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

Main Street Medical LLC

Main Street Medical LLC was paid $1K by Medicaid between Sep 2022 and May 2024, across 9 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 64% of everything it billed.

33Billing provider infoMAIN STREET MEDICAL LLC
TAMPA, FL 33612
33aNPI1487079505assigned 02/26/2014
33bProvider typeAdult Medicine Physician
28Total paid$1K
24GClaims187
24DCodes billed9
24AFirst – last monthSep 2022 – May 2024
Compared with peers

Next to other Adult Medicine Physician providers in Florida

Rank by total paid#29 of 42
Median peer was paid$6K
This provider vs. median0.2×

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$250$500$7502018201920202021202220232024
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
202214$40.00
202317$53.43
2024incomplete156$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 64% 38 21 $740.16
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27% 17 16 $316.90
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 4.6% 17 14 $53.43
0004A 3.5% 14 13 $40.00
36415 Collection of venous blood by venipuncture <1% 31 19 $5.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 16 14 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 12 12 $0.00
90715 0% 26 15 $0.00
90746 0% 16 14 $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 officialBANJOKO, STEPHEN (CFO)
Same official

Other billing entities under BANJOKO, STEPHEN

Full network →
ProviderLocationPaid
Pricare Health LLCPort Richey, FL$115K

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