Medicaid Provider Spending

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

PRIMECARE PL

NPI: 1407038169 · ST AUGUSTINE, FL 32086 · Cardiovascular Disease Physician · NPI assigned 12/04/2007

$40.14
Total Medicaid Paid
49
Total Claims
24
Beneficiaries
1
Codes Billed
2019-10
First Month
2019-12
Last Month

Provider Details

Authorized OfficialKELSEY, ROBERT (PRESIDENT)
NPI Enumeration Date12/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 49 $40.14

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49 24 $40.14