Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › TAMPA › IDITALYA 10 MEDICAL CENTER INC

IDITALYA 10 MEDICAL CENTER INC

NPI: 1447643291 · TAMPA, FL 33614 · General Practice Physician · NPI assigned 03/17/2015

$67K
Total Medicaid Paid
3,844
Total Claims
2,872
Beneficiaries
5
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFERNANDEZ, ALFREDO (OWNER)
NPI Enumeration Date03/17/2015

Related Entities

Other providers sharing the same authorized official: FERNANDEZ, ALFREDO

ProviderCityStateTotal Paid
ALFREDO FERNANDEZ, MD, PA TAMPA FL $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $128.28
2019 662 $2K
2020 694 $3K
2021 606 $16K
2022 607 $15K
2023 755 $21K
2024 357 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,624 2,709 $65K
99335 54 32 $1K
99497 85 71 $356.09
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $348.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 67 47 $115.92