Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Primary Care Medical Services of Poinciana INC

Primary Care Medical Services of Poinciana INC was paid $3.69M by Medicaid between Jan 2018 and Dec 2024, across 138 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoPRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
KISSIMMEE, FL 34744
33aNPI1376093609assigned 10/11/2016
28Total paid$3.69M
24GClaims729,166
24DCodes billed138
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Florida

Rank by total paid#18 of 293
Median peer was paid$114K
This provider vs. median32×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20184,351$72K
201976,138$379K
202099,294$460K
2021131,703$604K
2022288,939$939K
202387,649$753K
2024incomplete41,092$482K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 25,852 17,969 $886K
H1000 Prenatal care, at-risk assessment 22% 13,426 8,165 $811K
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 9.1% 7,596 5,432 $337K
D0330 Panoramic radiographic image 3.8% 3,918 3,840 $140K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 5,960 3,896 $133K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.7% 2,142 1,641 $99K
D1110 Prophylaxis - adult 2.5% 3,333 3,249 $94K
81003 2.3% 21,021 13,558 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.3% 1,464 1,015 $85K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.0% 5,507 5,284 $75K
D1120 Dental cleaning, childProphylaxis - child 2.0% 3,002 2,866 $72K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.9% 2,488 1,785 $70K
126 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 924 $61K
99203 Doctor's office visit, new patient (routine) 1.5% 1,259 $54K
99204 Doctor's office visit, new patient (more involved) 1.4% 1,286 $53K
D1351 Sealant - per tooth 1.4% 7,546 $51K
D0150 Comprehensive oral evaluation - new or established patient 1.4% 3,921 $51K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.3% 858 $49K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.3% 914 $48K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 5,455 $32K
D0272 Bitewings - two radiographic images <1% 6,153 $25K
92551 <1% 7,947 $24K
D1206 Topical application of fluoride varnish <1% 7,035 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 385 $22K
85018 <1% 10,982 $21K
90791 Psychiatric diagnostic evaluation <1% 334 $21K
D0220 Intraoral - periapical first radiographic image <1% 10,194 $20K
99383 <1% 245 $15K
D0274 Bitewings - four radiographic images <1% 1,506 $15K
D0230 Intraoral - periapical each additional radiographic image <1% 8,765 $15K
D0140 Limited oral evaluation - problem focused <1% 1,519 $14K
81025 <1% 3,469 $13K
D0603 <1% 933 $12K
99381 <1% 142 $12K
90792 Psychiatric diagnostic evaluation with medical services <1% 171 $12K
99384 <1% 176 $11K
D1330 <1% 5,636 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 449 $9K
1111F <1% 51,995 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 148 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,710 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 694 $7K
99385 <1% 77 $7K
99443 <1% 422 $6K
D0210 Intraoral - complete series of radiographic images <1% 143 $6K
D1310 <1% 5,273 $6K
D1999 <1% 73 $4K
90461 <1% 1,261 $4K
99442 <1% 456 $4K
3078F <1% 35,326 $4K
3725F <1% 35,076 $4K
D7140 Extraction, erupted tooth or exposed root <1% 124 $3K
3074F <1% 37,956 $3K
59430 <1% 33 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 543 $2K
99382 <1% 47 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 55 $2K
99205 Prolong outpt/office vis <1% 15 $2K
D0145 Oral evaluation for a patient under three years of age <1% 29 $2K
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 12,967 $1K
1126F <1% 37,737 $1K
1000F <1% 36,986 $1K
1036F <1% 35,133 $1K
36415 Collection of venous blood by venipuncture <1% 1,975 $1K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 22,900 $929.94
99441 <1% 202 $925.98
96160 <1% 31,471 $695.15
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 123 $679.69
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 29 $590.20
90834 Psychotherapy session, about 45 minutes <1% 26 $562.84
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 78 $516.60
82274 <1% 157 $510.28
H0049 Alcohol and/or drug screening <1% 18,880 $498.79
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 155 $458.25
1160F <1% 44,100 $412.18
3079F <1% 5,498 $394.11
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 30,697 $370.19
D0999 Unspecified diagnostic procedure, by report <1% 14 $280.00
1159F <1% 44,353 $276.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 58 $273.21
96127 <1% 20,932 $261.00
90651 <1% 460 $216.18
0521F <1% 728 $200.26
1158F <1% 1,882 $191.26
1125F <1% 2,436 $184.41
D9999 Unspecified adjunctive procedure, by report <1% 85 $180.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,257 $177.37
90472 Immunization administration, each additional vaccine (list separately) <1% 62 $158.50
3075F <1% 1,430 $113.97
0502F <1% 1,411 $109.94
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,123 $97.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 28 $86.67
3080F <1% 151 $86.47
3077F <1% 699 $76.52
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 19 $72.25
99459 <1% 13 $62.29
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 82 $58.22
1034F <1% 652 $25.68
4000F <1% 267 $25.22
36416 <1% 1,722 $15.00
1170F <1% 78 $12.61
3048F <1% 658 $12.61
90686 <1% 1,515 $10.01
99173 <1% 4,566 $8.54
90633 0% 256 $0.00
90670 0% 449 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 0% 162 $0.00
90672 0% 103 $0.00
99177 0% 1,868 $0.00
3050F 0% 27 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 85 $0.00
90715 0% 17 $0.00
90734 0% 39 $0.00
1124F 0% 146 $0.00
1039F 0% 50 $0.00
99499 0% 14 $0.00
90710 0% 31 $0.00
87081 0% 18 $0.00
3008F 0% 1,872 $0.00
3044F 0% 1,041 $0.00
3049F 0% 246 $0.00
4015F 0% 58 $0.00
1157F 0% 202 $0.00
96161 0% 571 $0.00
87086 Culture, bacterial; quantitative colony count, urine 0% 82 $0.00
76499 0% 253 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 0% 32 $0.00
94760 0% 162 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 59 $0.00
T1029 Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling 0% 14 $0.00
87430 0% 13 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 15 $0.00
88142 0% 14 $0.00
90620 0% 31 $0.00
0501F 0% 14 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 13 $0.00
3061F 0% 13 $0.00
90697 0% 32 $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 officialJOHNSON-CORNETT, BELINDA (CEO)
Same official

Other billing entities under JOHNSON-CORNETT, BELINDA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.