | 10,177 | $3K | |
| D9996 | <1% | 1,170 | $3K | |
| 0001A | <1% | 180 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,489 | $2K |
| 0072A | <1% | 83 | $2K | |
| 90670 | <1% | 2,282 | $2K | |
| 0071A | <1% | 76 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 279 | $2K |
| 3074F | <1% | 2,915 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $2K |
| V2020 | Frames, purchases | <1% | 383 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 50 | $1K |
| 82962 | <1% | 1,093 | $1K | |
| 99384 | <1% | 17 | $1K | |
| 0031A | <1% | 59 | $1K | |
| 85018 | <1% | 1,694 | $1K | |
| 90697 | <1% | 207 | $953.92 | |
| 90651 | <1% | 1,122 | $805.57 | |
| 99188 | <1% | 312 | $800.11 | |
| 90620 | <1% | 336 | $736.62 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 99 | $715.48 |
| D0272 | Bitewings - two radiographic images | <1% | 2,138 | $628.32 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 45 | $605.28 |
| 92015 | Determination of refractive state | <1% | 2,026 | $328.57 |
| 92551 | <1% | 2,860 | $220.68 | |
| 90715 | <1% | 82 | $195.56 | |
| 90698 | <1% | 329 | $148.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $147.00 |
| 0011A | <1% | 13 | $141.64 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 399 | $135.99 |
| 90633 | <1% | 728 | $110.00 | |
| 3075F | <1% | 115 | $100.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 369 | $90.00 |
| 90685 | <1% | 189 | $90.00 | |
| 90461 | <1% | 351 | $57.60 | |
| 90680 | <1% | 230 | $45.00 | |
| 90674 | <1% | 327 | $45.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $37.58 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 172 | $35.00 |
| 90744 | <1% | 199 | $30.00 | |
| 90696 | <1% | 25 | $25.00 | |
| 86780 | <1% | 16 | $21.52 | |
| D0270 | <1% | 378 | $17.88 | |
| 90621 | <1% | 37 | $15.00 | |
| 90700 | <1% | 39 | $15.00 | |
| D0603 | <1% | 423 | $10.00 | |
| 90734 | <1% | 636 | $5.00 | |
| 90647 | <1% | 753 | $5.00 | |
| 99173 | 0% | 2,873 | $0.00 | |
| 1160F | 0% | 10,530 | $0.00 | |
| 91300 | 0% | 318 | $0.00 | |
| 1159F | 0% | 10,543 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 26 | $0.00 |
| 3078F | 0% | 2,389 | $0.00 | |
| D1999 | 0% | 46 | $0.00 | |
| 90710 | 0% | 358 | $0.00 | |
| 90681 | 0% | 69 | $0.00 | |
| 99401 | 0% | 64 | $0.00 | |
| 3077F | 0% | 71 | $0.00 | |
| 81025 | 0% | 42 | $0.00 | |
| D1310 | 0% | 2,580 | $0.00 | |
| 96127 | 0% | 113 | $0.00 | |
| 1000F | 0% | 4,260 | $0.00 | |
| 1126F | 0% | 1,289 | $0.00 | |
| 2020F | 0% | 704 | $0.00 | |
| 1036F | 0% | 3,798 | $0.00 | |
| 90723 | 0% | 446 | $0.00 | |
| 3079F | 0% | 705 | $0.00 | |
| 3008F | 0% | 792 | $0.00 | |
| 1220F | 0% | 934 | $0.00 | |
| 90656 | 0% | 990 | $0.00 | |
| 90677 | 0% | 843 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 232 | $0.00 |
| 91301 | 0% | 50 | $0.00 | |
| 91307 | 0% | 228 | $0.00 | |
| D0601 | 0% | 75 | $0.00 | |
| 96161 | 0% | 79 | $0.00 | |
| D0602 | 0% | 145 | $0.00 | |
| 87428 | 0% | 35 | $0.00 | |
| 1125F | 0% | 168 | $0.00 | |
| 92250 | 0% | 49 | $0.00 | |
| 90619 | 0% | 43 | $0.00 | |
| 90688 | 0% | 18 | $0.00 | |
| G0475 | Hiv antigen/antibody, combination assay, screening | 0% | 13 | $0.00 |
| 3080F | 0% | 13 | $0.00 | |
| 1034F | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPELTZ, SUSAN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Suncoast Community Health Centers INC | Ruskin, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.