PRICARE HEALTH LLC
NPI: 1457826398
· PORT RICHEY, FL 34668
· Primary Care Clinic/Center
· NPI assigned 10/08/2018
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | BANJOKO, STEPHEN (CFO) |
| Parent Organization | MAIN STREET MEDICAL LLC |
| NPI Enumeration Date | 10/08/2018 |
Related Entities
Other providers sharing the same authorized official: BANJOKO, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
31 |
$1K |
| 2021 |
313 |
$9K |
| 2022 |
1,035 |
$54K |
| 2023 |
1,078 |
$32K |
| 2024 |
361 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,940 |
1,666 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
292 |
265 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
208 |
188 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
219 |
212 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
146 |
$2K |