Medicaid Provider Spending

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

PRUDENCIO E. LAROYA, M.D. PA

NPI: 1295747806 · FORT PIERCE, FL 34950 · Pediatrics Physician · NPI assigned 08/12/2006

$569K
Total Medicaid Paid
21,756
Total Claims
19,574
Beneficiaries
29
Codes Billed
2018-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAROYA, PRUDENCIO (OWNER)
NPI Enumeration Date08/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 201 $8K
2019 3,218 $138K
2020 2,266 $79K
2021 4,083 $103K
2022 4,580 $108K
2023 4,256 $80K
2024 3,152 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,910 3,592 $151K
90460 Immunization administration through 18 years of age via any route, first or only component 2,466 2,351 $84K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 800 789 $68K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 765 749 $62K
97802 2,469 2,405 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,409 1,286 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 428 417 $37K
92552 1,806 1,760 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 299 285 $25K
H0049 Alcohol and/or drug screening 369 353 $5K
90670 252 244 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 79 79 $496.00
90715 27 25 $331.12
90686 302 294 $71.10
90633 185 181 $32.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,582 1,991 $0.00
90744 15 14 $0.00
90651 160 153 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 644 409 $0.00
96127 16 14 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 20 12 $0.00
90698 85 83 $0.00
90677 15 15 $0.00
90716 16 13 $0.00
90680 17 16 $0.00
99173 2,554 1,979 $0.00
90734 40 39 $0.00
90707 14 14 $0.00
90700 12 12 $0.00