Medicaid Provider Spending

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

NEW RIVER COMMUNITY HEALTH CARE, INC

NPI: 1366889040 · LAKE BUTLER, FL 32054 · Family Medicine Physician · NPI assigned 06/04/2013

$22K
Total Medicaid Paid
1,936
Total Claims
1,447
Beneficiaries
11
Codes Billed
2022-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIETRANGELO, JOE (ADMINISTRATOR)
NPI Enumeration Date06/04/2013

Related Entities

Other providers sharing the same authorized official: PIETRANGELO, JOE

ProviderCityStateTotal Paid
FLORIDA DEPARTMENT OF HEALTH MACCLENNY FL $970K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 101 $1K
2023 617 $9K
2024 1,218 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 73 72 $6K
D1206 Topical application of fluoride varnish 359 355 $5K
D0120 Periodic oral evaluation - established patient 214 214 $5K
D1351 Sealant - per tooth 512 125 $3K
D1120 Prophylaxis - child 121 117 $1K
D0191 111 110 $884.00
D1354 129 42 $651.90
D9999 Unspecified adjunctive procedure, by report 19 19 $475.00
D1330 354 349 $239.01
D9996 29 29 $220.00
D0190 15 15 $5.00